Health, Psychology and Social Care, Manchester Metropolitan University, Hathersage Road, Manchester M13 0JA, United Kingdom.
Nurse Educ Pract. 2012 Jul;12(4):182-6. doi: 10.1016/j.nepr.2011.11.004. Epub 2011 Dec 11.
Much has been written on student attrition from healthcare programmes and we know that it is often multifactorial. However in order to reduce attrition we need to gain a greater understanding of how multiple factors impact upon and compound one another to prompt a student to decide to leave. The purpose of this study was to explore healthcare students' experiences of university and the circumstances that initiated their decision to leave their programme. Sixteen students that had recently left healthcare programmes within the North West of England were interviewed by telephone, using a narrative prompt to facilitate them to tell their stories. All the students gave detailed narrative accounts that described their learning experiences, growing dissatisfaction and subsequent attrition. In the majority dissatisfaction and difficulties around clinical placements acted as a tipping point that precipitated departure.
关于医学生的流失，已经有很多文献进行了探讨，我们知道这通常是多因素导致的。然而，为了减少流失，我们需要更深入地了解多个因素是如何相互影响和叠加，从而促使学生决定离开。本研究的目的是探讨医学生在大学的经历以及促使他们决定离开课程的情况。通过电话采访了 16 名最近离开英格兰西北部医疗保健课程的学生，使用叙事提示来帮助他们讲述自己的故事。所有学生都提供了详细的叙述，描述了他们的学习经历、日益增长的不满和随后的流失。在大多数情况下，临床实习中的不满和困难成为了促使他们离开的导火索。
