School of Nursing, Midwifery & Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.
Melbourne Health, NorthWestern Mental Health, Parkville, Victoria, Australia.
Int J Ment Health Nurs. 2021 Feb;30(1):83-92. doi: 10.1111/inm.12808. Epub 2020 Nov 3.
Nurses play a crucial role in mental healthcare provision. Like many countries, Australian nursing students are educated in comprehensive pre-registration programmes which include mental health clinical placements. Placements play a vital role in students' education, providing the opportunity to engage with consumers and develop mental health nursing knowledge and skills. There is limited knowledge of student perspectives on traditional placements in contemporary recovery-oriented mental health services. This interpretive qualitative inquiry aimed to explore nursing students' experience of traditional mental health clinical placement and how it influenced their practice and their understandings of recovery from mental illness. Data were collected from focus groups with n = 31 nursing students in a large metropolitan public mental health service. Thematic analysis resulted in three themes of experience: humanizing people with mental illness; learning about recovery; and shifting perspectives on mental health nursing. Through a positive placement experience where they felt supported and included by staff, students came to see consumers as people rather than diagnoses, developed greater understanding of mental health nursing work and were more likely to consider mental health nursing as a career choice. Peer-support workers were an important influence on students' understandings of recovery and have a key role to play in educating students on placement. Students need to be prepared and supported by university and clinical staff to deal with vicarious trauma that may occur on placement. Mental health placements play a crucial role in attracting students into the field, and it is imperative they remain part of comprehensive pre-registration education.
护士在提供精神卫生保健方面发挥着至关重要的作用。与许多国家一样,澳大利亚的护理学生在综合的注册前课程中接受教育,其中包括精神卫生临床实习。实习在学生的教育中起着至关重要的作用,为学生提供了与消费者接触并发展精神卫生护理知识和技能的机会。然而,对于传统的精神卫生服务中实习学生的观点,我们的了解有限。本解释性定性研究旨在探讨护理学生在传统精神卫生临床实习中的体验,以及这些体验如何影响他们的实践和对精神疾病康复的理解。数据是从在一家大型都市公立精神卫生服务机构中 n=31 名护理学生的焦点小组中收集的。主题分析产生了三个体验主题:人性化精神疾病患者;了解康复;以及对精神卫生护理的观点转变。通过积极的实习体验,学生感到受到工作人员的支持和包容,开始将消费者视为个体而不是诊断结果,对精神卫生护理工作有了更深入的理解,并更有可能将精神卫生护理视为职业选择。同伴支持工作者对学生对康复的理解产生了重要影响,并在实习教育中发挥着关键作用。学生需要得到大学和临床工作人员的准备和支持,以应对实习中可能出现的替代性创伤。精神卫生实习在吸引学生进入该领域方面发挥着至关重要的作用,因此它们必须成为综合注册前教育的一部分。