Vermeulen Joeri, Peersman Wim, Waegemans Matthias, De Clercq Gerlinde, Gucciardo Leonardo, Laubach Monika, Swinnen Eva, Beeckman Katrien, Buyl Ronald, Fobelets Maaike
Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus University College Brussels, Brussels, Belgium.
Social and Community Work, Odisee University College, Brussels, Belgium.
Eur J Midwifery. 2019 Aug 29;3:15. doi: 10.18332/ejm/111802. eCollection 2019.
Clinical placements are an integral part of midwifery education and are crucial for achieving professional competencies. Although students' experiences on placements have been shown to play a meaningful role in their learning, they have received scant attention in the literature. The aim of this paper is to describe the learning experiences of final-year student midwives in labor wards within the Brussels metropolitan region, Belgium.
A qualitative exploratory study was conducted using two focus groups (N=20). Data analysis included: transcription of audio recordings, thematic content analysis with coding into recurrent and common themes, and broader categories. Discussions among researchers were incorporated in all phases of the analysis for integrity and data fit.
Data analysis identified the following categories as determining student learning experiences in labor wards: 1) managing opportunities, 2) being supported, and 3) dealing with the environment. Overall, respondents were positive and enthusiastic about their learning experiences, although some felt tense and unprepared. Students expressed concerns about differences in learning opportunities between placements and found it challenging to achieve all competencies. Student learning experiences were enhanced when they had placements for longer periods with the same supportive mentors.
Factors related to students' functioning, the healthcare professional, midwifery education and hospital environment affected their learning in labor wards. The combination of a more persevered preparation of students and mentors, together with a student-centered organization of placements, is crucial to create a positive learning experience for midwifery students in labor wards.
临床实习是助产士教育不可或缺的一部分，对于培养专业能力至关重要。尽管学生在实习中的经历已被证明在他们的学习中发挥着重要作用，但在文献中却很少受到关注。本文旨在描述比利时布鲁塞尔大都市区产科病房中最后一年助产专业学生的学习经历。
采用两个焦点小组（N = 20）进行了一项定性探索性研究。数据分析包括：音频记录转录、主题内容分析并编码为反复出现的共同主题以及更广泛的类别。研究人员之间的讨论纳入分析的各个阶段，以确保完整性和数据契合度。
数据分析确定了以下类别为决定学生在产科病房学习经历的因素：1）把握机会，2）获得支持，3）应对环境。总体而言，尽管一些人感到紧张和准备不足，但受访者对他们的学习经历持积极和热情的态度。学生们对实习之间学习机会的差异表示担忧，并发现要掌握所有能力具有挑战性。当学生与同一位给予支持的导师进行更长时间的实习时，他们的学习经历会得到增强。
与学生的表现、医疗保健专业人员、助产士教育和医院环境相关的因素影响了他们在产科病房的学习。让学生和导师做好更充分的准备，同时以学生为中心组织实习，对于为产科病房的助产专业学生创造积极的学习体验至关重要。
