Engel Joyce, Salfi Jenn, Micsinszki Samantha, Bodnar Andrea
Brock University, St. Catharines, Ontario, Canada.
University of Toronto, Toronto, Ontario, Canada.
Glob Qual Nurs Res. 2017 Sep 13;4:2333393617730208. doi: 10.1177/2333393617730208. eCollection 2017 Jan-Dec.
Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests that students sometimes observe care that lacks concern for the dignity, autonomy, and safety of patients. For these student nurses, this tension led to uncertainty about patient care and their eventual profession.
护理专业学生在临床环境中占据着独特的视角，因为通过教育，他们了解到患者护理应该如何进行。鉴于实习时间短暂以及他们在临床场所的“访客身份”，学生对特定场所的风气投入较少。随后，他们对优质护理的看法基于应该发生的事情，这可能与护士和患者的看法不同。本研究的目的是确定学生所体验到的患者护理中的主要主题，以及这些观察结果对他们道德推理发展的影响。采用定性描述方法，分析了27篇护理专业学生论文和三次后续深度访谈，出现了三个主要主题：优秀员工，糟糕护士；护理受损；以及弥合差距。对这些论文中伦理情境的分析表明，学生有时会观察到缺乏对患者尊严、自主性和安全性关注的护理。对于这些实习护士来说，这种紧张关系导致了对患者护理及其最终职业的不确定性。
