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为什么选择护理专业?运用社会生态学框架研究双学位护理学生和毕业生的职业选择。

Why nursing? Applying a socio-ecological framework to study career choices of double degree nursing students and graduates.

机构信息

School of Nursing and Midwifery, The University of Newcastle, Ourimbah, New South Wales, Australia.

出版信息

J Adv Nurs. 2013 Aug;69(8):1714-24. doi: 10.1111/jan.12029. Epub 2012 Oct 12.

DOI:10.1111/jan.12029
PMID:23057783
Abstract

AIM

To report a study that investigated the career development, aspirations, and choices of undergraduate students and graduates of nursing double degree programmes.

BACKGROUND

Over one-third of Australian undergraduate nursing students study by double degree mode. Their career destinations will have an impact on the availability of graduates in a time of nursing shortages, but little is known about why nursing students choose double degrees or take up a career in nursing vs. the other specialization.

DESIGN

A qualitative study using two longitudinal methods.

METHODS

The study was conducted in 2008-2009 with 68 participants from an Australian regional university offering double degrees in nursing. A time series method involved interviews with 12 first year students followed by focus group interviews with 22 final year students. A longitudinal method involved repeated interviews with 34 graduates. Interview transcripts were analysed thematically.

RESULTS

Enrolment in a double degree was influenced by advice from significant others; previous experiences of health care; and the anticipated rewards associated with a choice of two careers. Career development and decisions of undergraduates were influenced by intrinsic and extrinsic rewards distinctive to each area of specialization and marketing and job availability. For graduates, the impact of workplace experiences such as prior practicums and past and present workplace support were foremost.

CONCLUSION

This study provides previously unknown information about double degree nursing students' and graduates' career development and career choices over time. A socio-ecological framework adapted to nursing enabled a broad understanding of the many environments and contexts that confirm or discourage a nursing career.

摘要

目的

报告一项针对护理双学位本科和毕业生的职业发展、志向和选择进行研究的结果。

背景

超过三分之一的澳大利亚本科护理学生以双学位模式学习。他们的职业去向将对护理短缺时期毕业生的供应产生影响,但对于护理学生为何选择双学位或从事护理工作而不是其他专业,人们知之甚少。

设计

使用两种纵向方法进行的定性研究。

方法

该研究于 2008-2009 年在澳大利亚一所提供护理双学位的地区性大学进行,共有 68 名参与者。时间序列方法包括对 12 名一年级学生进行访谈,然后对 22 名最后一年学生进行焦点小组访谈。纵向方法包括对 34 名毕业生进行重复访谈。对访谈记录进行主题分析。

结果

双学位的注册受到来自重要他人的建议、以前的医疗保健经验以及与选择两种职业相关的预期回报的影响。本科生的职业发展和决策受到每个专业领域特有的内在和外在回报以及市场营销和工作机会的影响。对于毕业生而言,工作场所经验的影响,如以前的实习经历以及过去和现在的工作场所支持,是最重要的。

结论

这项研究提供了关于护理双学位学生和毕业生随着时间的推移职业发展和职业选择的未知信息。适应护理的社会生态框架使我们能够广泛了解许多环境和背景,这些环境和背景可以证实或阻碍护理职业的发展。

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