Lea Emma J, Andrews Sharon, Stronach Megan, Marlow Annette, Robinson Andrew L
Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, TAS, Australia.
School of Health Sciences, University of Tasmania, Hobart, TAS, Australia.
J Clin Nurs. 2017 Jul;26(13-14):1893-1905. doi: 10.1111/jocn.13502. Epub 2017 Mar 20.
To describe whether an action research approach can be used to build capacity of residential aged care facility staff to support undergraduate nursing students' clinical placements in residential aged care facilities, using development of an orientation programme as an exemplar.
Aged care facilities are unpopular sites for nursing students' clinical placements. A contributing factor is the limited capacity of staff to provide students with a positive placement experience. Strategies to build mentor capability to shape student placements and support learning and teaching are critical if nursing students are to have positive placements that attract them to aged care after graduation, an imperative given the increasing care needs of the ageing population worldwide.
Action research approach employing mixed-methods data collection (primarily qualitative with a quantitative component).
Aged care facility staff (n = 32) formed a mentor group at each of two Tasmanian facilities and met regularly to support undergraduate nursing students (n = 40) during placements. Group members planned, enacted, reviewed and reflected on orientation procedures to welcome students, familiarise them with the facility and prepare them for their placement. Data comprised transcripts from these and parallel student meetings, and orientation data from student questionnaires from two successive placement periods (2011/2012).
Problems were identified in the orientation processes for the initial student placements. Mentors implemented a revised orientation programme. Evaluation demonstrated improved programme outcomes for students regarding knowledge of facility operations, their responsibilities and emergency procedures.
Action research provides an effective approach to engage aged care facility staff to build their capacity to support clinical placements.
Building capacity in the aged care workforce is vital to provide appropriate care for residents with increasing care needs.
以制定入职培训计划为例，描述是否可以采用行动研究方法来提高老年护理机构工作人员的能力，以支持本科护理专业学生在老年护理机构进行临床实习。
老年护理机构不受护理专业学生临床实习的欢迎。一个促成因素是工作人员为学生提供积极实习体验的能力有限。如果护理专业学生要获得积极的实习体验，从而在毕业后吸引他们从事老年护理工作，那么培养导师指导学生实习以及支持学习和教学的能力的策略至关重要，鉴于全球老年人口护理需求的不断增加，这是当务之急。
采用混合方法数据收集的行动研究方法（主要是定性研究，包含定量部分）。
在塔斯马尼亚州的两家机构中，老年护理机构的工作人员（n = 32）组成了一个导师小组，并定期会面，在实习期间支持本科护理专业学生（n = 40）。小组成员规划、实施、审查并反思了迎新程序，以欢迎学生、使他们熟悉机构并为实习做好准备。数据包括这些会议以及同期学生会议的记录，以及来自两个连续实习阶段（2011/2012年）学生问卷的迎新数据。
在最初的学生实习迎新流程中发现了问题。导师实施了修订后的迎新计划。评估表明，该计划在学生对机构运营知识、自身职责和应急程序方面的成果有所改善。
行动研究为促使老年护理机构工作人员提高支持临床实习的能力提供了一种有效方法。
提高老年护理工作人员的能力对于为护理需求不断增加的居民提供适当护理至关重要。
