Motsaanaka Mpho N, Makhene Agnes, Ally Hafisa
Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Health SA. 2020 Feb 17;25:1217. doi: 10.4102/hsag.v25i0.1217. eCollection 2020.
During the training of student nurses, clinical placement is a compulsory requirement, as it exposes them to learning opportunities for the acquisition of clinical skills. This prepares them to become safe and competent professional nurses. However, the increased intake of student nurses in the Gauteng nursing colleges led to overcrowding in a public academic hospital, thus negatively influencing their learning experiences and availability of clinical learning opportunities.
The purpose was to explore and describe the student nurses' experiences regarding their clinical learning opportunities to make recommendations to enhance their clinical learning opportunities in order to address the optimisation of their learning experiences.
A qualitative, exploratory, descriptive and contextual research design was used. A purposive sampling method was used to select second-year student nurses registered in the Regulation (R425) programme for qualifying as a nurse (general, psychiatry and community) and midwife, as they would have acquired at least 1 year of clinical experience. Four focus groups, which comprised six to eight participants, were constituted, and research was conducted until data were saturated. Field notes were simultaneously taken to enrich the data collected. Thematic coding of qualitative data was used. Principles of trustworthiness and ethical principles were adhered to.
The study revealed four themes. Three were negative experiences that included overcrowding, negative emotional experiences of student nurses and challenges of professional nurses. A theme concerning positive experience entailed knowledge-sharing amongst various health care disciplines.
It was evident that student nurses had more negative emotional experiences than positive experiences. Therefore, the need to enhance their clinical learning opportunities in order to address the optimisation of learning experiences is eminent.
在学生护士培训期间,临床实习是一项强制性要求,因为这能让他们获得学习临床技能的机会。这有助于他们成为安全且称职的专业护士。然而,豪登省护理学院学生护士招生人数的增加导致一家公立学术医院人满为患,从而对他们的学习体验和临床学习机会的可得性产生了负面影响。
旨在探索和描述学生护士在临床学习机会方面的经历,以便提出建议来增加他们的临床学习机会,从而优化他们的学习体验。
采用了定性、探索性、描述性和情境性研究设计。采用目的抽样方法,选取注册参加监管(R425)项目以获得护士(普通、精神科和社区)及助产士资格的二年级学生护士,因为他们至少已有1年临床经验。组成了四个焦点小组,每个小组有六至八名参与者,持续进行研究直至数据饱和。同时记录实地笔记以丰富所收集的数据。对定性数据进行主题编码。遵循了可信度原则和伦理原则。
该研究揭示了四个主题。三个是负面经历,包括人满为患、学生护士的负面情绪体验以及专业护士面临的挑战。一个关于积极体验的主题涉及不同医疗保健学科之间的知识共享。
显然,学生护士的负面情绪体验多于积极体验。因此,迫切需要增加他们的临床学习机会以优化学习体验。