La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
J Adv Nurs. 2011 Apr;67(4):854-64. doi: 10.1111/j.1365-2648.2010.05518.x. Epub 2010 Nov 29.
The aim of this study was to explore undergraduate nurses' perioperative specialist clinical experience and the impact this experience has on their perceptions of aspects of perioperative nursing.
Perioperative nursing is a highly specialized nursing practice, which is often underutilized for undergraduate clinical placement experience. The environment is perceived as technological. Experts recognize the extensive learning opportunities available to undergraduate nurses' in this environment. This study explores how this specialist environment facilitates undergraduate student nurses' learning in an Australian context.
The methodological approach used Heidegger's hermeneutic phenomenology. The study was underpinned by Benner's novice-to-expert skill acquisition theory. Data were collected through in-depth interviews with six third-year undergraduate nursing students following a perioperative clinical placement experience. Data were collected in December 2005.
The findings of this study identify aspects of perioperative nursing and the perioperative environment interpreted through the lens of each participant. Three themes were identified from the data: aspects of nursing care, skill acquisition and the clinical learning environment in a perioperative setting. Each participant gained insight not only into perioperative nursing but also into its relationship to the general nature of nursing in a specialist setting.
The preparation of novice nurses in a perioperative environment should include preparing them to identify the differences in patient care in an alternative setting. A consensus is required in Australia regarding the aspects of generalist nursing care, which need to be visible and clearly articulated for the novice by competent perioperative nurses.
本研究旨在探讨本科护生的围手术期专科临床体验，以及这种体验对其围手术期护理认知的影响。
围手术期护理是一种高度专业化的护理实践，通常在本科临床实习中利用不足。该环境被认为具有技术性。专家认识到，本科护生在这种环境中可以获得广泛的学习机会。本研究探讨了这种专科环境如何促进澳大利亚本科护生的学习。
本研究采用海德格尔的解释学现象学方法。该研究的理论基础是本纳的新手到专家技能获取理论。在完成围手术期临床实习后，对六名三年级本科护理学生进行了深入访谈，以收集数据。数据于 2005 年 12 月收集。
本研究的结果从每位参与者的角度对围手术期护理和围手术期环境的各个方面进行了解读。从数据中确定了三个主题：护理方面、技能获取和围手术期环境中的临床学习环境。每个参与者不仅对围手术期护理有了深入的了解，而且对专科环境中护理的一般性质也有了深入的了解。
在围手术期环境中对新手护士的培训应包括让他们能够识别在替代环境中护理患者的差异。澳大利亚需要就一般护理方面达成共识，这需要由有能力的围手术期护士明确而清晰地向新手表达。
