Malmö University, Faculty of Health and Society, Department of Nursing, Sweden.
Nurse Educ Today. 2010 Nov;30(8):763-7. doi: 10.1016/j.nedt.2010.01.020. Epub 2010 Apr 8.
In nursing education, it has been argued that professional socialization is facilitated by clinical experiences where students work together with precepting nurses. However, few studies found have focused on how nurses think and act as preceptors, hence providing a base for professional socialization to occur. Therefore; this study aimed to describe how preceptors mediated nursing as a profession to undergraduate nursing students during clinical practice. This was an ethnographic study guided by symbolic interactionism. A purposeful sampling of 13 precepting nurses was observed during the field work period. In addition, 16 staff nurses, purposively selected, and experienced in precepting, participated in focus group interviews. All text from field notes and interviews were read as a whole and analyzed following the ethnographic approach. Findings illustrated how nursing was mediated as the medical-technical, the administrative, and the caring role. Preceptors aimed for professionalism in their students by teaching the students to reflect on what they can do independently as nurses. Preceptors strived to verbalise their practical knowledge to make theory explicit and contextualize to student nurses. This knowledge can guide implementation of preceptor programmes focusing on the meaning and implications of professionalism.
在护理教育中,有人认为,临床经验有助于学生与导师护士一起工作,从而促进专业社会化。然而,很少有研究关注护士作为导师的思维和行为方式,因此为专业社会化提供了基础。因此,本研究旨在描述导师如何在临床实践中向本科护生传授护理专业知识。这是一项受符号互动论指导的民族志研究。在实地工作期间,对 13 名导师护士进行了目的性抽样观察。此外,还对 16 名有经验的带教护士进行了焦点小组访谈。所有来自实地笔记和访谈的文本都作为一个整体进行了阅读,并按照民族志方法进行了分析。研究结果表明,护理工作被中介为医疗技术、行政和护理角色。导师通过教导学生独立思考作为护士可以做什么来追求学生的专业性。导师努力将他们的实践知识用言语表达出来,使理论变得明确,并将其背景化,以适应护生。这些知识可以指导以专业精神的意义和影响为重点的导师计划的实施。