Faculty of Health, University of Canberra, Canberra, ACT 2601, Australia.
J Clin Nurs. 2010 Aug;19(15-16):2291-9. doi: 10.1111/j.1365-2702.2009.03133.x. Epub 2010 Jun 2.
This paper aims to discuss the implementation of a 'community of practice' model of clinical teaching into four residential aged care facilities.
There is increasing international evidence that aged care is a burgeoning health issue, particularly in developed countries. Recruitment and retention of nurses is problematic in residential aged care. Nursing students maintain negative perceptions of aged care and dislike clinical placements in that area. Additionally, supporting students in residential aged care is difficult considering the staffing mix of skilled/unskilled staff. Innovative educational strategies are needed to manage the increasing shortages of clinical placements for nursing students in all clinical areas.
Staff experiences were elicited through four focus groups onsite at the residential aged care facility where students had been placed, one year after implementation of a 'communities of practice' clinical model. Data analysis used a qualitative, thematic approach.
The staff in the residential aged care facilities expressed that work was involved in supporting students in the workplace, but that the additional workload was a valuable investment.
Staff in residential aged care see working with students as a local investment, where students' fresh eyes, recent knowledge and questioning behaviours are a worthy investment of staff time and effort. Staff also valued the investment in the future, where working with students now creates future nurses sensitive to aged care issues.
In a 'communities of practice' model of clinical experience for students, there are benefits for staff as well as students. The implementation of this clinical model in residential aged care was relatively low in cost, a benefit in this sector and has the potential to address the critical issues of recruitment and retention.
本文旨在讨论将“实践共同体”临床教学模式实施到四个养老院。
越来越多的国际证据表明，老年护理是一个迅速发展的健康问题，尤其是在发达国家。养老院的护士招聘和留用存在问题。护理学生对老年护理持负面看法，不喜欢在该领域进行临床实习。此外，考虑到熟练和非熟练员工的人员配置组合，支持养老院的学生具有一定难度。需要创新的教育策略来管理所有临床领域护理学生临床实习岗位的日益短缺。
在学生被安置一年后，在学生被安置的养老院现场通过四个焦点小组来获取员工的经验，使用定性主题分析方法进行数据分析。
养老院的员工表示，在工作场所支持学生需要付出工作，但额外的工作量是有价值的投资。
养老院的员工认为与学生一起工作是一种当地投资，学生的新视角、最新知识和质疑行为是对员工时间和精力的有价值的投资。员工还重视对未来的投资，现在与学生一起工作可以培养出对老年护理问题敏感的未来护士。
在学生的“实践共同体”临床体验模式中，员工和学生都能受益。在养老院实施这种临床模式的成本相对较低，在该领域具有优势，并有可能解决招聘和留用的关键问题。
