Shakespeare Pam, Webb Christine
Faculty of Health and Social Care, Open University, Milton Keynes, UK.
Nurs Inq. 2008 Dec;15(4):270-9. doi: 10.1111/j.1440-1800.2008.00415.x.
This paper discusses a study examining how mentors in nurse education make professional judgments about the clinical competence of their pre-registration nursing students. Interviews were undertaken with nine UK students and 15 mentors, using critical incidents in practice settings as a focus. The study was undertaken for the English National Practice-Based Professional Learning Centre for Excellence in Teaching and Learning. This paper reports on the conversation analytic thread of the work. The mentor role with pre-registration nursing students is not only supportive but involves formal assessment. Central to the relationship is communication. In professional education, communication is seen as a skill to be applied and assessed in practice settings but is also the medium mentors and mentees use to talk about the relationship. Analysis of excerpts of conversation in the interviews shows that episodes of communication are used as topics of conversation to establish professional identity. It also reveals that judgments about the extent of professional capacity of both students and mentors are grounded in everyday behaviours (for example, enthusiasm, indifference and confidence) as well as professional competence. In addition to focusing on clinical issues, mentors can and do use mundane communication as a resource for judgments about competence.
本文讨论了一项研究,该研究考察了护理教育中的导师如何对其预注册护理专业学生的临床能力做出专业判断。研究以实践环境中的关键事件为重点,对9名英国学生和15名导师进行了访谈。该研究是为英国国家基于实践的卓越教学与学习专业学习中心开展的。本文报告了该研究工作中会话分析的部分。预注册护理专业学生的导师角色不仅具有支持性,还涉及正式评估。这种关系的核心是沟通。在专业教育中,沟通被视为一种在实践环境中应用和评估的技能,但也是导师和学员用来谈论彼此关系的媒介。对访谈中的会话片段进行分析表明,沟通片段被用作会话主题以确立专业身份。分析还表明,对学生和导师专业能力程度的判断既基于日常行为(如热情、冷漠和自信),也基于专业能力。除了关注临床问题外,导师能够且确实将日常沟通作为判断能力的一种依据。