Jafarian-Amiri Seyedeh Roghayeh, Zabihi Ali, Qalehsari Mojtaba Qanbari
Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
J Educ Health Promot. 2020 Aug 31;9:216. doi: 10.4103/jehp.jehp_13_20. eCollection 2020.
Clinical education requires creating a supportive atmosphere for learners and nursing students, who need support to be prepared for their future profession. The purpose of this study is to investigate the challenges of supporting the nursing students in clinical education. This article reviewed studies conducted between 2009 and 2019 with the keywords including support, challenge, students, education, and nursing using SID, Magiran, IranMedex, Google Scholar, Elsevier, and PubMed as databases. Among the 926 articles obtained during the two review stages, which were based on the inclusion and exclusion criteria and the first one analyzed the title and the abstract and the second one analyzed the whole article, ultimately 32 articles were selected for the study. The types of articles used in this study are as follows: qualitative (16 articles), descriptive analytical and cross-sectional (12 articles), review (3 articles), and mixed-methods (1 article). The focus of all studies was on the students' clinical education environment. The participants of the studies were undergraduate nursing students (in 22 articles), graduate students (in 2 articles), nursing instructors and students (in 4 articles), and nursing instructors and managers (in 1 article). Most of the challenges of supporting the students included violence, fear, and anxiety; socio-cultural challenges, environmental-organizational stresses; and ineffective clinical education. The findings of this study showed that nursing students face many challenges in the clinical setting. Therefore, the managers of educational and health-care centers should give a high priority to their students' support programs.
临床教育需要为学习者和护理专业学生营造一个支持性的氛围，他们需要支持来为未来的职业做好准备。本研究的目的是调查在临床教育中支持护理专业学生所面临的挑战。本文回顾了2009年至2019年期间进行的研究，使用SID、Magiran、IranMedex、谷歌学术、爱思唯尔和PubMed作为数据库，关键词包括支持、挑战、学生、教育和护理。在两个审查阶段获得的926篇文章中，根据纳入和排除标准，第一个阶段分析标题和摘要，第二个阶段分析全文，最终选择了32篇文章进行研究。本研究使用的文章类型如下：定性研究（16篇）、描述性分析和横断面研究（12篇）、综述（3篇）和混合方法研究（1篇）。所有研究的重点都是学生的临床教育环境。研究的参与者包括本科护理专业学生（22篇文章）、研究生（2篇文章）、护理教师和学生（4篇文章）以及护理教师和管理人员（1篇文章）。支持学生面临的大多数挑战包括暴力、恐惧和焦虑；社会文化挑战、环境组织压力；以及无效的临床教育。本研究的结果表明，护理专业学生在临床环境中面临许多挑战。因此，教育和医疗保健中心的管理人员应高度重视为学生提供的支持项目。
