Indiana State University, College of Nursing, Health, and Human Services, Terre Haute, IN 47807, USA.
Nurse Educ Today. 2013 Apr;33(4):364-9. doi: 10.1016/j.nedt.2012.05.023. Epub 2012 Jun 12.
This study reports perceptions of the continuing education (CE) needs of nursing unit staff in 40 rural healthcare facilities (10 hospitals and 30 long-term care facilities) in a rural Midwestern U.S. region from the perspective of nurse administrators in an effort to promote a community-based academic-practice CE partnership.
Qualitative data collection involving naturalistic inquiry methodology was based on key informant interviews with nurse administrators (n=40) working and leading in the participating health care facilities.
Major themes based on nurse administrators' perceptions of CE needs of nursing unit staff were in four broad conceptual areas: "Cultural issues", "clinical nursing skills", "patient care", and "patient safety". Major sub-themes for each conceptual area are highlighted and discussed with narrative content as expressed by the participants. Related cultural sub-themes expressed by the nurse administrators included "horizontal violence" (workplace-hospital and LTC nursing unit staff) and "domestic violence" (home-LTC nursing unit staff).
The uniqueness of nurses' developmental learning needs from a situational point of view can be equally as important as knowledge-based and/or skill-based learning needs. Psychological self-reflection is discussed and recommended as a guiding concept to promote the development and delivery of relevant, empowering and evidence-based CE offerings for rural nursing unit staff.
本研究从护士管理人员的角度报告了美国中西部农村地区 40 个农村医疗保健设施（10 家医院和 30 个长期护理设施）护理单元工作人员继续教育（CE）需求的认知，旨在促进基于社区的学术实践 CE 伙伴关系。
定性数据收集采用自然主义探究方法，基于在参与的医疗保健设施中工作和领导的护士管理人员（n=40）的关键知情人访谈。
基于护士管理人员对护理单元工作人员 CE 需求的认知，主要主题分为四个广泛的概念领域：“文化问题”、“临床护理技能”、“患者护理”和“患者安全”。每个概念领域的主要子主题都突出显示并与参与者表达的叙述内容一起讨论。护士管理人员表达的相关文化子主题包括“横向暴力”（工作场所-医院和长期护理护理单元工作人员）和“家庭暴力”（家庭-长期护理护理单元工作人员）。
从情境角度来看，护士发展学习需求的独特性与基于知识和/或技能的学习需求同样重要。本文讨论并推荐心理自我反思作为一种指导理念，以促进为农村护理单元工作人员提供相关、赋权和基于证据的 CE 课程。
