School of Nursing and Midwifery, Griffith University, Gold Coast Hospital and Health Service, Menzies Health Institute, Office 2.47, Clinical Sciences 2 (G16), Parklands Drive, Southport, QLD, 4215, Australia.
School of Allied Health Sciences, Griffith University, Menzies Health Institute, Queensland Parklands Drive, Southport, QLD, 4215, Australia.
Nurse Educ Pract. 2020 Mar;44:102746. doi: 10.1016/j.nepr.2020.102746. Epub 2020 Feb 28.
Developing nursing students' knowledge and practice of infection prevention and control (IPC) is fundamental to safe healthcare. A two-phase descriptive, mixed-method study conducted within a Bachelor of Nursing program at an Australian university aimed to explore: (i) theoretical knowledge of IPC, highlighting hand hygiene, of nursing students and; (ii) nursing students' and clinical facilitators' perceptions of factors influencing these practices during clinical placement. Phase One utilised an anonymous validated questionnaire assessing students' knowledge; identifying variables influencing students' IPC practices, subjected to descriptive and inferential analysis. Phase Two were semi-structured interviews exploring clinical facilitators' experiences/perceptions of students during clinical placement, analysed thematically. Students' demonstrated satisfactory knowledge of IPC in their second and third year, but clinical facilitators perceived that. students lacked awareness of the importance of these practices. Five themes arose from the interviews: (i) understanding workplace culture; (ii) students' modelling local behaviour; (iii) enhancing and consolidating knowledge for practice; (iv) adjusting to practice reality and; (v) accessing additional hand hygiene resources. Factors specific to workplace setting and culture were perceived to influence nursing students' socialisation. Future practice/education strategies could address these factors by ensuring students receive adequate supervision during clinical placement, and having strong advocates/role models present in the workplace.
培养护理学生的感染预防与控制（IPC）知识和实践能力对于安全的医疗保健至关重要。在澳大利亚一所大学的护理学士学位课程中进行了一项两阶段描述性、混合方法研究，旨在探讨：（i）护理学生的 IPC 理论知识，重点是手卫生；以及（ii）护理学生和临床导师对影响这些实践的因素的看法，这些实践发生在临床实习期间。第一阶段使用匿名验证问卷评估学生的知识；确定影响学生 IPC 实践的变量，进行描述性和推断性分析。第二阶段是半结构化访谈，探讨临床导师在临床实习期间对学生的经验/看法，进行主题分析。学生在第二和第三年表现出对 IPC 的满意知识，但临床导师认为，学生缺乏对这些实践重要性的认识。访谈中出现了五个主题：（i）理解工作场所文化；（ii）学生模仿当地行为；（iii）增强和巩固实践知识；（iv）适应实践现实；以及（v）获得额外的手部卫生资源。工作场所特定的环境和文化因素被认为会影响护理学生的社会化。未来的实践/教育策略可以通过确保学生在临床实习期间得到充分的监督，并在工作场所中提供强有力的倡导者/榜样，来解决这些因素。
