Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Brooks Building, Birley Campus, 53 Bonsall Street, Manchester M15 6GX, UK.
University of Technology Sydney, Australia.
Nurse Educ Pract. 2021 Oct;56:103196. doi: 10.1016/j.nepr.2021.103196. Epub 2021 Sep 6.
The two aims of this study were, first, to explore nursing students' experiences and perspectives of reporting poor care and second, examine the process by which they raised concerns.
The nursing literature is replete with studies which explore nursing students' experiences of clinical placement. However only a small number explore students experiences of challenging poor care and how this is enacted in the practice setting.
Fourteen nursing students from undergraduate pre-registration nursing programs across three universities, two in the United Kingdom (UK) and one in Australia.
This paper reports findings from narrative interviews about students' clinical experiences of reporting poor care. Data were audio recorded, transcribed verbatim and analyzed using a constant comparison approach. Emerging themes were identified, discussed and verified by the researchers.
Four montages from the narratives highlight the overarching themes: bullying, patient advocacy, lack of empathy and poor care. They demonstrate how, driven by an ethical imperative, students speak up when they witness poor care despite the difficulties of doing so: in some cases, the students in this study were prepared to continue speaking out even when initial concerns were dismissed.
Both practice and university teams have a responsibility to support students' development as ethical and courageous practitioners, able to recognize when care falls below an acceptable standard.
本研究有两个目的，首先，探讨护理学生报告不良护理的经验和观点；其次，考察他们提出关注的过程。
护理文献中充斥着大量探索护理学生临床实习经验的研究。然而，只有少数研究探讨了学生对挑战不良护理的体验，以及这在实践环境中是如何实施的。
来自三所大学的 14 名本科护理课程的护理学生，其中两所位于英国，一所位于澳大利亚。
本文报告了关于学生报告不良护理的临床经验的叙事访谈的研究结果。数据被录音、逐字转录，并使用恒比法进行分析。研究人员确定、讨论并验证了新出现的主题。
叙事中的四个蒙太奇突出了四个主要主题：欺凌、患者倡导、缺乏同理心和不良护理。它们展示了学生如何在目睹不良护理时，出于道德要求而发言，尽管这样做有困难：在某些情况下，本研究中的学生甚至准备在最初的担忧被忽视时继续发声。
实践和大学团队都有责任支持学生发展成为有道德和勇敢的从业者，能够识别护理低于可接受标准的情况。
