Williams Angela, Taylor Cathy
School of Health Science, Swansea University, Singleton Park, Swansea SA2 8PP, United Kingdom.
Nurse Educ Today. 2008 Nov;28(8):899-908. doi: 10.1016/j.nedt.2008.05.012. Epub 2008 Jun 30.
Educational policy (DOH, 1999. Making a difference: strengthening the nursing, midwifery and health visiting contribution to health and healthcare. Department of Health, London; UKCC, 1999. Fitness for Practice. United Kingdom Central Council for Nursing, Midwifery and Health Visiting, London; Nursing and Midwifery Council, 2006. Standards to support learning and assessment in practice. Nursing and Midwifery Council, London) and current nursing literature (Griscti, O., Jacono, B., Jacono, J., 2005. The nurse educator's clinical role. Journal of Advanced Nursing 50 (1), 84-92; Owen, S., Ferguson, K., Baguley, I., 2005. The clinical activity of mental health nurse lecturers. Journal of Psychiatric and Mental Health Nursing 12, 310-316), place increasing emphasis on nurse educators undertaking clinical practice to facilitate their clinical confidence and competence. This study investigated nurse educators' perceptions and experiences of undertaking clinical practice. A qualitative design and descriptive, exploratory approach were used. A purposive sample of 11 nurse educators in one nursing department, took part in two focus group interviews, one with 5 and the other with 6 respondents, to identify and discuss their perceptions and experiences of undertaking clinical practice. A process of thematic content analysis revealed three broad themes relating to the meaning and importance of clinical practice, perceived benefits and barriers which are examined and discussed. The paper concludes that despite policy recommendations, barriers highlighted in this study such as insufficient time, heavy workload and a lack of valuing of the clinical role have been raised over the past few decades. The effect of undertaking clinical practice, particularly on the quality of teaching is argued to be valuable armoury in the battle to secure sufficient resources to support engagement in clinical practice. Financial and organisational commitment; valuing of clinical practice and research evidence are crucial to realising clinical practice for nurse educators. Alternative interpretations of what may constitute the clinical role such as joint research projects and supporting and supervising students are offered, which need to be assessed against clear, specific and realistic aims for the clinical role of the nurse educator.
教育政策(英国卫生部,1999年。《有所作为:加强护理、助产及健康访视对健康和医疗保健的贡献》。英国卫生部,伦敦;英国中央护理、助产及健康访视委员会,1999年。《执业资格》。英国中央护理、助产及健康访视委员会,伦敦;护理及助产士管理局,2006年。《支持实践学习与评估的标准》。护理及助产士管理局,伦敦)以及当前的护理文献(格里斯蒂,O.,亚科诺,B.,亚科诺,J.,2005年。《护士教育者的临床角色》。《高级护理杂志》第50卷第1期,第84 - 92页;欧文,S.,弗格森,K.,巴古利,I.,2005年。《精神科护士讲师的临床活动》。《精神科与心理健康护理杂志》第12期,第310 - 316页)越来越强调护士教育者参与临床实践以增强他们的临床信心和能力。本研究调查了护士教育者对参与临床实践的看法和经历。采用了定性设计以及描述性、探索性方法。从一个护理部门选取了11名护士教育者作为有目的的样本,参加了两次焦点小组访谈,一次有5名受访者,另一次有6名受访者,以确定并讨论他们对参与临床实践的看法和经历。主题内容分析过程揭示了与临床实践的意义和重要性、感知到的益处和障碍相关的三个广泛主题,并对这些主题进行了审视和讨论。本文得出结论,尽管有政策建议,但本研究中所强调的障碍,如时间不足、工作量大以及对临床角色缺乏重视,在过去几十年中一直存在。参与临床实践的影响,特别是对教学质量的影响,被认为是在争取足够资源以支持参与临床实践的斗争中的宝贵武器。财务和组织承诺;对临床实践的重视以及研究证据对于实现护士教育者的临床实践至关重要。文中还提出了对可能构成临床角色的其他解释,如联合研究项目以及支持和指导学生等,这些需要根据护士教育者临床角色明确、具体且现实的目标进行评估。