Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, 2, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan; Chronic Diseases and Health Promotion Research Center, 2, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan; Chang Gung Memorial Hospital at Chiayi, 6, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan.
Department of Early Childhood Education, National Chiayi University, 85 Wen-lung tsun., Min-shiung., Chiayi 621, Taiwan.
Nurse Educ Today. 2019 Apr;75:22-27. doi: 10.1016/j.nedt.2019.01.004. Epub 2019 Jan 17.
Clinical practice is an essential component of nursing students' preparation for applying theoretical knowledge in a real-life setting. However, students often experience clinical practice as extremely stressful, which may disrupt their clinical performance, impact the quality of patient care they provide as well as their own physical and psychological health, and hinder their continuation into nursing careers. Resilience, understood as the capability to overcome challenges, is critical for these students.
To develop and implement a resilience enhancement (RE)-based project for Taiwanese nursing students during their Last Mile practicum.
A participatory action research (PAR) approach was used in which ongoing planning, action, and reflection informed real-time progress. Twenty-eight nursing students in clinical practice participated in the study. A six-workshop RE project was completed over the course of two months. Evaluation methods involved group discussion, individual interviews, and reflective diaries. Content analysis was applied to the data.
Through a PAR-based project, participants achieved positive results. Three outcome themes were identified: Increasing self-exploration, Furthering confidence and competency, and Constructing resilience.
The PAR-based RE project helped students to develop resilience by enhancing their nursing knowledge and skills and practicing positive thinking and behavior.
The findings can be a reference for nursing educators in designing RE programs for students during clinical practice to increase their professional competence and provide psychological supports.
临床实践是护理学生将理论知识应用于实际环境的重要组成部分。然而，学生通常将临床实习视为极具压力的经历，这可能会干扰他们的临床表现，影响他们提供的患者护理质量以及他们自己的身心健康，并阻碍他们继续从事护理职业。适应力，即克服挑战的能力，对这些学生至关重要。
为台湾护理学生在最后一英里实习期间开展基于适应力增强（RE）的项目。
采用参与式行动研究（PAR）方法，实时规划、行动和反思为进展提供信息。28 名临床实习的护理学生参与了这项研究。在两个月的时间里完成了一个六次研讨会的 RE 项目。评估方法包括小组讨论、个人访谈和反思日记。对数据进行了内容分析。
通过基于 PAR 的项目，参与者取得了积极的成果。确定了三个结果主题：增强自我探索、提高信心和能力、构建适应力。
基于 PAR 的 RE 项目通过增强护理知识和技能、实践积极的思维和行为，帮助学生培养适应力。
研究结果可为护理教育者在设计学生临床实践中的 RE 项目提供参考，以提高他们的专业能力并提供心理支持。
