Solomont School of Nursing, University of Massachusetts Lowell, MA, United States of America.
Solomont School of Nursing, University of Massachusetts Lowell, MA, United States of America.
J Pediatr Nurs. 2019 Sep-Oct;48:72-76. doi: 10.1016/j.pedn.2019.07.007. Epub 2019 Jul 23.
Undergraduate nursing faculty face challenges when teaching pediatric clinicals. Changes to pediatric care and hospital admissions have contributed to a shortage of clinical sites where students can learn to care for children with varied nursing needs. The purpose of this study was to describe benefits and barriers of pediatric clinical placements with a school health component.
A qualitative analysis of 38 student reflective journals was conducted to identify experiences following student participation in school nursing clinicals.
Three themes and three sub-themes were identified. Major themes included: benefits of the clinical experience, suggestions for improvement, and an appreciation for the school nurse role with subthemes of greater responsibility than anticipated, resource constraints, and lack of support.
School nursing clinical experiences allow nursing students to interact with children with broad range of ages, abilities, and health statuses, and preview a professional pathway they may otherwise never be exposed to. School nursing experiences also help nurse educators address the shortage of inpatient pediatric clinical site placements while facilitating student exposure to the impact of social justice and social determinants on child health.
Nurse educators are encouraged to incorporate school nursing clinical experiences in pediatric curricula. Partnering with school districts in which student enrollment reflects diversity in culture, socio-economic status, and access to healthcare should be a priority so students may see first-hand the impact of social determinants on the health of clients and populations.
本科护理教师在教授儿科临床课程时面临挑战。儿科护理和住院治疗的变化导致可让学生学习照顾具有不同护理需求的儿童的临床实践场所短缺。本研究的目的是描述具有学校卫生部分的儿科临床实习的好处和障碍。
对 38 名学生反思日志进行了定性分析，以确定学生参与学校护理临床实习后的经验。
确定了三个主题和三个子主题。主要主题包括：临床经验的好处、改进建议以及对学校护士角色的欣赏，其下的子主题包括比预期更大的责任、资源限制和缺乏支持。
学校护理临床经验使护理学生能够与不同年龄、能力和健康状况的儿童互动，并预览他们可能从未接触过的专业途径。学校护理经验还可以帮助护理教育工作者解决住院儿科临床实践场所安置短缺的问题，同时使学生接触到社会公正和社会决定因素对儿童健康的影响。
鼓励护理教育工作者在儿科课程中纳入学校护理临床经验。与学生入学反映文化、社会经济地位和获得医疗保健的多样性的学区合作应成为优先事项，以便学生可以亲眼目睹社会决定因素对客户和人群健康的影响。
