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“边工作边学习”的挑战:对在第一次新冠疫情期间参加工作的西班牙护理专业最后一年学生的定性研究。

The challenges of "learning on the go": A qualitative study of final-year Spanish nursing students incorporated to work during the first Covid-19 pandemic.

机构信息

Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM). Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain; Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain.

Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain.

出版信息

Nurse Educ Today. 2021 Aug;103:104942. doi: 10.1016/j.nedt.2021.104942. Epub 2021 May 4.

DOI:10.1016/j.nedt.2021.104942
PMID:33965720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9756394/
Abstract

BACKGROUND

The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students.

OBJECTIVES

To explore the perspectives of a group of final-year nursing students who were hired on the basis of a relief contract for health professionals during the first COVID-19 outbreak, regarding their learning process and their mixed role as students and novice nurses.

DESIGN

A qualitative exploratory study was conducted.

SETTINGS

The Nursing Department of the European University of Madrid, and the Red Cross College of Nursing.

PARTICIPANTS

Eighteen nursing students were recruited, aged between 18 and 65 years old, enrolled in the fourth year of Nursing Studies and who were hired under a relief contract for health professionals during the pandemic.

METHODS

Purposive sampling was used. Semi-structured, in-depth interviews were carried out using a question guide. Interviews were conducted in a private video chat room platform. Also, a thematic, inductive analysis was performed. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research and the Standards for Reporting Qualitative Research.

RESULTS

Four specific themes emerged: a) The students' role during the relief contract; b) The learning process during the pandemic; c) Barriers to learning; and d) A unique learning opportunity. The students had an undefined mixed role, which hindered their skills and activities. Learning was self-directed, sometimes through trial and error, and through experiencing critical events. Time constraints and having to learn under pressure were experienced as difficulties for learning. Nevertheless, this was a unique professional learning opportunity. The students learned to be organized and effective, acknowledge their limitations, gain confidence, face their fears, and mature.

CONCLUSIONS

These results can help inform nurse training programs and improve the organization and incorporation of nurses in health care facilities during the COVID-19 pandemic.

摘要

背景

COVID-19 大流行的第一波导致西班牙合格护士短缺。因此,政府授权雇用高级学生。

目的

探索一组在 COVID-19 大流行期间根据卫生专业人员救济合同雇用的应届护理学生的观点,了解他们的学习过程以及作为学生和新手护士的混合角色。

设计

定性探索性研究。

设置

马德里欧洲大学护理系和红十字会护理学院。

参与者

招募了 18 名护理学生,年龄在 18 至 65 岁之间,注册了护理学第四年,并在大流行期间根据卫生专业人员救济合同雇用。

方法

采用目的抽样法。使用问题指南进行半结构化深入访谈。访谈在私人视频聊天平台上进行。此外,还进行了主题式归纳分析。本研究根据《定性研究报告的统一标准》和《定性研究报告的标准》进行。

结果

出现了四个具体主题:a)学生在救济合同期间的角色;b)大流行期间的学习过程;c)学习障碍;和 d)独特的学习机会。学生的角色不明确,混合角色阻碍了他们的技能和活动。学习是自我指导的,有时是通过反复试验和经历关键事件。时间限制和在压力下学习被视为学习的困难。然而,这是一个独特的专业学习机会。学生学会了组织和提高效率,承认自己的局限性,增强信心,面对恐惧,变得成熟。

结论

这些结果可以帮助为护士培训计划提供信息,并改善 COVID-19 大流行期间卫生保健设施中护士的组织和纳入。