College of Health and Biomedicine (Nursing & Midwifery), Victoria University, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2018 Oct;27(5):1420-1429. doi: 10.1111/inm.12441. Epub 2018 Feb 14.
Supervised clinical practice is an essential component of undergraduate nursing students' learning and development. In the mental health setting, nursing students traditionally undertake four-week block placements. An integrated clinical learning model, where preceptors mentor students on an individual basis, has been used successfully in the clinical learning environment. This flexible model provides the opportunity for students to work across morning, afternoon, night and weekend shifts. There is a need to improve the evidence base for a flexible model for students undertaking a mental health placement. The aim of this study was to understand preceptors' experience of, and satisfaction with, a mental health integrated clinical learning model. Focus groups were used to elicit the views of preceptors from a mental health service. Findings highlight the advantages and disadvantages of an integrated clinical learning model in the mental health setting. Participants suggested that students may benefit from flexible work arrangements, a variety of experiences and a more realistic experience of working in a mental health service. However, they found it challenging to mentor and evaluate students under this model. Most also agreed that the model impeded students' ability to engage with consumers and develop rapport with staff. The findings indicate the need to develop a placement model that meets the unique needs of the mental health setting.
监督临床实践是本科护生学习和发展的重要组成部分。在精神卫生环境中，护理学生传统上进行为期四周的整段实习。在临床学习环境中，以导师个别指导学生的综合临床学习模式已经取得了成功。这种灵活的模式为学生提供了在早班、下午班、夜班和周末班工作的机会。需要提高精神卫生实习学生灵活模式的证据基础。本研究的目的是了解精神卫生综合临床学习模式的导师的经验和满意度。使用焦点小组从精神卫生服务中征集导师的意见。研究结果突出了在精神卫生环境中综合临床学习模式的优缺点。参与者认为，学生可能会从灵活的工作安排、各种经验以及更真实的精神卫生服务工作体验中受益。然而，他们发现，根据这种模式指导和评估学生具有挑战性。大多数人还认为该模式阻碍了学生与消费者接触和与工作人员建立融洽关系的能力。研究结果表明，需要制定一种符合精神卫生环境独特需求的实习模式。
