Güner Perihan
School of Nursing, Koç University, Istanbul, Turkey.
J Clin Nurs. 2015 Mar;24(5-6):844-54. doi: 10.1111/jocn.12673. Epub 2014 Aug 19.
To determine the preparedness levels of final-year Turkish nursing students starting their careers as professional nurses.
The transition from nursing student to professional nurse is challenging. One of the ways to help facilitate this transition is to determine how well students are prepared to start work. There are limited, but conflicting, results on this topic.
Mixed-methods study.
Undergraduate nursing students (n = 4490) in their final year of study from 74 Turkish universities were eligible to participate in this study. Of these, 1804 total students participated from 38 randomly selected universities. Data were collected through an investigator-developed questionnaire (n = 1804) and focus group interviews (n = 57).
Students felt highly prepared to start work (57·6%). Those who were older, male, graduates of a vocational high school or already working as a nurse felt most prepared. Students who felt that their education preparation and resources were adequate felt more prepared. Focus group interviews revealed that students felt confident in their knowledge of educational theory, but not in clinical skills.
Students may have felt prepared to start work, but insufficient clinical experience probably contributed to a lack of confidence in their skills. The resources of the school, the quality of the education, and the clinical practice environments were considered most important for the students' perceived preparedness levels.
An undergraduate education provides the foundation for successful nurse preparation. A good clinical environment along with a high-quality education programme can help give students more confidence in their skills when they join the nursing workforce. Internship or residency programmes may also facilitate this learning. This is extremely important for safe, high-quality patient care.
确定即将开启职业护士生涯的土耳其本科护理专业最后一年学生的准备水平。
从护理专业学生向职业护士的转变具有挑战性。帮助促进这一转变的方法之一是确定学生为开始工作所做的准备程度。关于这一主题的研究结果有限且相互矛盾。
混合方法研究。
来自74所土耳其大学的本科护理专业最后一年学生(n = 4490)有资格参与本研究。其中,从38所随机选择的大学中共有1804名学生参与。通过研究者自行编制的问卷(n = 1804)和焦点小组访谈(n = 57)收集数据。
学生们感觉自己为开始工作做好了充分准备(57.6%)。年龄较大、男性、职业高中毕业生或已从事护士工作的学生感觉准备最为充分。认为自己的教育准备和资源充足的学生感觉更有准备。焦点小组访谈显示,学生们对自己的教育理论知识有信心,但对临床技能缺乏信心。
学生们可能感觉自己为开始工作做好了准备,但临床经验不足可能导致他们对自己的技能缺乏信心。学校资源、教育质量和临床实践环境被认为对学生的自我准备水平最为重要。
本科教育为成功培养护士奠定基础。良好的临床环境以及高质量的教育项目可以帮助学生在加入护理队伍时对自己的技能更有信心。实习或住院医师培训项目也可能促进这种学习。这对于安全、高质量的患者护理极为重要。