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本科护生和导师在创新临床学校监督模式下的临床实习体验。

Undergraduate nursing student and preceptors' experiences of clinical placement through an innovative clinical school supervision model.

机构信息

La Trobe University, School of Nursing and Midwifery, College of Science Health and Engineering, Northern Clinical School, Level 2, Northern Centre for Health Education and Research, 185 Cooper Street, Epping, Vic, 3076, Australia.

La Trobe University, School of Nursing and Midwifery, College of Science Health and Engineering, Northern Clinical School, Level 2, Northern Centre for Health Education and Research, 185 Cooper Street, Epping, Vic, 3076, Australia.

出版信息

Nurse Educ Pract. 2021 Feb;51:102986. doi: 10.1016/j.nepr.2021.102986. Epub 2021 Feb 5.

Abstract

This study explores final year undergraduate nursing and midwifery students and their preceptors' experiences of a newly introduced Clinical School Supervision (CSS) model, which was implemented to reduce a perceived disconnect between theory and practice. A descriptive design was used with qualitative data collected through open-ended survey questions. Respondents included 43 undergraduate nursing and midwifery students involved in the final year and 13 clinical preceptors from a large metropolitan tertiary health service in Victoria, Australia. Qualitative data were analysed using thematic analysis. Students described the CSS as a favoured supervision model with students being able to take advantage of support from both the academic supervisor and nursing staff in the clinical setting, a model which also supported student's sense of belonging. Students experiences indicated the CSS model facilitated consolidation of knowledge, reflective practice and transition to graduate nursing. The preceptors described a commitment to and preparedness for the role, although they found they had little break from teaching and their rosters did not always align with their students'. Preceptors also shared experiences of unfulfilled expectations, lack of recognition and incentives for supervising students. Further studies are needed to identify effective ways to support preceptors in their roles.

摘要

本研究探讨了应届本科护理和助产学生及其导师对新引入的临床教学监督(CSS)模式的体验,该模式旨在减少理论与实践之间的脱节。研究采用描述性设计,通过开放式调查问题收集定性数据。受访者包括来自澳大利亚维多利亚州一家大型大都市三级卫生服务机构的 43 名参与最后一年学习的本科护理和助产学生以及 13 名临床导师。使用主题分析对定性数据进行分析。学生们将 CSS 描述为一种受欢迎的监督模式,学生可以同时受益于学术导师和临床护理人员的支持,这种模式也支持学生的归属感。学生的体验表明,CSS 模式促进了知识的巩固、反思性实践和向护理专业毕业生的过渡。导师们描述了他们对这一角色的承诺和准备,尽管他们发现自己几乎没有时间休息,而且他们的时间表并不总是与学生的时间表一致。导师们还分享了未实现的期望、缺乏认可和激励措施的经验。需要进一步研究以确定有效支持导师履行职责的方法。

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