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护理专业学生在 COVID-19 大流行期间的临床实习经历:一项横断面研究。

Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study.

机构信息

Faculty of medicine and life sciences, Hasselt University, Hasselt, Belgium.

Faculty of medicine and life sciences, Hasselt University, Hasselt, Belgium; Department of Health Care, PXL University of Applied Sciences and Arts, Hasselt, Belgium.

出版信息

Nurse Educ Today. 2021 Apr;99:104746. doi: 10.1016/j.nedt.2021.104746. Epub 2021 Jan 13.


DOI:10.1016/j.nedt.2021.104746
PMID:33545565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7803623/
Abstract

BACKGROUND: The impact of the COVID-19 pandemic on our society is profound, not least for the healthcare sector. On the one hand, this exceptional situation created unprecedented learning opportunities for nursing students. Yet, on the other hand, this situation can jeopardise nursing students learning trajectory. OBJECTIVES: To study nursing students' experiences during clinical placement during the COVID-19 pandemic. DESIGN: Cross-sectional survey design. SETTINGS: Clinical placements during the COVID-19 pandemic. PARTICIPANTS: Nursing students from nine Belgian nursing schools. METHODS: All students enrolled in nursing education are eligible to participate. The survey consists of five dimensions: demographics, risk perception, self-efficacy, support and communication, and resilience. RESULTS: The gaps that were identified by students focused on the need for more psychosocial support, establishing (regular) contact with their clinical placement supervisor, recognition of the difficult work situation, and the need for more space to unwind. CONCLUSIONS: Nursing students expressed a strong need to be heard, prepared, and supported. Most students felt supported by their nursing schools. Because of COVID-19, the role of the preceptor became more important. However, due to several reasons, the perceptor did not always meet the student's expectations. Preparing students for specific competencies is needed. In spite of the efforts of nursing schools and clinical sites, students often got lost in the chaos of the pandemic. This resulted in practical worries, fewer learning opportunities, and even fundamental doubts about their choice to become a nurse. Finally, it crucial that nursing schools and clinical sites communicate about matters such as the responsibility for testing nursing students, the provisions of uniforms and personal protective equipment, and structurally sharing guidelines with students to provide safe patient care.

摘要

背景:COVID-19 大流行对我们社会的影响是深远的,尤其是对医疗保健行业。一方面,这种特殊情况为护理学生创造了前所未有的学习机会。然而,另一方面,这种情况可能会危及护理学生的学习轨迹。

目的:研究 COVID-19 大流行期间护理学生在临床实习中的经历。

设计:横断面调查设计。

设置:COVID-19 大流行期间的临床实习。

参与者:来自比利时九所护理学校的护理学生。

方法:所有注册护理教育的学生都有资格参加。调查包括五个方面:人口统计学、风险感知、自我效能、支持和沟通以及适应力。

结果:学生发现的差距主要集中在需要更多的心理社会支持、与临床实习导师建立(定期)联系、认识到困难的工作情况以及需要更多的时间来放松。

结论:护理学生表示强烈需要被倾听、准备和支持。大多数学生感到得到了护理学校的支持。由于 COVID-19,督导员的角色变得更加重要。然而,由于各种原因,督导员并不总是满足学生的期望。需要为学生准备特定的能力。尽管护理学校和临床机构做出了努力,但学生往往在大流行的混乱中迷失方向。这导致了实际的担忧、学习机会减少,甚至对成为护士的选择产生了根本的怀疑。最后,护理学校和临床机构就测试护理学生、提供制服和个人防护设备的规定以及与学生共享安全患者护理指南等事项进行沟通至关重要。

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[7]
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本文引用的文献

[1]
Student experiences of nursing on the front line during the COVID-19 pandemic.

Br J Nurs. 2020-7-9

[2]
Awareness and Attitude of Undergraduate Medical Students towards 2019-novel Corona virus.

Pak J Med Sci. 2020-5

[3]
"The COVID-19 outbreak"-An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system.

Nurse Educ Today. 2020-6-12

[4]
A student nurse in the MICU: Leveraging unexpected leadership on the frontlines of COVID-19.

Nurs Outlook. 2020-6-8

[5]
A guide to the NMC emergency standards for nurse education during the current deployment of student nurses.

Br J Nurs. 2020-6-11

[6]
COVID-19: Are Spanish medicine and nursing students prepared?

Nurse Educ Today. 2020-9

[7]
From novice student to frontline care of COVID-19 patients in just 6 months.

Br J Nurs. 2020-5-28

[8]
Reflections of a COVID-19 Graduate Nurse Student.

J Nurse Pract. 2020-9

[9]
Hopelessness, helplessness and resilience: The importance of safeguarding our trainees' mental wellbeing during the COVID-19 pandemic.

Nurse Educ Pract. 2020-3-31

[10]
Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic.

JAMA. 2020-6-2

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