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护士建立和维持有效的带教老师与实习护生关系中的挑战与策略

Challenges and Strategies for Building and Maintaining Effective Preceptor-Preceptee Relationships among Nurses.

作者信息

Matua Gerald A, Seshan Vidya, Savithri Raman, Fronda Dennis C

机构信息

Departments of Fundamentals & Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman.

Maternal & Child Health, College of Nursing, Sultan Qaboos University, Muscat, Oman.

出版信息

Sultan Qaboos Univ Med J. 2014 Nov;14(4):e530-6. Epub 2014 Oct 14.

Abstract

OBJECTIVES

This study aimed to determine the challenges encountered and strategies used by nurse preceptors to build effective professional relationships during the preceptorship of final year nursing students.

METHODS

This study was conducted in November 2012 at the College of Nursing in Sultan Qaboos University, Muscat, Oman. A qualitative research design consisting of focus group discussions was used to investigate the challenges that preceptors encounter and the strategies that they use to build effective relationships with preceptees. A total of 21 preceptors from Sultan Qaboos University Hospital participated in the study as part of a training workshop for nurse preceptors. The interviews were audio recorded, transcribed verbatim and thematically analysed.

RESULTS

The main challenges faced by preceptors included discrepancies in applying theory to practice; lack of trust; lack of time, and perceived lack of knowledge. The effective strategies identified by the preceptors to be used in building a healthy preceptor-preceptee relationship were proper orientation; effective communication; preparation for complex situations; appreciation and acknowledgment; positive feedback; assurance of support; spending time together; knowing preceptors personally; giving breaks, and encouraging self-commitment.

CONCLUSION

Preceptors should be encouraged to identify challenges that hinder the building of effective relationships with preceptees early during their preceptorship. The incorporation of appropriate and evidenced-based strategies, such as those identified in this study, can transform the preceptorship experience into one that is fulfilling for both preceptors and preceptees. This may lead to greater job satisfaction, personal and professional growth as well as higher self-esteem levels for preceptors and the realisation of clinical objectives for preceptees.

摘要

目的

本研究旨在确定带教护士在指导本科护理专业最后一年学生实习期间所遇到的挑战以及建立有效专业关系所采用的策略。

方法

本研究于2012年11月在阿曼马斯喀特苏丹卡布斯大学护理学院开展。采用焦点小组讨论的定性研究设计,调查带教护士遇到的挑战以及他们与实习护生建立有效关系所采用的策略。苏丹卡布斯大学医院的21名带教护士作为带教护士培训工作坊的一部分参与了本研究。访谈进行了录音,逐字转录并进行了主题分析。

结果

带教护士面临的主要挑战包括理论应用于实践存在差异;缺乏信任;时间不足以及感觉知识欠缺。带教护士确定的用于建立健康的带教-实习关系的有效策略包括适当的入职培训;有效的沟通;应对复杂情况的准备;赞赏与认可;积极反馈;支持保证;共度时光;个人了解带教护士;给予休息时间以及鼓励自我承诺。

结论

应鼓励带教护士在实习初期识别阻碍与实习护生建立有效关系的挑战。纳入适当且有证据支持的策略,如本研究中确定的那些策略,可以将实习指导经验转变为对带教护士和实习护生都有意义的经历。这可能会带来更高的工作满意度、个人和职业成长,以及带教护士更高的自尊水平,并实现实习护生的临床目标。

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