Winona State University-Rochester, 859 30th Ave SE, Rochester, MN, 55904, United States.
Winona State University-Rochester, 859 30th Ave SE, Rochester, MN, 55904, United States.
Nurse Educ Pract. 2021 Mar;52:103008. doi: 10.1016/j.nepr.2021.103008. Epub 2021 Mar 13.
Well-organized clinical placements in older adult care settings will prepare nursing students to provide care for this growing population and may influence career choices. The purpose of this integrative review is to identify strategies that can be used to provide student nurses with effective clinical education experiences in residential aged care facilities offering skilled nursing (RACF-SNs). Twenty-three studies evaluating teaching and learning models and experiences were reviewed. Four themes were identified related to effective strategies for providing gerontological clinical education to students in residential aged care environments, principally nursing homes. These were: developing a partnership, comprehensive orientation, effective supervision for students, and supporting staff. Eight different models were described for enhancing clinical learning experiences in these environments. These models reflect the themes highlighted in the review. Relevance of the findings to a conceptual framework for evaluating gerontological clinical placements, the Senses Framework, is considered. Strong partnerships between schools of nursing and residential aged care environments can provide well-organized clinical education to undergraduate nursing students. To be sustainable, these partnerships must be developed in ways that do not require significant additional resources. A guideline for this process based on findings of the review has been developed.
在老年护理环境中进行组织良好的临床实习，将使护理学生能够为这一日益增长的人群提供护理，并可能影响他们的职业选择。本综述的目的是确定可以用来为在提供熟练护理的养老院（RACF-SN）中为学生护士提供有效临床教育经验的策略。对评估教学和学习模式和经验的 23 项研究进行了回顾。确定了与在养老院环境中为学生提供老年临床教育的有效策略相关的四个主题，主要是养老院。这些主题包括：建立伙伴关系、全面定位、为学生提供有效监督以及支持员工。还描述了八种不同的模型，用于增强这些环境中的临床学习体验。这些模型反映了综述中强调的主题。考虑了研究结果与评估老年临床实习的概念框架，即感觉框架的相关性。护理学校与养老院环境之间的牢固伙伴关系可以为本科护理学生提供组织良好的临床教育。为了可持续发展，这些伙伴关系的发展方式不应需要大量额外资源。根据审查结果制定了一个指导方针。
