School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia.
International Health Programme, School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia.
J Adv Nurs. 2017 Oct;73(10):2395-2406. doi: 10.1111/jan.13320. Epub 2017 May 15.
To examine understandings of global health issues among nursing students following participation in an international clinical placement during their pre-registration university education.
Universities use international clinical placements, especially in developing countries, to develop cultural awareness in students; however, little is known about the longer term influences on students' understandings of global nursing.
A retrospective cross-sectional design was used, using an exploratory, descriptive qualitative approach.
Individual semi-structured interviews were conducted in 2014 with a purposive sample of 25 pre-registration nursing students from four Western Australian universities who undertook clinical placements across five countries. Data were analysed using inductive thematic analysis.
Findings highlight that students developed new understandings around health systems including fragility of resource access, differences in clinical practice and variances in nursing roles between settings. Students also experienced challenges but were able to appreciate alternative world viewpoints.
International clinical placements can develop greater awareness and help students form realistic strategies for using their nursing skills globally. Pre-placement training in cultural awareness and health system realities, along with strong supervisory support, is critical to success.
调查护理专业学生在大学预注册阶段参加国际临床实习后对全球卫生问题的理解。
大学利用国际临床实习机会（尤其是在发展中国家）来培养学生的文化意识，但对于这些实习对学生对全球护理的理解的长期影响知之甚少。
本研究采用回顾性横断面设计，采用探索性、描述性定性方法。
2014 年，对来自西澳大利亚四所大学的 25 名护理专业学生进行了个人半结构化访谈，这些学生在五个国家进行了临床实习。使用归纳主题分析方法对数据进行分析。
研究结果表明，学生对卫生系统有了新的认识，包括资源获取的脆弱性、临床实践中的差异以及不同环境中护理角色的差异。学生也遇到了挑战，但能够理解不同的世界观。
国际临床实习可以提高学生的认识，并帮助他们制定在全球范围内运用护理技能的现实策略。在文化意识和卫生系统现实方面的岗前培训，以及强有力的监督支持，对于成功至关重要。
