Arnott Jane
Canterbury Christ Church University.
Br J Community Nurs. 2010 Nov;15(11):561-5. doi: 10.12968/bjcn.2010.15.11.79626.
The drive for a more community-focused approach to pre-registration nursing education as identified in Modernising Nursing Careers, (Department of Health, 2006a) has continued to gather momentum. The research literature identifies that the community context impacts significantly on care delivery, with student nurses often missing the underlying complexities of working in this context; focusing on the task in hand rather than the broader landscape of care (Carr, 2004). In 2008, a community focused pre-registration adult nursing degree pathway was started at Canterbury Christ Church University (CCCU), to prepare a cohort of 16 nursing students to work in the community and general practice setting at the point of registration. Placement learning has been focused within general practice and community through a hub and spoke approach to enable students to develop a deep understanding of the complexities of care in this setting with particular reference to the management of risk and unpredictability. The pilot is being formally evaluated with a particular emphasis on the meaning and relevance of practice learning within these settings. The emerging data will not only provide evidence to promote the community and general practice agenda within pre-registration curricula, but help to clarify the essential skills and knowledge required to prepare students nurses for working in these settings.
如《护理职业现代化》(卫生部,2006年a)中所指出的,采用更注重社区的方法进行注册前护理教育的趋势一直在不断发展。研究文献表明,社区环境对护理服务有着重大影响,而实习护士常常忽略了在此环境中工作的潜在复杂性;他们专注于手头的任务,而非更广泛的护理领域(卡尔,2004年)。2008年,坎特伯雷基督教会大学(CCCU)启动了一条以社区为重点的注册前成人护理学位课程路径,旨在培养16名护理专业学生,使其在注册时能够在社区和全科医疗环境中工作。通过一种中心辐射式方法,实习学习集中在全科医疗和社区领域,以使学生能够深入理解该环境中护理工作的复杂性,特别是风险和不可预测性的管理。目前正在对该试点项目进行正式评估,特别强调这些环境中实践学习的意义和相关性。新出现的数据不仅将为在注册前课程中推动社区和全科医疗议程提供证据,还将有助于明确培养实习护士在这些环境中工作所需的基本技能和知识。