Memorial University of Newfoundland, Canada; DSW The Caregivers, St. John's, Newfoundland, Canada; Shifa College of Nursing, Islamabad, Pakistan.
Saidu Group of Teaching Hospital, Swat, Pakistan.
Nurse Educ Today. 2019 Oct;81:39-48. doi: 10.1016/j.nedt.2019.07.002. Epub 2019 Jul 12.
Nurse educators are required to equip students with adequate theoretical and practical knowledge to provide effective nursing care. Limited studies have explored educators' challenges while teaching students. Existing studies are limited because of small sample, overreliance on qualitative approaches, and unreliable instruments that have not been tested.
To explore nurse educators' perspectives about their clinical and academic teaching, to develop a questionnaire to determine educators' challenges, and to develop a comprehensive understanding of educators' challenges.
A sequential exploratory mixed-methods study.
Twelve nursing institutions in five cities of Pakistan.
A purposive sample of 12 educators for interviews and 112 for the survey.
Semi-structured interviews and survey for data collection and expert consultations for questionnaire development. Thematic analysis for qualitative analysis, descriptive analysis for quantitative, and joint display tables for mixed methods.
Educators experience workload and time constraints and struggle to effectively teach students due to inadequate student-educator ratio; underdeveloped curriculum; inadequate resources; inadequate clinical teaching settings for skills, simulation labs; inadequate professional development opportunities; lack of autonomous decision making; lack of educational, management, and research support from the regulatory bodies; and lack of educational research.
Nurse educators' issues and challenges are persistent and require support from regulatory bodies and educational authorities. There is a need to develop policies to improve teaching and learning conditions for educators, provide them with the opportunities to enhance their own learning, and opportunities to collaborate with other educators in order to better prepare student nurses.
护士教育者需要让学生具备足够的理论和实践知识，以提供有效的护理。虽然有一些研究探讨了教育者在教学过程中面临的挑战，但这些研究都存在样本量小、过度依赖定性方法以及使用未经测试的不可靠工具等局限性。
探讨护士教育者对其临床和学术教学的看法，制定一份确定教育者挑战的问卷，并全面了解教育者的挑战。
一项顺序探索性混合方法研究。
巴基斯坦五个城市的 12 个护理机构。
对 12 名教育者进行了半结构式访谈，对 112 名教育者进行了问卷调查。
采用半结构式访谈和问卷调查收集数据，并进行专家咨询以制定问卷。采用主题分析进行定性分析，采用描述性分析进行定量分析，采用联合展示表进行混合方法分析。
教育者因师生比例不足、课程欠发达、资源不足、技能临床教学环境不足、模拟实验室不足、专业发展机会不足、缺乏自主决策、缺乏教育、管理和研究支持、缺乏教育研究而面临工作量和时间限制，并难以有效地教授学生。
护士教育者的问题和挑战是持续存在的，需要监管机构和教育当局提供支持。有必要制定政策，改善教育者的教学和学习条件，为他们提供机会来提高自己的学习，并提供机会与其他教育者合作，以便更好地培养护生。
