Department of Nursing and Midwifery, Sheffield Hallam University, S10 2BP, Sheffield, UK.
Faculty of Health & Wellbeing, Sheffield Hallam University, Collegiate Crescent, S10 2BP, Sheffield, UK.
BMC Med Educ. 2018 Apr 5;18(1):67. doi: 10.1186/s12909-018-1182-6.
The recent UK Government paper 'Five year forward view' describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses. This paper reports upon the findings of a study evaluating the South Yorkshire ATPS network in relation to nursing students' perceptions of general practice as a placement and a potential career option post-graduation.
Data were collected using semi-structured interviews with 18 nursing students. Qualitative data analysis used a framework approach and themes were cross-checked within the team. The research had ethical approval and anonymity and confidentiality were maintained throughout.
Using the Communities of Practice (CoP) framework as a theoretical lens, two main themes emerged from the data: 'Myths and misunderstandings' outlined some of the misconceptions that abounded in the absence of an established CoP in general practice. These included perceptions of what constitutes a 'good' placement, an apparent lack of relevant content in the curriculum, and the widespread use of social media by students as a means of information gathering. 'Changing hearts and minds' referred to the need to positively influence the culture within general practice by addressing some of the longstanding myths. Through the fledgling CoP, the students' perceptions of the GPN role in particular were positively revised, as was the prospect of a career in general practice upon graduation.
The CoP that is emerging through the ATPS placements appear to be gradually changing the socio-cultural landscape within general practice by enabling student nurses to experience the reality of life in general practice nursing, and to view the GPN role as a viable career option upon graduation.
最近英国政府的文件“五年展望”描述了将更多的患者管理从二级医疗转移到初级保健的需求，这将需要大幅增加普通科护士（GPN）的数量。到目前为止，还没有明确的招聘策略来解决这个问题。然而，已经有一些建议的解决方案来解决即将到来的 GPN 招聘危机，并增加新的 GPN 毕业后的数量。在高级培训实践计划（ATPS）中工作的全科医生（GP）已被英格兰卫生与保健优化署委托为护生提供实习岗位。本文报告了一项评估南约克郡 ATPS 网络的研究结果，该研究涉及护理学生对作为实习岗位和毕业后潜在职业选择的一般实践的看法。
使用半结构化访谈，对 18 名护理学生收集数据。使用框架方法进行定性数据分析，主题在团队内交叉检查。该研究获得了伦理批准，并在整个过程中保持了匿名和保密性。
使用实践社区（CoP）框架作为理论视角，从数据中出现了两个主要主题：“误解和误解”概述了在缺乏成熟的一般实践实践社区时存在的一些误解。其中包括对什么构成“好”实习的看法、课程中明显缺乏相关内容，以及学生广泛使用社交媒体作为信息收集手段。“改变观念”是指需要通过解决一些长期存在的误解，积极影响一般实践中的文化。通过新成立的 CoP，学生对 GPN 角色的看法得到了积极修正，毕业后从事一般实践工作的前景也变得更加乐观。
通过 ATPS 实习出现的 CoP 似乎正在逐渐改变一般实践中的社会文化景观，使护生能够体验到一般实践护理的现实生活，并将 GPN 角色视为毕业后的可行职业选择。
