Baloyi Olivia B, Mchunu Gugu G, Williams Charlene, Jarvis Mary-Ann
Department of Nursing, Faculty of Health Sciences, KwaZulu-Natal University, Durban, South Africa.
Health SA. 2020 Oct 8;25:1473. doi: 10.4102/hsag.v25i0.1473. eCollection 2020.
In South Africa, the critical skill base shortage of healthcare workers, the underperforming global health indicators and the planned roll out of the National Health Insurance have burdened South African higher education authorities to rapidly expand nursing student enrolments. The expansion in student numbers has placed increased demands on overstretched educational institutions, and students are confronted with challenges of congestion in classrooms and clinical facilities, while lecturers encounter difficulties in the process of clinical allocation. A solution is to utilise decentralised clinical training platforms (DCTPs) and allocate students in rural hospitals.
To explore and describe undergraduate midwifery students' reflections of their DCTP experiences, in order to inform future practice of decentralisation in student training.
The study was conducted in the nursing discipline of an urban-based university in KwaZulu-Natal, South Africa, involving undergraduate midwifery students. The university had commenced a programme of allocating students to decentralised clinical sites.
Elo and Kyngäs' content analysis was used to analyse the experiences of DCTP by undergraduate midwifery students ( = 14) as expressed in a focus group ( = 11) and three individual interviews ( = 3).
The following four categories emerged: Recognition as a team member, engaging support, win-win platform and juxtaposed challenges.
In the presence of support and teamwork, rural settings can develop undergraduate student midwives, not only in the areas of midwifery competency but also in their personal capacity, and strengthen the responsiveness, preparedness and relevance of midwifery graduates.
在南非，医护人员关键技能基础短缺、全球健康指标表现不佳以及计划推出的国家医疗保险给南非高等教育当局带来了迅速扩大护理专业学生招生规模的压力。学生人数的增加对不堪重负的教育机构提出了更高要求，学生面临着教室和临床设施拥挤的挑战，而讲师在临床分配过程中也遇到困难。一种解决方案是利用分散式临床培训平台（DCTP）并将学生分配到农村医院。
探索并描述本科助产专业学生对其DCTP经历的反思，以便为未来学生培训的分散化实践提供参考。
该研究在南非夸祖鲁 - 纳塔尔省一所城市大学的护理学科进行，涉及本科助产专业学生。该大学已启动一项将学生分配到分散式临床地点的计划。
采用埃洛和京加斯的内容分析法，分析本科助产专业学生（n = 14）在焦点小组（n = 11）和三次个人访谈（n = 3）中表达的DCTP经历。
出现了以下四个类别：被认可为团队成员、获得支持、双赢平台和并列的挑战。
在有支持和团队合作的情况下，农村环境不仅可以培养本科助产专业学生的助产能力，还可以培养他们的个人能力，并增强助产专业毕业生的反应能力、准备程度和相关性。
