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智障、心理健康及助产专业学生在急性医疗/外科实习期间的学习潜力与挑战。

Potential and challenges for learning during acute medical/surgical placement for intellectual disability, mental health and midwifery students.

作者信息

Mc Carthy Jane, Graham Margaret M, Tuohy Dympna, O'Brien Brid, Fahy Anne, Hennessy Therese, O'Sullivan Deirdre, Markey Kathleen

机构信息

Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Sciences Building, Northbank Campus, University of Limerick, Limerick, Ireland.

出版信息

Nurse Educ Pract. 2018 Jan;28:135-140. doi: 10.1016/j.nepr.2017.10.021. Epub 2017 Oct 18.

Abstract

In Ireland nursing and midwifery degree programmes involve four pathways to registration. Three of which, intellectual disability and mental health nursing and midwifery require students to undertake acute medical/surgical placements offering learning opportunities caring for patients with complex needs in settings beyond their core discipline. This paper focuses on findings from a descriptive qualitative study exploring intellectual disability and mental health nursing and midwifery students experiences of such placements. Data analysis identified three themes: Getting ready, Navigating the way and Getting through. Feelings of stress and uncertainty are described by participants when moving from familiarity within a chosen discipline to an unfamiliar environment. Findings have influenced specific placement structures with local health service partners. While our study focuses on an Irish context, findings have relevance for student education in other jurisdictions. Enhancing preparation and support for students undertaking unfamiliar placements needs to be a constant endeavour. Such foundations will foster valuable experiences where students can feel part of a team, gain confidence, enhance skills and transfer meaningful learning to their core practice discipline. Further research is needed to explore the views of preceptors, ward managers and Clinical Placement Coordinators.

摘要

在爱尔兰,护理和助产学位课程有四条注册途径。其中三条途径,即智力残疾护理、心理健康护理和助产,要求学生进行急性医疗/外科实习,提供在核心学科之外的环境中照顾有复杂需求患者的学习机会。本文重点介绍一项描述性定性研究的结果,该研究探讨了智力残疾护理、心理健康护理和助产专业学生在这类实习中的经历。数据分析确定了三个主题:做好准备、摸索前行和熬过去。参与者描述了从熟悉的所选学科环境过渡到陌生环境时的压力感和不确定感。研究结果影响了与当地卫生服务合作伙伴的具体实习安排结构。虽然我们的研究聚焦于爱尔兰的情况,但研究结果对其他司法管辖区的学生教育也有借鉴意义。不断努力加强对进行陌生实习的学生的准备工作和支持至关重要。这样的基础将促成宝贵的经历,让学生能够融入团队、获得信心、提升技能并将有意义的学习内容应用到其核心实践学科中。还需要进一步研究以探讨带教老师、病房管理人员和临床实习协调员的观点。

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