Institution of Health Sciences, University of Skövde, Skövde, Sweden.
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Nurs Open. 2023 Feb;10(2):879-888. doi: 10.1002/nop2.1356. Epub 2022 Sep 5.
To describe and compare the clinical learning environment in community-based home care and primary health care in postgraduate district nursing students' education.
Cross-sectional study design.
A convenience sample of postgraduate district nursing students was derived from five Swedish universities in 2016 and 2017.
The postgraduate district nursing students were generally satisfied with the clinical learning environment in their clinical placement. In clinical placement, several factors affected the students' opportunities to learn, such as sufficiently meaningful learning situations with multidimensional content. A working environment that imposed psychosocial strain and high levels of stress among the staff negatively affected the students' learning. To further improve their learning from clinical practices, the students need preceptors who have the skills and competence required to support more advanced reflections and critical thinking on caring situations.
描述并比较研究生社区护理学生教育中社区家庭护理和初级卫生保健的临床学习环境。
横断面研究设计。
2016 年至 2017 年，便利抽样法从瑞典的五所大学中抽取研究生社区护理专业学生作为研究对象。
研究生社区护理专业的学生对其临床实习中的临床学习环境总体上感到满意。在临床实习中，一些因素影响了学生的学习机会，例如具有多维内容的有意义的学习情境。工作环境给工作人员带来心理社会压力和高度压力，对学生的学习产生负面影响。为了从临床实践中进一步提高学习效果，学生需要有能力和胜任力的导师来支持对护理情况进行更深入的反思和批判性思维。
