Liang Hwey-Fang, Wu Kuang-Ming, Wang Ying-Hsiang
Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, 2, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan; Chronic Diseases and Health Promotion Research Center, 2, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan; Chang Gung Memorial Hospital at Chiayi, 6, Sec., W., Jiapu Rd, Puzi City, Chiayi County 61363, Taiwan.
Department of Early Childhood Education, National Chiayi University, 85 Wen-lung tsun., Min-shiung, Chiayi 621, Taiwan.
Nurse Educ Today. 2020 May 7;91:104469. doi: 10.1016/j.nedt.2020.104469.
A pediatric nursing practicum is essential in equipping students with basic knowledge of theory, professional attitudes, and skills for the clinical setting. However, students often face multiple challenges in the practicum due to gaps between theory and practice.
To describe nursing students' first-time experiences in pediatric clinical practice in Taiwan.
A phenomenological approach with purposive sampling was used. Twenty participants were interviewed individually, in person, within a month of completion of a pediatric nursing practicum. Interviews were semi-structured and digitally recorded. Data analysis followed Colaizzi's methods; epochs (bracketing) focused analysis on students' experiences and maintained objectivity.
Three themes and related subthemes emerged: (a) orienting to the pediatric unit (becoming familiar with common treatments and surroundings in the pediatric unit; recognizing people in the unit); (b) encountering challenges in pediatric and family-centered care (navigating communication between child and families; student nurse-patient relationships: maintaining a good rapport with children and their families; being prepared for quick role changes); (c) translating knowledge into clinical practice thoughtfully (providing desirable and correct responses for children and their families; providing a safe and friendly environment for children and their families).
Student nurses engaged in a variety of care practices necessitated by patients' differing ages, developmental levels, and family needs. Ensuring students' successful completion of the demanding pediatric practicum, including innovative communication, technical skills, and role transitions, is challenging yet achievable.
Gaining a fuller understanding of nursing students' experiences in the pediatric nursing practicum can assist nursing professionals in preparing students to provide competent care for children and their families.
儿科护理实习对于让学生掌握理论基础知识、专业态度以及临床技能至关重要。然而，由于理论与实践之间的差距，学生在实习中常常面临多重挑战。
描述台湾护理专业学生首次儿科临床实习的经历。
采用目的抽样的现象学方法。在儿科护理实习结束后的一个月内，对20名参与者进行了单独的面对面访谈。访谈采用半结构化形式并进行数字录音。数据分析遵循科莱齐的方法；阶段（加括号）聚焦于对学生经历的分析并保持客观性。
出现了三个主题及相关子主题：（a）适应儿科病房（熟悉儿科病房的常见治疗方法和环境；认识病房里的人员）；（b）在儿科及以家庭为中心的护理中遇到挑战（处理儿童与家庭之间的沟通；学生与患者的关系：与儿童及其家庭保持良好融洽的关系；为快速的角色转变做好准备）；（c）认真地将知识转化为临床实践（为儿童及其家庭提供恰当且正确的回应；为儿童及其家庭提供安全友好的环境）。
实习护士参与了因患者不同年龄、发育水平和家庭需求而产生的各种护理实践。确保学生成功完成要求苛刻的儿科实习，包括创新沟通、技术技能和角色转变，具有挑战性但可以实现。
更全面地了解护理专业学生在儿科护理实习中的经历，有助于护理专业人员帮助学生为儿童及其家庭提供称职的护理。
Zotero 插件