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临床实习中的生物科学学习:预注册护理专业学生的经历

Bioscience learning in clinical placement: the experiences of pre-registration nursing students.

作者信息

Fell Patricia Lynne, Dobbins Kerry, Dee Philip

机构信息

Faculty of Health, Education and Life Sciences, School of Allied and Public Health Professions, Birmingham City University, Birmingham, UK.

Faculty of Health, Education & Life Sciences, Birmingham City University, Birmingham, UK.

出版信息

J Clin Nurs. 2016 Sep;25(17-18):2694-705. doi: 10.1111/jocn.13097. Epub 2016 Jan 13.

Abstract

AIMS AND OBJECTIVES

The aim of this study was to explore student nurses' views and experiences of bioscience learning in clinical placement. The study focused on (1) how relevant students perceive bioscience knowledge to their professional role; (2) what opportunities students have to apply bioscience knowledge during clinical placements; (3) what students perceive about the support they receive from placement mentors regarding bioscience learning.

BACKGROUND

Bioscience knowledge is required for safe and effective practice but is an area that students find challenging. Clinical placements offer students the ideal environment to integrate bioscience into clinical decision making. There is, however, a lack of research addressing specifically students' placement learning of bioscience.

DESIGN

An explanatory sequential mixed methods approach was adopted.

METHODS

The research involved two phases. In phase one predominantly quantitative data were collected via a survey. 112 final year BSc nursing students from across fields completed the survey (response rate = 66%). The results of this phase were then built upon by conducting three focus groups (n = 17) in a second qualitative research phase.

RESULTS

Whilst students acknowledged the relevance of bioscience to their nursing role, this study suggests that its importance is not recognised as widely by practice educators. Findings highlight inconsistencies in the quality of mentor support, the opportunities for students to learn and the priority that bioscience is given in placement education.

CONCLUSIONS

This study demonstrates the need for more explicit bioscience criteria in placement assessments and a greater level of mentor education to ensure more consistency in the standard of placement learning of bioscience.

RELEVANCE TO CLINICAL PRACTICE

Providing insight into factors that influence student learning of bioscience during clinical placements provides focus on how higher education institutions and practice educators can better support students to confidently apply bioscience knowledge to deliver safe and effective patient care.

摘要

目的与目标

本研究旨在探究实习护士对临床实习中生物科学学习的看法和经历。该研究聚焦于:(1)学生认为生物科学知识与他们职业角色的相关性如何;(2)学生在临床实习期间有哪些应用生物科学知识的机会;(3)学生对实习导师在生物科学学习方面给予的支持有何看法。

背景

生物科学知识是安全有效实践所必需的,但却是学生觉得具有挑战性的领域。临床实习为学生提供了将生物科学融入临床决策的理想环境。然而,专门针对学生在实习中生物科学学习的研究却很匮乏。

设计

采用了解释性序列混合方法。

方法

该研究包括两个阶段。在第一阶段,主要通过一项调查收集定量数据。来自各个领域的112名护理学本科最后一年的学生完成了该调查(回复率 = 66%)。然后,在第二个定性研究阶段通过开展三个焦点小组(n = 17)对这一阶段的结果进行补充。

结果

虽然学生承认生物科学与他们的护理角色相关,但本研究表明,实践教育工作者并未广泛认识到其重要性。研究结果凸显了导师支持质量、学生学习机会以及生物科学在实习教育中的优先级方面存在的不一致性。

结论

本研究表明,在实习评估中需要更明确的生物科学标准,以及更高水平的导师教育,以确保生物科学实习学习标准更加一致。

与临床实践的相关性

深入了解临床实习期间影响学生生物科学学习的因素,有助于关注高等教育机构和实践教育工作者如何更好地支持学生自信地应用生物科学知识,以提供安全有效的患者护理。

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