Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Brooks Building, Birley Campus, 53 Bonsall Street, Manchester M15 6GX.
University of Technology Sydney 15, Broadway, Ultimo, NSW 2007, Australia.
Nurse Educ Today. 2020 Jul;90:104444. doi: 10.1016/j.nedt.2020.104444. Epub 2020 Apr 19.
While much is known about nursing students' clinical placement experiences in general, less has been reported about their specific encounters with poor care delivery. A few small-scale qualitative studies have been undertaken, which suggest that nursing students do witness poor care but often decide not to act on what they see. This study sought to explore a wider international perspective on this issue.
To explore nursing students' experiences of the care delivery practices witnessed during clinical placements and to provide descriptions of poor care.
Nursing students from undergraduate pre-registration nursing programmes across three universities, two in the United Kingdom (UK) and one in Australia.
A qualitative/quantitative survey design was utilised, and data were descriptively analysed.
Two hundred and sixty-five students participated in the study. Overall the results were positive. Nevertheless, the participants did provide multiple and recurring examples of poor nursing care which related to a lack of compassion, poor communication, unkind and indifferent provision of personal care, and patient safety. Reporting of poor care was viewed as difficult and many participants highlighted potential repercussions should they take this course of action.
This research provides contemporary international insights into care delivery practices from the perspective of a large number of nursing students. The results, although mainly positive, outline multiple examples of poor and ineffective practice. While the precise prevalence of these remains unknown, educators, practitioners and students should consider how best to address them when they occur.
尽管人们对护理学生的临床实习经历有了很多了解，但对于他们在具体情况下遇到的护理服务不佳的情况却知之甚少。已经进行了一些小规模的定性研究，这些研究表明，护理学生确实目睹了不良护理，但往往决定不对此采取行动。本研究旨在探讨更广泛的国际视角。
探讨护理学生在临床实习中所目睹的护理服务实践经验，并对不良护理进行描述。
来自三所大学本科注册护理课程的护理学生，两所来自英国，一所来自澳大利亚。
采用定性/定量调查设计，并对数据进行描述性分析。
共有 265 名学生参加了这项研究。总体结果是积极的。然而，参与者确实提供了多次反复出现的不良护理例子，涉及缺乏同情心、沟通不畅、不友善和漠不关心地提供个人护理以及患者安全问题。报告不良护理被认为是困难的，许多参与者强调了如果他们采取这种行动可能会带来的潜在后果。
本研究从大量护理学生的角度提供了当代国际对护理服务实践的见解。尽管结果主要是积极的，但也概述了多个不良和无效实践的例子。虽然这些例子的确切发生率尚不清楚，但教育工作者、从业者和学生应该考虑在出现这些问题时如何最好地解决它们。
