Baumbusch Jennifer, Dahlke Sherry, Phinney Alison
Michael Smith Foundation for Health Research Scholar, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada.
Bachelor of Science in Nursing Program, Vancouver Island University, Canada.
Nurse Educ Pract. 2014 Aug;14(4):434-40. doi: 10.1016/j.nepr.2014.03.001. Epub 2014 Mar 12.
With an aging population, the majority of nurses will spend their careers working with older people. Currently, there is scant research about clinical instructors' knowledge and perceptions about nursing care of older people despite their instrumental role in preparing nurses for practice. The purpose of this study was to explore clinical instructors' knowledge and perceptions about nursing care of older people. A mixed methods approach was used. Fifteen clinical instructors and 15 nurse educators employed on specialized units for older people completed questionnaires. Independent t-tests were administered. Five of the clinical instructors also participated in semi-structured interviews, which were analyzed using thematic analysis. Findings indicated that clinical instructors had significantly lower scores on knowledge and perceptions about nursing care of older people than practice-based nurse educators. Further, clinical instructors found it difficult to integrate specialized knowledge about nursing care of older people along with other aspects of their teaching. They also reported that it was challenging to support learning about best practices for older people within the current clinical context, which was complex and fast-paced. This study reinforces the need for professional development opportunities for clinical instructors to support their instrumental role in preparing students for practice with older people.
随着人口老龄化，大多数护士将在其职业生涯中与老年人打交道。目前，尽管临床教师在培养护士实践能力方面发挥着重要作用，但关于他们对老年人护理的知识和认知的研究却很少。本研究的目的是探讨临床教师对老年人护理的知识和认知。采用了混合方法。15名在老年人专科病房工作的临床教师和15名护士教育工作者完成了问卷调查，并进行了独立样本t检验。其中5名临床教师还参与了半结构化访谈，并采用主题分析法进行分析。研究结果表明，临床教师在老年人护理知识和认知方面的得分显著低于基于实践的护士教育工作者。此外，临床教师发现很难将老年人护理的专业知识与教学的其他方面相结合。他们还报告说，在当前复杂且节奏快的临床环境中，支持学生学习老年人最佳护理实践具有挑战性。本研究强调了为临床教师提供专业发展机会的必要性，以支持他们在培养学生照顾老年人实践能力方面的重要作用。
