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助产士作为导师的经验以及产科单位良好导师制的发展。

Midwives' experiences as preceptors and the development of good preceptorships in obstetric units.

机构信息

Department for Health Promotion Science, Sophiahemmet University, Lindtstedtsvägen 8, Stockholm 114 86, Sweden; Karolinska University hospital, Solna. Children´s & Women´s Health Theme PA Pregnancy Care and Delivery, Karolinska Universitetsjukhuset Solna, Karolinska vägen, Solna 171 76, Sweden.

Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.

出版信息

Midwifery. 2020 Aug;87:102718. doi: 10.1016/j.midw.2020.102718. Epub 2020 May 6.

DOI:10.1016/j.midw.2020.102718
PMID:32428824
Abstract

OBJECTIVE

To study midwives' experience in their role as a preceptor and their perception on how to best support midwifery students in obstetrics units. Obstetric units are an important learning area for student midwives but knowledge on how to become a good midwife preceptor is limited.

DESIGN

This qualitative study explores midwife preceptors' experience of supervising midwifery students in three obstetric units in Sweden. Following ethical approval seventeen midwife preceptors were interviewed and data were analysed thematically.

FINDINGS

Thematic analysis of the interviews resulted in the identification of two themes and five subthemes: (1) self-efficacy in the preceptor role which involves (a) being confident in the professional position and (b) having the support of management and colleagues and (2) supporting the student to attain self-confidence and independence which entails (a) helping the student to grow, (b) facilitating reflection in learning situations, and (c) "taking a step back".

KEY CONCLUSION

Good preceptorship occurs when midwives achieve full self-efficacy, when they master the preceptor role, and when they have enhanced their abilities to help, the student reach confidence and independence.

IMPLICATIONS FOR PRACTICE

Health care organisations needs to develop and support midwifery preceptorships.

摘要

目的

研究助产士在导师角色中的经验,以及他们对如何最好地支持产科病房的助产学生的看法。产科病房是学生助产士的一个重要学习领域,但关于如何成为一名优秀的助产士导师的知识有限。

设计

本定性研究探讨了瑞典三个产科病房的助产士导师在监督助产学生方面的经验。在获得伦理批准后,对 17 名助产士导师进行了访谈,对数据进行了主题分析。

发现

对访谈的主题分析产生了两个主题和五个子主题:(1)导师角色中的自我效能感,包括(a)对专业地位有信心和(b)得到管理层和同事的支持;(2)支持学生获得自信和独立,包括(a)帮助学生成长,(b)促进学习情境中的反思,和(c)“退后一步”。

主要结论

当助产士实现完全的自我效能感,掌握导师角色,并增强帮助学生获得信心和独立的能力时,良好的导师制就会出现。

实践意义

卫生保健组织需要发展和支持助产士导师制。

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