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社会文化与助产学生临床实习中的欺凌:定性描述性探索。

Social culture and the bullying of midwifery students whilst on clinical placement: A qualitative descriptive exploration.

机构信息

School of Nursing, Midwifery and Social Sciences, CQUniversity Australia, 90 Goodchap Street, Noosaville 4566, Australia.

School of Business and Law, CQUniversity Australia, Level 20, 160 Ann Street, Brisbane, Queensland 4000, Australia.

出版信息

Nurse Educ Pract. 2021 Mar;52:103045. doi: 10.1016/j.nepr.2021.103045. Epub 2021 Mar 30.

Abstract

The context within which midwifery students are professionally socialised is thought to impact upon the development of their sense of belongingness, their attitudes and values, and their commitment to the midwifery profession. Negative forms of socialisation are known to lead to undesirable outcomes including desensitisation about humanistic needs. This has potential to extend to an acceptance of workplace bullying and unfair treatment of others, including midwifery students whilst on clinical placement. This study aimed to explore how the social culture of the maternity setting influences midwifery students' experiences of being bullied whilst on clinical placement. One hundred and twenty midwifery students from Australia and the United Kingdom completed a qualitative online survey and the data was thematically analysed. One main overarching theme and four sub themes were identified. These were: 'the organisational culture of acceptance: "in front of"', 'brazen expression', 'group buy-in', 'suppression of dissent', and 'collateral damage'. Each of these factors enabled replication of the problem and led to perpetuation of the bullying cycle. This study illuminated that an entrenched culture of acceptance exists which impacts the students educational experience, the care received by mothers and babies, and the reputation of the midwifery profession.

摘要

助产士学生的专业社会化背景被认为会影响他们归属感、态度和价值观的发展,以及他们对助产专业的投入。众所周知,负面的社会化形式会导致不理想的结果,包括对人文需求的麻木不仁。这可能会导致对工作场所欺凌和对他人的不公平待遇的接受,包括在临床实习期间的助产士学生。本研究旨在探讨产妇环境的社会文化如何影响助产士学生在临床实习期间遭受欺凌的经历。来自澳大利亚和英国的 120 名助产士学生完成了一项定性在线调查,对数据进行了主题分析。确定了一个主要的总体主题和四个子主题。这些是:“接受的组织文化:“在前面””、“厚颜无耻的表达”、“集体认同”、“压制异议”和“附带损害”。这些因素中的每一个都使得问题得以复制,并导致欺凌循环的持续。本研究表明,一种根深蒂固的接受文化的存在,影响了学生的教育体验、母亲和婴儿所接受的护理以及助产士专业的声誉。

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