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跨健康学科的临床监督学生体验 - 增强临床实习的观点和补救措施。

The student experience of clinical supervision across health disciplines - Perspectives and remedies to enhance clinical placement.

机构信息

School of Nursing and Midwifery, Faculty of Health and Medicine, Richardson Wing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

School of Medicine and Public Health, University of Newcastle, Corner Henry Parry Drive and Margin Street, Gosford, NSW, 2250, Australia.

出版信息

Nurse Educ Pract. 2019 Jan;34:48-55. doi: 10.1016/j.nepr.2018.11.006. Epub 2018 Nov 12.

DOI:10.1016/j.nepr.2018.11.006
PMID:30458410
Abstract

Effective clinical practice supervision for health students is essential prior to commencing their respective professions. Students require adequate preparation before their clinical practice event with an experienced clinical supervisor able to impart professional 'know how' and skills to students. The purpose of this study was to describe final year health students' perspectives and experiences of clinical supervision, and to develop an interprofessional model of clinical supervision. Focus groups and semi-structured interviews were conducted with undergraduate health students across a range of disciplines. Some students provided email comments. Qualitative data was analysed thematically using NVivo (V11). Six key themes and their various sub-themes (refer Table 1) were identified: (1) undergraduate learning valued by the CP provider; (2) effective connections (communications) between student, CS, CP provider and university; (3) undergraduate student learning not being valued; (4) ineffective connections; (5) mitigating factors for students; and (6) the impact of increasing student numbers. Undergraduate health student clinical placement requires careful educational preparation, structuring and adequate support for both the student undergoing the practice event and for the clinical supervisor stewarding the undergraduate health professional. A prospective plan to ensure an excellent experience is required (Fig. 1).

摘要

在开始各自的职业之前,对卫生专业学生进行有效的临床实践监督至关重要。学生在进行临床实践活动之前需要充分准备,并且需要一位经验丰富的临床主管,以便向学生传授专业的“知识”和技能。本研究的目的是描述最后一年卫生专业学生对临床监督的看法和经验,并制定一种跨专业的临床监督模式。我们对来自不同学科的本科卫生专业学生进行了焦点小组和半结构化访谈,一些学生还通过电子邮件发表了评论。我们使用 NVivo(V11)对定性数据进行了主题分析。确定了六个关键主题及其各种子主题(见表 1):(1)临床监督者重视本科学习;(2)学生、CS、CP 提供者和大学之间的有效联系(沟通);(3)本科学生的学习不受重视;(4)无效的联系;(5)学生的缓解因素;以及(6)学生人数增加的影响。本科卫生专业学生的临床实习需要精心的教育准备、结构安排和对正在进行实践活动的学生以及监督本科卫生专业人员的临床监督者的充分支持。需要制定一个前瞻性计划,以确保获得出色的体验(图 1)。

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