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“不要无事生非”:护理专业学生的从众与顺从经历

'Don't rock the boat': Nursing students' experiences of conformity and compliance.

作者信息

Levett-Jones Tracy, Lathlean Judith

机构信息

School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia.

出版信息

Nurse Educ Today. 2009 Apr;29(3):342-9. doi: 10.1016/j.nedt.2008.10.009. Epub 2008 Dec 3.

Abstract

AIM

This paper profiles a cross national case study that examined nursing students' experience of belongingness when undertaking clinical placements. The aim of the paper is to present selected findings that focus on the relationship between belongingness, conformity and compliance.

BACKGROUND

Literature from the disciplines of psychology, social science and nursing is presented as a background to the study.

METHODS

This was a mixed methods case study; in this paper the qualitative phase is described. Eighteen third year nursing students from two universities in Australia and one in the United Kingdom were interviewed and the data thematically analysed.

FINDINGS

Three sub themes emerged within the category of conformity and compliance. These included: Don't rock the boat; getting the RNs offside; and speaking up. Students described how and why they adopted or adapted to the teams' and institution's values and norms, rather than challenging them, believing that this would improve their likelihood of acceptance and inclusion by the nursing staff.

CONCLUSION

Further research is required to examine the subtle interplay of factors that influence nursing students' attitudes and behaviours in relation to their need to belong, how conformity and compliance are acculturated in practice, and how students can be empowered to speak out against poor practice to become assertive and confident practitioners.

摘要

目的

本文介绍一项跨国案例研究,该研究考察了护理专业学生在进行临床实习时的归属感体验。本文旨在呈现一些选定的研究结果,重点关注归属感、从众和依从之间的关系。

背景

来自心理学、社会科学和护理学学科的文献被作为该研究的背景呈现。

方法

这是一项混合方法案例研究;本文描述了定性阶段。对来自澳大利亚两所大学和英国一所大学的18名三年级护理专业学生进行了访谈,并对数据进行了主题分析。

结果

在从众和依从类别中出现了三个子主题。这些包括:别惹麻烦;惹注册护士不高兴;以及大声说出。学生们描述了他们如何以及为何采纳或适应团队和机构的价值观及规范,而不是去挑战它们,认为这样做会提高他们被护理人员接受和包容的可能性。

结论

需要进一步研究来考察影响护理专业学生在归属感需求方面的态度和行为的各种因素之间的微妙相互作用,考察从众和依从在实践中是如何形成的,以及如何使学生有能力反对不良做法,从而成为坚定自信的从业者。

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