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疫情期间临床课程设计的经验教训:基于定性分析的教学启示

Lessons learned from clinical course design in the pandemic: Pedagogical implications from a qualitative analysis.

作者信息

Thirsk Lorraine M, Stahlke Sarah, Bryan Venise, Dewart Georgia, Corcoran Lynn

机构信息

Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada.

Faculty of Arts, University of Alberta, Edmonton, Alberta, Canada.

出版信息

J Adv Nurs. 2023 Jan;79(1):309-319. doi: 10.1111/jan.15409. Epub 2022 Aug 25.

Abstract

AIMS

The purpose of this study was to examine clinical pedagogy based on experiences of changes and adaptations to clinical courses that occurred in nursing education during the pandemic. Beyond learning how to manage nursing education during a pandemic or other crisis, we uncover the lessons to be learned for overall improvement of nursing education.

DESIGN

Qualitative descriptive analysis using semi-structured interview data with baccalaureate nursing students.

METHODS

Data were collected in the spring of 2021 using semi-structured interview with 15 participants. Transcribed text was analysed using thematic content analysis. The COREQ checklist was used to guide our reporting.

RESULTS

Three themes were identified related to course design in clinical courses for nursing students: the role and limitations of simulation, competency evaluations and career implications. Students expressed some concern over not 'finishing hours', loss of in-person clinical experiences and their reduced exposure to different clinical settings.

CONCLUSION

To prepare work-ready nurses, educators need to keep in mind the trends, issues and demands of future healthcare systems. Simulation may have been a temporary measure to achieve clinical competence during the pandemic but needs to be of high-quality and cannot meet all the expected learning outcomes of clinical courses. Exposure to different patients, families and communities will ensure that the future nursing workforce has experience, socialization, competence, and desire to work in various clinical settings. Competency evaluation similarly needs to be robust and objective and consider the role and perception of hours completed.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution. Participants were nursing students.

摘要

目的

本研究旨在基于疫情期间护理教育中临床课程的变化和调整经验,审视临床教学法。除了学习如何在疫情或其他危机期间管理护理教育外,我们还将挖掘可用于全面改进护理教育的经验教训。

设计

采用定性描述性分析方法,对护理学本科学生的半结构化访谈数据进行分析。

方法

2021年春季,通过对15名参与者进行半结构化访谈收集数据。对转录文本采用主题内容分析法进行分析。使用COREQ清单指导报告撰写。

结果

确定了与护理专业学生临床课程设计相关的三个主题:模拟的作用和局限性、能力评估以及职业影响。学生们对未“完成规定时长”、失去面对面临床实习经历以及接触不同临床环境的机会减少表示了一些担忧。

结论

为培养能立即投入工作的护士,教育工作者需要牢记未来医疗系统的趋势、问题和需求。模拟可能是疫情期间实现临床能力的临时措施,但需要具备高质量,且无法满足临床课程的所有预期学习成果。接触不同的患者、家庭和社区将确保未来的护理人员具备在各种临床环境中工作的经验、社交能力、专业能力和意愿。能力评估同样需要严格且客观,并考虑已完成时长的作用和认知。

患者或公众参与

无患者或公众参与。参与者为护理专业学生。

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