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护理学生对临床督导中关怀关系的看法。

Nursing students' perspective on a caring relationship in clinical supervision.

机构信息

Åbo Akademi University, Finland.

出版信息

Nurs Ethics. 2020 Aug;27(5):1225-1237. doi: 10.1177/0969733019871695. Epub 2019 Sep 8.

Abstract

BACKGROUND

Nursing students spend approximately half of their time in clinical practice. It is important that clinical supervisors understand nursing students' path of learning and can support their growth and development during the different and multifaceted learning situations offered in the clinical-practice period.

OBJECTIVE

Based on nursing students' perspective and rooted in the didactics of caring science, to examine how a learning and constructive caring relationship between nursing students and supervisors in clinical practice can be formed.

DESIGN

Qualitative and quantitative concurrent triangulation design of mixed methods.

METHODS

Focus group interviews with Finnish nursing students (n = 21) in the qualitative part of the study. In the quantitative part, a closed questionnaire with closed answers was analysed using descriptive statistics. The analysis process was conducted using inductive content analysis.

ETHICAL CONSIDERATIONS

Ethical issues were considered throughout the research process according to ethical principles and scientific guidelines. Informed consent was obtained from the informants, confidentiality regarding the data material was guaranteed and quotations were anonymized.

RESULTS

A caring relationship between nursing students and supervisors is based on mutual respect, the ethos of responsibility, motivation, willingness and professionalism. Dignity and a caring ethical approach, where nursing students feel they belong, are recognized, seen and heard enables learning and professional development. It is also significant that the supervisor's actions and reflections are ethically defensible, equal and protect nursing students from suffering and various power relationships in clinical practice.

CONCLUSION

A good cooperative relationship and shared responsibility between the nurse education institution, which offers theory and prepares nursing students for the encounter with clinical practice and the healthcare organizations is crucial for enabling a caring relationship in clinical supervision.

摘要

背景

护理学生大约将一半的时间用于临床实践。临床主管了解护理学生的学习路径并能够在临床实践期间提供的不同和多方面的学习环境中支持他们的成长和发展非常重要。

目的

基于护理学生的视角,并植根于关怀科学教学法,探讨如何在临床实践中形成护理学生和主管之间的学习和建设性关怀关系。

设计

定性和定量混合方法的同时三角设计。

方法

在定性研究部分进行了芬兰护理学生(n=21)的焦点小组访谈。在定量部分,使用描述性统计分析了具有封闭答案的封闭式问卷。分析过程采用了归纳内容分析法。

伦理考虑

根据伦理原则和科学指南,在整个研究过程中都考虑了伦理问题。从参与者那里获得了知情同意,保证了数据材料的保密性,并对引语进行了匿名处理。

结果

护理学生和主管之间的关怀关系基于相互尊重、责任精神、动机、意愿和专业精神。尊严和关怀伦理方法,使护理学生感到自己属于、被认可、被看到和被听到,这有助于学习和专业发展。同样重要的是,主管的行为和反思在伦理上是合理的、平等的,并保护护理学生免受临床实践中各种权力关系和痛苦的影响。

结论

护士教育机构与医疗机构之间的良好合作关系和共同责任对于在临床监督中建立关怀关系至关重要,前者提供理论并为护理学生与临床实践的相遇做好准备,后者提供临床实践环境。

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