Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Alfreds Nobels Allé 12, 141 83 Huddinge, Sweden.
Nurse Educ Pract. 2009 Nov;9(6):361-6. doi: 10.1016/j.nepr.2008.10.007. Epub 2008 Nov 29.
Nursing students go through clinical supervision in primary health care settings but district nurses' (DNs) circumstances when supervising them are only briefly described in the literature. The aim of this study was to investigate DNs experience of supervising nursing students before and after the implementation of a new supervision model. Ninety-eight (74%) DNs answered a questionnaire before and 84 (65%) after implementation of the new supervision model. The study showed that DNs in most cases felt that conditions for supervision in the workplace were adequate. But about 70% lacked training for the supervisory role and 20% had no specialist district nurse training. They also experienced difficulty in keeping up-to-date with changes in nurse education programmes, in receiving support from the university and from their clinic managers, and in setting aside time for supervision. Improvements after the implementation of a new model chiefly concerned organisation; more DNs stated that one person had primary responsibility for students' clinical practice, that information packages for supervisors and students were available at the health care centres, and that conditions were in place for increasing the number of students they supervised. DNs also stated that supervisors and students benefited from supervision by more than one supervisor. To conclude, implementation of a new supervision model resulted in some improvements.
护理专业的学生在基层医疗保健环境中接受临床监督，但文献中仅简要描述了地区护士（DNs）监督他们的情况。本研究旨在调查 DNs 在实施新监督模式前后监督护理学生的经验。98 名（74%）DNs 在实施新监督模式之前和之后回答了一份问卷。研究表明，在大多数情况下，DNs 认为工作场所的监督条件是足够的。但约 70%的人缺乏监督角色的培训，20%的人没有专科地区护士培训。他们还发现，跟上护士教育计划的变化、从大学和诊所经理那里获得支持以及为监督留出时间存在困难。新模式实施后的改进主要涉及组织；更多的 DNs 表示，有一个人对学生的临床实践负有主要责任，在医疗中心有供监督者和学生使用的信息包，并且有条件增加他们监督的学生人数。DNs 还表示，监督者和学生从多个监督者的监督中受益。总之，实施新的监督模式带来了一些改进。
