School of Nursing, Midwifery & Social Work, University of Manchester, UK.
J Adv Nurs. 2010 Jul;66(7):1533-42. doi: 10.1111/j.1365-2648.2010.05332.x. Epub 2010 May 13.
This paper is a report of a study of the experiences of nursing and midwifery students in relation to infection control in their clinical placements and how these affect their learning.
Compliance with infection control precautions has been found to be low in many areas. Reasons for non-compliance include factors relevant to nursing and midwifery students, such as lack of knowledge and lack of a positive role model. However, there is little in the literature about how students experience infection control in placements and how this affects their own practice.
Semi-structured interviews were undertaken in 2009 with 40 nursing and midwifery students. Analysis of transcripts was by Framework analysis.
Students identified practices that they had observed and benchmarked these against what they had been taught at university and what was demonstrated by staff perceived as positive role models. Observing inappropriate practice affected student practice both positively and negatively. Students were reluctant to report poor practice due to fear of failing placements and not wanting to be identified negatively by staff. Students believed that practice supported by theory was important to provide them with a rationale for their activities and to support any complaints that they had.
Poor practice in clinical placements can have a negative impact on student learning and practice and may therefore have implications for the practice of future nurses and midwives. In order to maintain patient safety, there needs to be more support for students who wish to identify poor practice.
本文是一项关于护理和助产学专业学生在临床实习中感染控制经验及其对学习影响的研究报告。
许多领域都发现护理和助产学学生对感染控制预防措施的遵守情况较低。不遵守的原因包括与护理和助产学学生相关的因素，例如知识不足和缺乏积极的榜样。然而，关于学生在实习中如何体验感染控制以及这如何影响他们自己的实践，文献中却很少有相关内容。
2009 年，对 40 名护理和助产学专业学生进行了半结构化访谈。对转录本的分析采用框架分析。
学生们确定了他们观察到的实践，并将这些实践与他们在大学所学的内容以及他们认为是积极榜样的工作人员所展示的内容进行了比较。观察到不适当的实践对学生的实践既有积极影响，也有消极影响。由于担心实习失败和不希望被工作人员负面评价，学生们不愿意报告不良实践。学生们认为，以理论为支撑的实践对为他们的活动提供理由并支持他们提出的任何投诉非常重要。
临床实习中的不良实践可能对学生的学习和实践产生负面影响，因此可能对未来护士和助产学的实践产生影响。为了维护患者安全，需要为希望识别不良实践的学生提供更多支持。
