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约旦护理专业学生的临床督导经历及影响因素

Nursing students' experience of clinical supervision and contributing factors in Jordan.

作者信息

Mahasneh Deema, Shoqirat Noordeen, Al Hadid Lourance, Alja'afreh Mahmoud A, Shosha Ghada Mohammad Abu

机构信息

Faculty of Nursing, Mutah University, Karak 61710, Jordan.

Mutah University, Karak 61710, Jordan.

出版信息

Nurse Educ Today. 2020 Sep;92:104515. doi: 10.1016/j.nedt.2020.104515. Epub 2020 Jun 30.

Abstract

BACKGROUND

Although clinical supervision is a vital component of nursing education, data on students' experiences of clinical supervision and contributing factors remain limited.

AIM

The study explores nursing students' experience of clinical supervision and contributing factors in Jordan.

DESIGN/METHODS: An explorative design with a qualitative approach using focus group discussions (n = 6) was used. A convenient sample consisting of 48 participants was recruited from second, third and fourth year nursing students. Data were thematically analysed using N VIVO 12.

RESULTS

The analysis revealed two overlapping experiences. First, the empowering supervision experience comprising: "being willing and patient" and "working hand-in-hand" with students. Second, the disempowering supervision experience, including: abuse of power and grade obsession, incompetent supervision and lack of time detected for students. While the former has positivity which enhanced students' clinical learning, the latter reduced their motivation for gaining knowledge and skills and negatively impacted their self-confidence.

CONCLUSION

Students' experience of clinical supervision is multifaceted. Thus, there is a pressing need for establishing a preparation programme for newly employed supervisors focusing on annual training updates, identifying their competency level and understanding the way their supervisory role is operationalised.

摘要

背景

尽管临床督导是护理教育的重要组成部分,但关于学生临床督导经历及影响因素的数据仍然有限。

目的

本研究探讨约旦护理专业学生的临床督导经历及影响因素。

设计/方法:采用探索性设计,运用焦点小组讨论(n = 6)的定性方法。从二、三、四年级护理专业学生中招募了48名参与者组成便利样本。使用NVIVO 12对数据进行主题分析。

结果

分析揭示了两种重叠的经历。第一,赋能型督导经历包括:“愿意且有耐心”以及与学生“携手合作”。第二,剥夺权力型督导经历,包括:权力滥用和分数痴迷、不称职的督导以及未为学生留出时间。前者具有积极性,可增强学生的临床学习,而后者则降低了他们获取知识和技能的动力,并对他们的自信心产生负面影响。

结论

学生的临床督导经历是多方面的。因此,迫切需要为新入职的督导建立一个培训计划,重点是年度培训更新、确定他们的能力水平以及了解他们的督导角色的运作方式。

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