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重症监护病房护士导师对导师角色的益处、回报、支持和承诺的看法:一项混合方法研究。

ICU nurse preceptors' perceptions of benefits, rewards, supports and commitment to the preceptor role: A mixed-methods study.

机构信息

Department of Intensive Care, Peninsula Health, Melbourne, Australia.

Department of Intensive Care, Peninsula Health, Melbourne, Australia; Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.

出版信息

Nurse Educ Pract. 2021 Feb;51:102995. doi: 10.1016/j.nepr.2021.102995. Epub 2021 Feb 15.

Abstract

This paper explores Intensive Care nurses' perceptions of benefits, rewards, supports and their commitment to the role of preceptor. A questionnaire, consisting of Likert-scales and open-ended questions was used to collect data during October 2018. Preceptors were committed to their role. Correlations were found between preceptors' perceptions of benefits or rewards and commitment to the role (p = 0.003, r = 0.39) and perceptions of support and commitment to the role (p = .001, r = 0.46). Altruistic benefits were perceived to be of the greatest importance. Participants who recognised the importance of preceptorship for the organisation were more likely to be committed to the role. Eighty-three percent of respondents reported a lack of consistency in allocation to work with their preceptee. Qualitative results elucidated themes of helping, personal professional development, the opportunity to teach, and organisational improvement. Supports as barriers and enablers to successful preceptorship were discussed in terms of peer and leadership support, role preparation, the logistics of the environment, role conflict, and consistency of allocation to work in a preceptorship dyad. Commitment to the preceptor role may be increased by highlighting organisational benefits of preceptorship, increasing consistency of contact between preceptorship dyads, and increasing access to supports and preparation.

摘要

本文探讨了重症监护护士对导师角色的益处、奖励、支持的看法及其对该角色的投入度。2018 年 10 月,我们使用包含李克特量表和开放式问题的问卷收集数据。导师对其角色有承诺。导师对益处或奖励的看法与对角色的承诺之间存在相关性(p=0.003,r=0.39),对支持的看法与对角色的承诺之间也存在相关性(p=0.001,r=0.46)。利他主义的益处被认为是最重要的。那些认识到导师制对组织重要性的参与者更有可能对该角色做出承诺。83%的受访者报告称,他们与导师的工作分配缺乏一致性。定性结果阐明了帮助、个人专业发展、教学机会和组织改进等主题。支持和障碍是成功导师制的关键,这涉及到同行和领导支持、角色准备、环境后勤支持、角色冲突以及在导师制对子中工作分配的一致性等方面。突出导师制对组织的益处、增加导师制对子之间的联系一致性、并增加支持和准备,可能会增加对导师角色的承诺。

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