Mirlashari Jila, Warnock Fay, Jahanbani Jahanfar
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
School of Nursing, University of British Colombia, T201 2211 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z3, Canada.
Nurse Educ Pract. 2017 Jul;25:22-28. doi: 10.1016/j.nepr.2017.04.006. Epub 2017 Apr 10.
The clinical practicum is one of the most anticipated components of the nursing program for nursing students. However, the practicum can be anxiety producing for students, especially when it is their first placement in an emotional demanding setting like pediatric oncology unit. Taking care of children with cancer and who are facing the death trajectory is complex and demanding not only for students but also for the experienced nurse. In this qualitative research, the purpose was to explore senior student perceptions and self-reflective accounts of what it was like to care for children with cancer and their family throughout the course of their first practicum on a pediatric oncology unit that also provided children palliative care as needed. Data from the self-reflective journals and interviews were analyzed together using conventional content analysis. The three resultant categories that emerged: state of shock and getting lost, walking in to a mind shaking world and finding the way provided in-depth novel insight on the perceptions of senior undergraduate nursing students as they journey through their first time practicum on a pediatric oncology unit. The findings also confirmed the importance and benefit of reflective journaling to student integrated learning and adjustment in nursing practice.
临床实习是护理专业学生最期待的课程组成部分之一。然而，实习可能会让学生产生焦虑，尤其是当这是他们首次在像儿科肿瘤病房这样情感需求高的环境中实习时。照顾患有癌症且面临死亡进程的儿童不仅对学生，而且对经验丰富的护士来说都是复杂且要求很高的。在这项定性研究中，目的是探讨高年级学生对在儿科肿瘤病房进行首次实习期间照顾癌症患儿及其家庭的经历的看法和自我反思。使用传统内容分析法对来自自我反思日志和访谈的数据进行了综合分析。得出的三个类别是：震惊与迷失状态、走进一个令人心灵震撼的世界以及找到方向，这些类别对高年级本科护理学生在儿科肿瘤病房首次实习过程中的看法提供了深入且新颖的见解。研究结果还证实了反思日志对学生在护理实践中的综合学习和适应的重要性及益处。
