Lee Geraldine A, Fitzgerald Les
La Trobe University, Alfred Clinical School of Nursing, The Alfred Hospital, Prahran, and School of Nursing and Midwifery, La Trobe University, Melbourne 3004, Australia.
Nurse Educ Pract. 2008 Nov;8(6):397-404. doi: 10.1016/j.nepr.2008.03.002. Epub 2008 May 9.
Nurse practitioners in Victoria, Australia must be prepared to Masters level before seeking nurse practitioner (NP) endorsement. The challenge from a university curriculum development perspective was to develop a programme that prepares the NP theoretically and clinically for their advanced practice role. The aim of this discussion paper is to outline how the internship model was developed and report the students' opinions on the model. The NP students complete the internship with a suitably qualified mentor which requires them to work together to develop and maintain a clinical learning plan, keep a log of the weekly meetings that shows how the objectives have been achieved. The internship includes advanced clinical assessment, prescribing, diagnostic and treatment skills and knowledge related to the nurse's specialty. The clinical assessment tool incorporates the National Competency Standards for the Nurse Practitioner and allows students and mentors to identify the level of practice and set clinical objectives. Students were asked to give feedback on the clinical internship and overall their comments were favourable, reporting benefits of a clinical mentor in their work and the clinical case presentations. The clinical internship allows the acquisition of knowledge and clinical skills in the clinical specialty with an expert clinical mentor in this innovative programme.
在澳大利亚维多利亚州，执业护士在寻求执业护士（NP）资格认可之前必须具备硕士水平。从大学课程开发的角度来看，面临的挑战是设计一个项目，让NP在理论和临床方面都能为其高级实践角色做好准备。本讨论文件的目的是概述实习模式是如何开发的，并报告学生对该模式的看法。NP学生在具备适当资质的导师指导下完成实习，这要求他们共同制定并维护一份临床学习计划，记录每周的会议情况，以展示目标是如何实现的。实习内容包括高级临床评估、开处方、诊断和治疗技能以及与护士专业相关的知识。临床评估工具纳入了执业护士国家能力标准，使学生和导师能够确定实践水平并设定临床目标。学生们被要求对临床实习提供反馈，总体而言他们的评价是积极的，报告了临床导师在工作及临床病例汇报方面带来的益处。在这个创新项目中，临床实习能够让学生在临床专业领域与专业临床导师一起获取知识和临床技能。
