Bellefontaine Nerys
Outer North East London Community Services.
Nurs Times. 2009;105(35):28-31.
While literature suggests that nurses report incidents or potentially unsafe care delivery, there is little evidence on student nurses' practice in this area.
To explore the factors that influence student in reporting concerns about practice.
A qualitative study was carried out using a phenomenological approach, based on semi-structured interviews with six student nurses.
Student nurses said they do not always report potentially unsafe practice they have witnessed. Four main themes were identified: the student-mentor relationship in clinical placement; actual or potential support provided by both the practice area and university; students' own personal confidence and professional knowledge base; and fear of failing clinical placements.
The nursing profession needs to take stock of current organisational culture and practice, and address issues around reporting in practice. Recommendations are made to improve mentorship, nurse training and for further research.
虽然文献表明护士会报告事件或潜在的不安全护理，但关于学生护士在这方面的实践证据很少。
探讨影响学生报告实践问题的因素。
采用现象学方法进行定性研究，基于对六名学生护士的半结构化访谈。
学生护士表示，他们并不总是报告所目睹的潜在不安全实践。确定了四个主要主题：临床实习中的学生与导师关系；实践领域和大学提供的实际或潜在支持；学生自身的个人信心和专业知识基础；以及对临床实习不及格的恐惧。
护理行业需要评估当前的组织文化和实践，并解决实践中报告方面的问题。提出了改进指导、护士培训及进一步研究的建议。
