Pearson Marjorie L, Wyte-Lake Tamar, Bowman Candice, Needleman Jack, Dobalian Aram
RAND Corporation, Santa Monica, CA USA.
Veterans Emergency Management Evaluation Center (VEMEC), 16111 Plummer St. MS-152, Sepulveda, CA 91343 USA ; HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, North Hills, Los Angeles, CA USA.
BMC Nurs. 2015 May 9;14:28. doi: 10.1186/s12912-015-0085-7. eCollection 2015.
The 'spillover effect' of academic-practice partnerships on hospital nursing staff has received limited attention. In 2007, the Department of Veterans Affairs (VA) created the VA Nursing Academy (VANA) to fund fifteen partnerships between schools of nursing and local VA healthcare facilities. In this paper, we examine the experiences of the VA staff nurses who worked on the units used for VANA clinical training.
We used survey methods to collect information from staff nurses at all active VANA sites on their characteristics, exposure to the program's clinical training activities, satisfaction with program components, and perspectives of the impact on their work and their own plans for education (N = 314). Our analyses utilized descriptive statistics and bivariate and multivariate regression.
Results show that staff nurses working on VANA units had moderately high levels of exposure to the program's clinical education activities, and most reported positive experiences with those activities. The vast majority (80 %) did not perceive the presence of students as making their work more difficult. Among those who were enrolled or considering enrolling in a higher education program, over a quarter (28 %) said that their VA's participation in VANA had an influence on this decision. The majority of staff nurses were generally satisfied with their experience with the students. Their satisfaction with the program was related to the level or dose of their exposure to it. Those who were more involved were more satisfied. Greater interaction with the students, more information on the program, and a preceptor role were all independently associated with greater program satisfaction.
Our study suggests that academic-practice partnerships may have positive spillover effects on staff nurses who work on clinical education units. Further, partnerships may be able to foster positive experiences for their unit nurses by focusing on informing and engaging them in clinical training activities. In particular, our results suggest that academic-practice partnerships should keep unit nurses well informed about program content and learning objectives, encourage frequent interaction with students, involve them in partnership-related unit-based activities, and urge them to become preceptors for the students.
学术 - 实践伙伴关系对医院护理人员的“溢出效应”受到的关注有限。2007年,美国退伍军人事务部(VA)设立了VA护理学院(VANA),为15个护理学院与当地VA医疗设施之间的伙伴关系提供资金。在本文中,我们考察了在VANA临床培训所用科室工作的VA注册护士的经历。
我们采用调查方法,从所有活跃的VANA站点的注册护士那里收集有关他们的特征、参与该项目临床培训活动的情况、对项目组成部分的满意度,以及对其工作影响的看法和自身教育计划(N = 314)的信息。我们的分析采用描述性统计以及双变量和多变量回归。
结果显示,在VANA科室工作的注册护士对该项目的临床教育活动有中等偏高程度的参与,并且大多数人报告称这些活动有积极体验。绝大多数(80%)人并未觉得学生的存在使他们的工作更困难。在那些已入学或考虑入学高等教育项目的人中,超过四分之一(28%)表示他们所在的VA参与VANA对这一决定有影响。大多数注册护士总体上对与学生相处的经历感到满意。他们对该项目的满意度与参与程度或“剂量”有关。参与度更高的人更满意。与学生更多的互动、关于该项目的更多信息以及带教角色都与更高的项目满意度独立相关。
我们的研究表明,学术 - 实践伙伴关系可能对在临床教育科室工作的注册护士产生积极的溢出效应。此外,伙伴关系可以通过让科室护士了解并参与临床培训活动,为他们营造积极的体验。特别是,我们的结果表明,学术 - 实践伙伴关系应让科室护士充分了解项目内容和学习目标,鼓励与学生频繁互动,让他们参与与伙伴关系相关的科室活动,并促使他们成为学生的带教老师。