Hughes Lynda J, Mitchell Marion, Johnston Amy N B
Griffith University, School of Education and Professional Studies, Mt Gravatt, Qld, 4111, Australia.
Griffith University, School of Nursing and Midwifery, Nathan, Qld, 4111, Australia; Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Qld, 4111, Australia; Nurse Practice Development Unit, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Qld, 4102, Australia.
Nurse Educ Pract. 2016 Sep;20:54-63. doi: 10.1016/j.nepr.2016.06.009. Epub 2016 Jun 29.
'Failure to fail' is the allocation of pass grades to nursing students who do not display satisfactory clinical performance. This issue can have significant implications for individual students and assessors involved, as well as for nursing professionalism and patient safety. The aim of this systematic integrative literature review was to determine what is currently known about the issue of 'failure to fail' within undergraduate nursing programs. A literature search of five databases up to May 2015 was conducted to identify primary research papers. The search yielded 169 papers of which 24 met the inclusion criteria. The majority of papers had moderate or good methodological rigour, with most of the literature originating from the Northern Hemisphere. Five main themes emerged: failing a student is difficult; an emotional experience; confidence is required; unsafe student characteristics; and university support is required to fail students. The results suggest that 'failure to fail' is a real issue in tertiary facilities, with many complex facets. Given the costs of nurse education and the potential social and professional costs of poor quality nursing graduates, further rigorous research is required in this area.
“未能让学生挂科”指的是给临床实践表现未达令人满意水平的护理专业学生评定及格成绩。这一问题会对相关的学生个体和评估者产生重大影响，对护理专业水准及患者安全也有影响。本系统综合文献综述的目的是确定目前对于本科护理专业课程中“未能让学生挂科”这一问题的了解情况。截至2015年5月，我们在五个数据库中进行了文献检索，以找出相关的原创研究论文。检索共得到169篇论文，其中24篇符合纳入标准。大多数论文的方法严谨性中等或良好，大部分文献来自北半球。出现了五个主要主题：让学生挂科很难；这是一种情感体验；需要信心；学生存在不安全因素；需要大学提供支持以让学生挂科。结果表明，“未能让学生挂科”在高等教育机构中是一个切实存在的问题，有许多复杂的方面。鉴于护理教育的成本以及质量不佳的护理专业毕业生可能带来的社会和专业成本，该领域需要进一步进行严谨的研究。
