Zulu Beauty M, du Plessis Emmerentia, Koen Magdalena P
Department of Nursing, Faculty of Health Sciences, Ann Latsky Nursing College, Johannesburg, South Africa.
NuMIQ Research Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Health SA. 2021 Oct 29;26:1615. doi: 10.4102/hsag.v26i0.1615. eCollection 2021.
This research addressed the need to have a deeper understanding of nursing students' experiences of clinical placement and support in primary healthcare (PHC) settings.
To explore and describe the experiences of nursing students' clinical placement in PHC settings.
The study was conducted at PHC clinics in a specific province in South Africa.
A qualitative, exploratory, descriptive and contextual research design was used. The population comprised fourth-year nursing students selected using purposive sampling. Five semi-structured focus group interviews were conducted. Data saturation determined the sample size which comprised 25 nursing students. Thematic data analysis produced four main themes.
The main themes were (1) the meaning of placement, (2) experiences of clinical placement, (3) needs for support, and (4) resilience of nursing students.
Nursing students encountered negative and positive experiences. Both experiences confirmed that PHC settings can be valuable learning opportunities for nursing students. Nursing students appreciated the supervision of professional nurses who created an atmosphere conducive for teaching and learning by welcoming and encouraging nursing students' independence. Recommendations include: appointing a professional nurse specifically for supervision of nursing students, tutor support before summative examinations, improvement of services, including the availability of resources.
This article contributes to awareness of how nursing students manage to stay resilient irrespective of negative experiences during clinical placement and how tutors and professional nurses can support them. The study's recommendations can guide professional nurses, nurse educators, nurse managers and other healthcare PHC workers to support nursing students.
本研究旨在更深入地了解护理专业学生在初级卫生保健（PHC）机构临床实习及获得支持的经历。
探索并描述护理专业学生在初级卫生保健机构临床实习的经历。
该研究在南非某特定省份的初级卫生保健诊所开展。
采用定性、探索性、描述性和情境性研究设计。研究对象为通过目的抽样选取的四年级护理专业学生。进行了五次半结构化焦点小组访谈。数据饱和确定了样本量，样本包括25名护理专业学生。主题数据分析得出四个主要主题。
主要主题为（1）实习的意义，（2）临床实习经历，（3）支持需求，以及（4）护理专业学生的适应能力。
护理专业学生既有负面经历，也有正面经历。两种经历都证实初级卫生保健机构对护理专业学生而言可能是宝贵的学习机会。护理专业学生赞赏专业护士的监督，这些护士营造了有利于教学的氛围，欢迎并鼓励护理专业学生独立。建议包括：专门指定一名专业护士监督护理专业学生，在期末考试前提供导师支持，改善服务，包括提供资源。
本文有助于提高人们对护理专业学生如何在临床实习期间无论遇到负面经历仍能保持适应能力，以及导师和专业护士如何支持他们的认识。该研究的建议可为专业护士、护理教育工作者、护理管理者和其他初级卫生保健医护人员支持护理专业学生提供指导。
