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本科护理教育和劳动力准备中的公共卫生。

Public health in undergraduate nursing education and workforce readiness.

机构信息

Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

School of Nursing, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Public Health Nurs. 2022 Nov;39(6):1361-1373. doi: 10.1111/phn.13123. Epub 2022 Aug 16.

Abstract

Student engagement with the community is a cornerstone of undergraduate nursing education in Canada. Working with community from perspectives of social justice, health equity, advocacy, and political action are essential for workforce readiness. We suggest that the erosion of public health theory and clinical courses in baccalaureate nursing programs undermines the potential capability of nurses to address the intersectionality of the social determinants of health. The impact of the COVID-19 pandemic on populations further demonstrates inequities, particularly among marginalized populations. Public health nursing education supports students' understanding about the health impacts of social injustice, how systemic racism is embedded in colonial and Eurocentric structures, and practices of superiority and privileges.We, as a national group of public health nursing educators, set out to investigate how existing guidelines and competencies support public health in undergraduate education across Canada. Results from a national questionnaire of educators, and of PHN leaders on new graduate practice readiness are presented. Questionnaire responses confirm an erosion of PHN theory and practice in baccalaureate nursing education (BNE) curricula. The results of the questionnaires combined with evidence of PHN since the global pandemic provide educators and practitioners more insight to inform future directions to respond to workforce readiness.

摘要

学生与社区的互动是加拿大本科护理教育的基石。从社会正义、健康公平、倡导和政治行动的角度与社区合作,是做好劳动力准备的关键。我们认为,本科护理项目中公共卫生理论和临床课程的减少,削弱了护士解决健康决定因素交叉问题的潜在能力。新冠疫情对人群的影响进一步突显了不平等现象,尤其是在边缘化群体中。公共卫生护理教育支持学生了解社会不公正对健康的影响、系统性种族主义如何嵌入殖民和欧洲中心结构以及优越和特权的实践。我们作为一个全国性的公共卫生护理教育工作者团体,着手调查现有的指导方针和能力如何在加拿大各地的本科教育中支持公共卫生。本文介绍了对教育工作者的全国性问卷调查以及对新毕业护士实践准备情况的 PHN 领导人的调查结果。问卷调查的回复证实了公共卫生护理理论和实践在本科护理教育(BNE)课程中的减少。问卷调查的结果结合大流行以来的 PHN 证据,为教育工作者和从业者提供了更多的见解,以确定未来的方向,以应对劳动力准备情况。

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