Algoso Maricris, Ramjan Lucie, East Leah, Peters Kath
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
Centre for Applied Nursing Research, Liverpool, NSW, Australia.
J Adv Nurs. 2018 Apr 20. doi: 10.1111/jan.13691.
To determine how undergraduate assistant in nursing employment in aged care helps to prepare new graduates for clinical work as a Registered Nurse.
The amount and quality of clinical experience afforded by university programs has been the subject of constant debate in the nursing profession. New graduate nurses are often deemed inadequately prepared for clinical practice and so many nursing students seek employment as assistants in nursing whilst studying to increase their clinical experience.
This paper presents the first phase of a larger mixed-methods study to explore whether undergraduate assistant in nursing employment in aged care prepares new graduate nurses for the clinical work environment. The first phase involved the collection of quantitative data from a modified Preparation for Clinical Practice survey, which contained 50-scaled items relating to nursing practice.
Ethics approval was obtained prior to commencing data collection. New graduate nurses who were previously employed as assistants in nursing in aged care and had at least 3 months' experience as a Registered Nurse, were invited to complete the survey. Social media and professional networks were used to distribute the survey between March 2015 - May 2016 and again in January 2017-February 2017. Purposeful and snowballing sampling methods using social media and nursing networks were used to collect survey responses. Data were analysed using principal components analysis.
110 completed surveys were returned. Principal components analysis revealed four underlying constructs (components) of undergraduate assistant in nursing employment in aged care. These were emotional literacy (component 1), clinical skills (component 2), managing complex patient care (component 3) and health promotion (component 4).
The four extracted components reflect the development of core nursing skills that transcend that of technical skills and includes the ability to situate oneself as a nurse in the care of an individual and in a healthcare team.
确定本科护理助理在老年护理工作中如何帮助新毕业生为注册护士的临床工作做好准备。
大学课程提供的临床经验的数量和质量一直是护理行业持续争论的话题。新毕业的护士往往被认为没有为临床实践做好充分准备，因此许多护理专业学生在学习期间寻求担任护理助理的工作，以增加他们的临床经验。
本文展示了一项更大规模的混合方法研究的第一阶段，以探讨本科护理助理在老年护理工作中是否能让新毕业护士为临床工作环境做好准备。第一阶段涉及从一份修改后的临床实践准备情况调查问卷中收集定量数据，该问卷包含50个与护理实践相关的量表项目。
在开始数据收集之前获得了伦理批准。邀请曾在老年护理机构担任护理助理且具有至少3个月注册护士工作经验的新毕业护士完成该调查。在2015年3月至2016年5月以及2017年1月至2017年2月期间，利用社交媒体和专业网络分发该调查。采用社交媒体和护理网络的目的抽样和滚雪球抽样方法收集调查回复。使用主成分分析对数据进行分析。
共返回110份完整的调查问卷。主成分分析揭示了本科护理助理在老年护理工作中的四个潜在结构（成分）。这些是情感素养（成分1）、临床技能（成分2）、管理复杂患者护理（成分3）和健康促进（成分4）。
提取的这四个成分反映了核心护理技能的发展，这些技能超越了技术技能，包括在照顾个体和医疗团队中作为护士定位自己的能力。
