Aglen Bjørg, Louise Sørø Vera, Orvik Arne, Haugan Gørill
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences Norwegian University of Technology and Science Trondheim Norway.
Department of Health Sciences, Faculty of Medicine and Health Sciences Norwegian University of Technology and Science Ålesund Norway.
Nurs Open. 2018 Sep 14;6(1):144-154. doi: 10.1002/nop2.197. eCollection 2019 Jan.
The recruitment and retention of preceptors to mentor health professional students and apprentices in their clinical studies are not easy. The aim of this study was to investigate factors that hindered the implementation of an intervention intended to improve the working conditions for preceptors in nursing homes. The preceptorship was related to clinical studies for health professional students and apprentices.
A qualitative, explorative design was applied.
Qualitative data were collected in September 2014 by means of focus groups with preceptors and key informant interviews. The data were prepared by thematic analysis and interpreted in the light of institutional theory.
The intervention to improve the working conditions for preceptors was hampered by institutional traits involving rule-like perceptions of "want to," "ought to" and "have to." Precepting was preserved as an individual task of the preceptors and was not considered a daily activity in nursing homes.
To improve the working conditions for preceptors in nursing homes and thus improve recruitment and retention among preceptors, the nursing home leaders should address institutional traits related to preceptorship.
招募并留住指导教师来指导健康专业学生和学徒进行临床学习并非易事。本研究旨在调查阻碍实施一项旨在改善养老院指导教师工作条件的干预措施的因素。该指导工作与健康专业学生和学徒的临床学习相关。
采用定性、探索性设计。
2014年9月通过与指导教师进行焦点小组讨论和关键 informant 访谈收集定性数据。通过主题分析对数据进行整理,并根据制度理论进行解读。
改善指导教师工作条件的干预措施受到制度特征的阻碍,这些特征涉及对“想要”“应该”和“必须”的类似规则的认知。指导工作被保留为指导教师的个人任务,在养老院中不被视为日常活动。
为改善养老院指导教师的工作条件,从而提高指导教师的招募率和留存率,养老院领导应解决与指导工作相关的制度特征问题。