University Department of Rural Health, University of Tasmania, Launceston, Tas, Australia.
Nurse Educ Today. 2012 Jul;32(5):485-9. doi: 10.1016/j.nedt.2011.08.013. Epub 2011 Sep 13.
In order to identify opportunities to build capacity for clinical placements, we mapped and described the organisation of student placements at three hospitals, each with multiple education providers, in rural Victoria, Australia. Using a cross-sectional, mixed method design, data were collected by survey, interviews and discussion with student placement coordinators representing 16 clinical health disciplines. Teaching and supporting students was regarded as an important part of the service each hospital provided and a useful staff recruitment strategy. There were peaks and troughs in student load over the year, though this was less marked for medicine and dentistry than for nursing and allied health disciplines. Whilst placements were managed largely on a discipline basis, each hospital had taken steps to communicate information about student placements across disciplines and to identify opportunities for interprofessional education (IPE). Placement capacity could be increased by sharing placement data within hospitals, smoothing the utilisation patterns across the year, capitalising on opportunities for IPE when there is concurrent placement of students from different disciplines, and through better employment of underutilised clinical areas.
为了确定临床实习能力建设的机会，我们对澳大利亚维多利亚州农村地区的三家医院的学生实习安排进行了映射和描述，每家医院都有多个教育提供者。采用横断面混合方法设计，通过调查、访谈和与代表 16 个临床卫生学科的学生实习协调员的讨论收集数据。教学和支持学生被认为是每家医院提供的服务的重要组成部分，也是一种有用的员工招聘策略。学生的工作量在一年中有高峰和低谷，但医学和牙科的波动幅度小于护理和联合健康学科。尽管实习主要是按学科管理，但每家医院都已采取措施在学科之间交流学生实习信息，并确定开展跨专业教育（IPE）的机会。通过在医院内部共享实习数据、全年更均匀地利用实习资源、充分利用不同学科学生同时实习的 IPE 机会以及更好地利用未充分利用的临床区域，可以增加实习能力。
