Eskilsson Camilla, Carlsson Gunilla, Ekebergh Margaretha, Hörberg Ulrica
University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden; Department of Health and Caring Sciences, Lifeworld Centre for Health, Care and Learning, Linnaeus University, Sweden.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden.
Nurse Educ Pract. 2015 Sep;15(5):353-8. doi: 10.1016/j.nepr.2015.04.001. Epub 2015 Apr 13.
The purpose of this study is to describe how patients perceive being cared for by student nurses, in a clinical context in the form of a Dedicated Education Unit (DEU). The study has been performed with a Reflective Lifeworld Research (RLR) approach grounded in phenomenology. Lifeworld interviews were conducted with patients who had received care from student nurses on an orthopaedic DEU and data have been analysed for meanings. The findings reveal how patients experience to be carried along as a part of the students' learning process. This is described in more detail via the constituents: a mutual invitation to participate, the importance of genuine encounters, and essential support. Patients experience both a stable and a less stable care in a learning environment and it is thus essential for them to be invited to be a part of both the students' learning process and their own health process. The findings also highlight the key role of the supervisors for patients' sense of security. Finally there are indications that concepts such as DEU with a lifeworld-led didactic, based on reflection on both the patients' stories and the students' experiences, can create learning environments that support patients' health processes and also students' learning processes.
本研究的目的是描述患者如何看待在以专科教育单元(DEU)形式存在的临床环境中由实习护士提供的护理。该研究采用了基于现象学的反思性生活世界研究(RLR)方法。对在骨科DEU接受过实习护士护理的患者进行了生活世界访谈,并对数据进行了意义分析。研究结果揭示了患者作为学生学习过程的一部分是如何被带动的。这通过以下要素进行了更详细的描述:参与的相互邀请、真实相遇的重要性以及必要的支持。患者在学习环境中体验到稳定和不太稳定的护理,因此邀请他们参与学生的学习过程和自身的健康过程至关重要。研究结果还凸显了带教老师对患者安全感的关键作用。最后,有迹象表明,诸如以生活世界为主导的教学法的DEU等概念,基于对患者故事和学生经历的反思,可以创造出支持患者健康过程以及学生学习过程的学习环境。