Happell B, Robins A, Gough K
Department of Health Innovation and CQU Healthy Communities, Central Queensland University, Rockhampton, Qld., Australia.
J Psychiatr Ment Health Nurs. 2008 Sep;15(7):527-36. doi: 10.1111/j.1365-2850.2007.01233.x.
Previous research examining the impact of education on nursing students' attitudes towards mental health nursing as a career has highlighted clinical experience as the primary influencing factor and generally has not considered the impact of theory. The current study compared a cohort of second-year and a cohort of third-year nursing students from the same university. Second-year students had received more theory and clinical experience than their counterparts. Questionnaires were distributed to the total population of students before commencement of, and after completion of clinical placement. This paper examines students' perceived preparedness for and satisfaction with clinical experience, attitudes towards people with mental illness, and attitudes towards mental health nursing as a career option following the completion of differing amounts of theory and clinical experience. The results demonstrate some statistically significant differences with increased amounts of theory and clinical experience in the second-year cohort being positively influential. The findings suggest that an increased component of theoretical and clinical experience in psychiatric/mental health nursing is likely to produce more positive attitudes towards people with mental illness and psychiatric/mental health nursing. However, little difference in perceived preparedness for and satisfaction with clinical experience was noted between the two cohorts.
以往研究探讨教育对护理专业学生将精神科护理作为职业的态度的影响时,强调临床经验是主要影响因素,且通常未考虑理论的影响。本研究比较了来自同一所大学的一批二年级护理专业学生和一批三年级护理专业学生。二年级学生比三年级学生接受了更多的理论和临床经验。在临床实习开始前和结束后,向全体学生发放了问卷。本文考察了学生在完成不同量的理论和临床经验后,对临床经验的感知准备度和满意度、对精神疾病患者的态度以及将精神科护理作为职业选择的态度。结果显示,随着理论和临床经验量的增加,二年级学生群体存在一些统计学上的显著差异,且具有积极影响。研究结果表明,在精神科/心理健康护理中增加理论和临床经验的比重,可能会对精神疾病患者和精神科/心理健康护理产生更积极的态度。然而,两个群体在对临床经验的感知准备度和满意度方面差异不大。