Department of Nursing and Social Sciences, Høgskolen i Molde, Postboks 2110, 6402, Molde, Norway.
Nurse Educ Pract. 2019 Mar;36:64-70. doi: 10.1016/j.nepr.2019.03.002. Epub 2019 Mar 7.
It is highly important that nursing students are well educated and become safe and competent practitioners. This article presents the findings from a quantitative study investigating if Norwegian mentors fail to fail nursing students not achieving the learning outcomes in clinical studies in the bachelor's programme in nursing, in addition to the factors influencing their decisions. A survey was conducted among nurse mentors in hospital- and home-based nursing care in two Norwegian municipalities, and 561 nurses answered the questionnaire. The findings indicate that mentors sometimes fail to fail nursing students in clinical studies. Important factors influencing this decision were that the students did not put the patient's life at risk and that the mentors gave the student the benefit of the doubt. The mentors in our study thought that failing to fail students was not related to personal challenges and burdens. They also felt a lack of support from the educational institution. The findings suggest some future directions for nurse education programmes. The training of mentors, especially in managing failing students, and better support from liaison lecturers from the educational institution are important. It is also suggested that nurse education programmes together with mentors discuss the distinction between unsafe practices and learning outcomes for clinical studies.
非常重要的是，护理学生接受良好的教育，并成为安全且有能力的从业者。本文介绍了一项定量研究的结果，该研究调查了挪威导师是否未能让未能达到护理本科课程临床学习成果的学生失败，以及影响他们决策的因素。在两个挪威市的医院和家庭护理中的护士导师中进行了一项调查，有 561 名护士回答了问卷。调查结果表明，导师有时未能让临床学习中的护理学生失败。影响这一决定的重要因素是，学生没有危及患者的生命，并且导师对学生表示怀疑。我们研究中的导师认为，未能让学生失败与个人挑战和负担无关。他们还感到缺乏来自教育机构的支持。研究结果为护理教育计划提出了一些未来的方向。对导师的培训，特别是在管理失败学生方面的培训，以及来自教育机构联络讲师的更好支持非常重要。还有人建议，护理教育计划应与导师一起讨论临床研究中不安全实践与学习成果之间的区别。
