Gillespie Mark
School of Nursing, University of the West of Scotland, Paisley.
Br J Nurs. 2013;22(6):340-5. doi: 10.12968/bjon.2013.22.6.340.
Changes in healthcare provision have exposed preregistration student nurses to a wider scope of client groups and education settings than previous generations of student nurses. Student placements now involve non-NHS care provision. Evidence suggests that students perceive certain client groups and education settings to be less pertinent to their professional development and less attractive with regard to future employment. This article presents the results of the first part of a mixed-methods approach study, investigating the above assertions. The students in this study appeared to regard caring for patients who have long-term/ chronic conditions receiving care in non-NHS, non-acute settings, as a less attractive prospect in terms of professional development, than short-term, acute, NHS-based care provision, i.e. medical, surgical and critical care areas. Students associated non-NHS areas with non-nursing tasks and the opportunity to practise basic nursing care, while the NHS was associated with high-level skills and access to preferred client groups. Nurse educators should challenge this imbalance throughout their student nurse education programme design and delivery.
与前几代实习护士相比,医疗保健服务的变化使预注册实习护士接触到更广泛的客户群体和教育环境。如今,学生实习涉及非国民保健制度(NHS)的护理服务。有证据表明,学生们认为某些客户群体和教育环境与他们的职业发展相关性较低,且对未来就业的吸引力较小。本文介绍了一项混合方法研究第一部分的结果,该研究对上述观点进行了调查。在本研究中,学生们似乎认为,与在国民保健制度下的短期急性护理服务(即医疗、外科和重症监护领域)相比,在非国民保健制度的非急性环境中照顾患有长期/慢性病的患者,在职业发展方面吸引力较小。学生们将非国民保健制度领域与非护理任务以及实践基本护理的机会联系起来,而国民保健制度则与高级技能以及接触首选客户群体的机会联系在一起。护士教育工作者应在整个实习护士教育计划的设计和实施过程中应对这种不平衡。