Millar Laura, Conlon Margaret, McGirr Deborah
Glasgow Caledonian University, Glasgow, Scotland.
University of Stirling, Stirling, Scotland.
Nurs Stand. 2017 Oct 25;32(9):41-49. doi: 10.7748/ns.2017.e10389.
The hub and spoke model is one approach to nursing students' practice learning, which involves a base practice placement (hub), from which the student's learning is complemented by additional activities (spokes). This model has been integrated into Edinburgh Napier University's undergraduate nursing programmes since 2011, and it is considered to enhance practice learning.
To explore the characteristics of the hub and spoke model that support nursing students' learning and enable them to improve their understanding of a person-centred approach to care.
The study involved nursing students from two fields of practice - child health and mental health. A mixed methods approach was used, using a questionnaire and three focus groups.
A total of 24 students completed the questionnaire, while 27 students participated in the focus groups. The questionnaire results indicated that participants were able to undertake spoke activities in their practice, which enabled them to understand communities' issues and to better understand their learning competencies. Three themes emerged from the focus groups that encapsulated participants' experience of hub and spoke learning in practice: value for learning, making connections, and organisations and systems.
There were several positive effects on nursing students' practice learning as a result of the hub and spoke model approach to practice learning. Students valued the option of undertaking a 'different' placement experience that offered them the opportunity to view connections to the wider patient healthcare journey and understand the influence of the community on patients' health and well-being.
轮辐式模型是护理专业学生实践学习的一种方法，它包括一个基础实践实习场所（轮轴），学生的学习通过额外活动（轮辐）得到补充。自2011年以来，该模型已被纳入爱丁堡龙比亚大学的本科护理课程，并且被认为能增强实践学习。
探讨支持护理专业学生学习并使他们能更好理解以患者为中心的护理方法的轮辐式模型的特点。
该研究涉及来自儿童健康和心理健康两个实践领域的护理专业学生。采用了混合方法，使用了一份问卷和三个焦点小组。
共有24名学生完成了问卷，27名学生参加了焦点小组。问卷结果表明，参与者能够在其实践中开展轮辐活动，这使他们能够了解社区问题并更好地理解自己的学习能力。焦点小组中出现了三个主题，概括了参与者在实践中轮轴和轮辐学习的体验：学习价值、建立联系以及组织与系统。
轮辐式实践学习模型方法对护理专业学生的实践学习产生了若干积极影响。学生重视有机会进行“不同的”实习体验，这为他们提供了观察与更广泛患者医疗保健过程的联系并理解社区对患者健康和福祉影响的机会。
