Department of Nursing, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Nurse Educ Today. 2019 Feb;73:48-53. doi: 10.1016/j.nedt.2018.11.015. Epub 2018 Nov 27.
Nursing students' incivility experiences not only cause stress and burnout but also have other negative effects on general clinical training, hindering their learning or even affecting their career decisions.
This study aimed to comprehensively and thoroughly examine the specific phenomena and implications of incivility experienced by nursing students during clinical practicum.
Based on the hermeneutical philosophy, this study utilizes an exploratory and qualitative design to describe the incivility experiences among nursing students undertaking clinical practicum.
This study was conducted at Y nursing college located in W city of South Korea.
The participants were nursing students attending nursing colleges who were able to describe, in detail, their incivility experiences in clinical practice. These 32 senior-year students completed an entire course of clinical practice.
Data were collected through focus group interviews from September to November 2017. The focus group comprised 6 subgroups, with four to seven individuals each. For data analysis, the research manager compared the transcriptions with the recordings to confirm their accuracy. Qualitative content analysis methods were used to analyze the transcription contents.
Based on the data analysis, 5 themes and 12 subheadings were derived from 131 significant statements. The derived themes included lack of respect, lack of role models, excessive demands, hostile behavior, and mean behavior.
Nursing students felt neglected and disrespected during clinical practicum, and clinical practice guides made unreasonable demands rather than presenting examples as role models during the learning process. The students also experienced mean behaviors such as refusal and hostile acts. The findings of this study imply the necessity to promote clinical practicum environments that can reduce incivility experiences and empower nursing students undertaking clinical practicum education.
护生的不文明行为不仅会造成压力和倦怠，还会对一般临床培训产生其他负面影响，阻碍他们的学习，甚至影响他们的职业决策。
本研究旨在全面深入地考察护理学生在临床实习中经历的不文明行为的具体现象和影响。
本研究基于解释学哲学，采用探索性和定性设计来描述护理学生在临床实习中经历的不文明行为。
本研究在韩国 W 市的 Y 护理学院进行。
参与者是在护理学院就读的护理专业学生，他们能够详细描述自己在临床实践中的不文明行为体验。这些 32 名大四学生完成了一整套临床实习课程。
数据收集于 2017 年 9 月至 11 月，采用焦点小组访谈法，焦点小组由 6 个小组组成，每组 4 至 7 人。为了数据分析，研究经理将转录本与录音进行了比较，以确认其准确性。采用定性内容分析法对转录内容进行分析。
根据数据分析，从 131 个有意义的陈述中得出了 5 个主题和 12 个副标题。得出的主题包括缺乏尊重、缺乏榜样、过分要求、敌对行为和卑鄙行为。
护理学生在临床实习中感到被忽视和不被尊重，临床实习指导者在学习过程中提出不合理的要求，而不是以身作则。学生还经历了拒绝和敌对行为等卑鄙行为。本研究的结果表明，有必要改善临床实习环境，以减少不文明行为的发生，增强护理学生参与临床实习教育的能力。
