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临床教育经历:学生注册麻醉护士的认知

Clinical education experiences: perceptions of student registered nurse anesthetists.

作者信息

Elisha Sass, Rutledge Dana N

机构信息

Kaiser Permanente School of Anesthesia/California State University-Fullerton, Pasadena, California, USA.

出版信息

AANA J. 2011 Aug;79(4 Suppl):S35-42.

Abstract

The purpose of this study was to describe the experiences and attitudes of student registered nurse anesthetists (SRNAs) related to clinical instruction. This descriptive study used a cross-sectional survey method with a regionally stratified randomly selected sample of SRNA members from the American Association of Nurse Anesthetists data bank. A total of 2,673 SRNAs were invited by email to respond to an online, 54-item questionnaire; 696 SRNAs participated. Verbal abuse was reported by almost 70% of SRNA participants, but fewer experienced sexual harassment (13%), physical abuse (14%), or racial discrimination (72%). However, SRNAs reported that their Certified Registered Nurse Anesthetist (CRNA) preceptors most often served as positive role models. These SRNAs found CRNA preceptors, unique cases, reading, and clinical lectures more helpful to their clinical learning compared with grand rounds, surgeons, and anesthesiology residents. The SRNAs' perceptions of the ideal behavioral characteristics for CRNA preceptors included calmness during stressful events, use of nonthreatening communication, clear communication, and encouraging independent decision making. The educational process for nurse anesthetists is continually evolving and improving. Study findings offer insights that may assist in improvements in the clinical component of SRNA education.

摘要

本研究的目的是描述注册护士麻醉师学生(SRNA)与临床教学相关的经历和态度。这项描述性研究采用横断面调查方法,从美国麻醉护士协会数据库中按区域分层随机抽取SRNA成员样本。通过电子邮件邀请了总共2673名SRNA回复一份包含54个条目的在线问卷;696名SRNA参与了调查。近70%的SRNA参与者报告遭受过言语虐待,但经历性骚扰(13%)、身体虐待(14%)或种族歧视(72%)的人较少。然而,SRNA报告称,他们的注册护士麻醉师(CRNA)带教老师大多起到了积极的榜样作用。与大查房、外科医生和麻醉科住院医师相比,这些SRNA发现CRNA带教老师、特殊病例、阅读和临床讲座对他们的临床学习更有帮助。SRNA对CRNA带教老师理想行为特征的认知包括在压力事件中保持冷静、使用无威胁性的沟通方式、清晰的沟通以及鼓励独立决策。麻醉护士的教育过程在不断发展和改进。研究结果提供了一些见解,可能有助于改进SRNA教育的临床部分。

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