Community Care, Unnan City Hospital, 699-1221 96-1 Iida, Daito-cho, Unnan 699-1221, Japan.
Department of Nursing, Unnan City Hospital, 699-1221 96-1 Iida, Daito-cho, Unnan 699-1221, Japan.
Int J Environ Res Public Health. 2022 Mar 6;19(5):3090. doi: 10.3390/ijerph19053090.
Family medicine residents frequently collaborate with nurses regarding clinical decisions and treatments, which contributes to their education. In rural areas, these residents experience a wider scope of practice by collaborating with nurses. However, nurses' contributions to rural family medicine education have not been clarified. This study measured the contributions of 88 rural community hospital nurses to family medicine education using a quantitative questionnaire and interviews. The interviews were recorded, transcribed verbatim, and analyzed using the grounded theory approach. Nurses' average clinical experience was 20.16 years. Nurses' contributions to the roles of teacher and provider of emotional support were statistically lower among participants working in acute care wards than those working in chronic care wards ( = 0.024 and 0.047, respectively). The qualitative analysis indicated that rural nurses' contributions to family medicine education focused on professionalism, interprofessional collaboration, and respect for nurses' working culture and competence. Additionally, nurses struggled to educate medical residents amid their busy routine; this education should be supported by other professionals. Rural family medicine education should incorporate clinical nurses as educators for professionalism and interprofessional collaboration and as facilitators of residents' transition to new workplaces. Subsequently, other professionals should be more actively involved in improving education quality.
家庭医学住院医师经常与护士合作，共同做出临床决策和治疗，这有助于他们的教育。在农村地区，这些住院医师通过与护士合作，获得更广泛的实践机会。然而，护士对农村家庭医学教育的贡献尚未明确。本研究使用定量问卷和访谈，衡量了 88 名农村社区医院护士对家庭医学教育的贡献。访谈被记录下来，逐字转录，并使用扎根理论方法进行分析。护士的平均临床经验为 20.16 年。与在急性护理病房工作的参与者相比，在慢性护理病房工作的参与者在教师和情感支持提供者角色方面的贡献统计上较低（分别为 0.024 和 0.047）。定性分析表明，农村护士对家庭医学教育的贡献侧重于专业性、跨专业合作以及对护士工作文化和能力的尊重。此外，护士在忙碌的日常工作中努力教育医学住院医师；这种教育应该得到其他专业人员的支持。农村家庭医学教育应该将临床护士纳入教育者，以培养专业性和跨专业合作，并促进住院医师向新工作场所的过渡。随后，其他专业人员应该更积极地参与提高教育质量。
