Walker Rachel, Cooke Marie, McAllister Margaret
School of Nursing and Midwifery, Griffith University, Nathan 4111, Queensland, Australia.
Faculty Science, Health and Education, University of the Sunshine Coast, Maroochydore 4558, Queensland, Australia.
Nurse Educ Today. 2008 Aug;28(6):760-767. doi: 10.1016/j.nedt.2007.12.001. Epub 2008 Jan 15.
This paper describes the previously unexplored Buddy RN experience. Critical interpretive theory underpinned this exploratory study set in a large metropolitan teaching hospital in South East Queensland. Participants were five RNs who had been Buddies to undergraduate nursing student(s) in the previous 12 months. They were interviewed using semi-structured techniques and their transcribed interviews summarised to identify relevant verbatim data for participant checking. Common themes were generated via critical interpretive analysis and points of tension extrapolated. Four main points of tension were uncovered: Acknowledgement, Experience, Balance and Interruption. These revealed a number of paradoxes: the Buddy RN role is not professionally recognised by bodies that manage nursing; nursing is still influenced by essentialist discourses which perpetuate outdated practices and attitudes to the detriment of the Buddy RN; RNs are compelled to follow direction without question or dissent even though they are mandated by nursing's regulating body to be independent and accountable critical thinkers. A clear articulation of the Buddy RN role in the form of policy is required from nursing's regulating bodies. From this, health service management and universities can initiate the process of creating a framework for preparing, supporting, assessing and educating the Buddy RN.
本文描述了此前未被探索过的护生伙伴（Buddy RN）经历。批判性解释理论支撑了这项在昆士兰东南部一家大型都市教学医院开展的探索性研究。参与者是在过去12个月里担任本科护理专业学生伙伴的五名注册护士。采用半结构化技术对他们进行访谈，并对访谈记录进行总结，以确定用于参与者核对的相关逐字数据。通过批判性解释分析生成共同主题，并推断出紧张点。发现了四个主要紧张点：认可、经验、平衡和干扰。这些揭示了一些矛盾之处：护生伙伴角色未得到护理管理机构的专业认可；护理仍受本质主义话语影响，这种话语使过时的做法和态度长期存在，对护生伙伴不利；注册护士即使被护理监管机构要求成为独立且有责任感的批判性思考者，也被迫毫无疑问或异议地听从指示。护理监管机构需要以政策形式明确阐述护生伙伴角色。据此，卫生服务管理部门和大学可以启动为护生伙伴制定准备、支持、评估和教育框架的进程。
