School of Healthcare Sciences, Cardiff University, Ty Dewi Sant, Heath Park, Cardiff CF14 4XN, United Kingdom.
School of Healthcare Sciences, Cardiff University, EastGate House, 35-43 Newport Road, Cardiff CF24 OAB, United Kingdom.
Nurse Educ Pract. 2021 Oct;56:103192. doi: 10.1016/j.nepr.2021.103192. Epub 2021 Sep 11.
Policy agendas across the developed world privilege systems transformation, notably shifting the balance of service provision from hospital to community settings. Primary and community health services have pivotal roles in the United Kingdom's longstanding policy ambition of healthcare services transformation, and it is imperative that undergraduate nursing students comprehend community settings as valuable learning environments, places of care and community nurses' roles therein. However, limited community placement learning opportunities means nursing students may be inadequately prepared to work in community settings at the point of initial registration. High fidelity simulated learning is well established within undergraduate nursing curricula. Currently, this learning approach predominantly focuses on acute and secondary care nursing and takes place in simulation centres. Within undergraduate nursing curricula there is limited evidence to support that community-based simulation is utilised with the result that students may struggle to recognise the value of learning opportunities in the community environment. This underpins the rationale for the development of this educational initiative which reflects current health policy agenda of care being provided closer to home. In addition, the new pre-registration 'Future nurse: Standards of proficiencies' (NMC, 2019) acknowledge that registered nurses need to be able to care for people in their own home and in the community setting. This paper describes the co-development and implementation of a pilot, community nursing focused, simulated learning resource within an undergraduate adult field nursing programme in Wales, UK. TWEETABLE ABSTRACT: How one university co-developed and implemented a community focused simulation resource for undergraduate nursing students.
政策议程在发达国家普遍重视制度转型,特别是将服务提供的重点从医院转移到社区环境。初级和社区卫生服务在英国长期以来的医疗服务转型政策目标中发挥着关键作用,至关重要的是,本科护理学生必须将社区环境理解为有价值的学习环境、护理场所和社区护士在其中的角色。然而,社区实习学习机会有限意味着护理学生在初始注册时可能无法充分准备好在社区环境中工作。高保真模拟学习在本科护理课程中已经得到广泛应用。目前,这种学习方法主要侧重于急症和二级护理,并在模拟中心进行。在本科护理课程中,很少有证据表明社区为基础的模拟已经得到利用,结果是学生可能难以认识到社区环境中学习机会的价值。这为制定这一教育计划提供了依据,该计划反映了当前医疗政策议程,即更接近家庭提供护理。此外,新的注册前“未来护士:专业能力标准”(NMC,2019)承认注册护士需要能够在自己的家中和社区环境中照顾人。本文介绍了在威尔士一所英国本科成人护理课程中共同开发和实施一个以社区为重点的模拟学习资源的情况。