Department of Nursing Sciences, University of Nigeria Enugu Campus, Enugu, Nigeria.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2164949. doi: 10.1080/17482631.2023.2164949.
This study evaluated the baccalaureate nursing students' lived experiences of the causes and effects of TPG during clinical practice in a tertiary health institution in Enugu, Nigeria.
A qualitative design using existential descriptive phenomenological approach was adopted to explore 20 baccalaureate nursing students at 500 level of study. The class level of the students was purposively sampled and the exact number of students sampled using snowball technique. Semi-structured interview guide was the instrument for data collection. Data were collected using audio-tape recorder, face to face in depth discussions, and analyzed using qualitative thematic analysis.
Five broad themes and 12 subthemes emerged from this study namely: Resource constraints (limited resources, resource improvise); Unhealthy human attitudinal and behavioural factors (nurse clinicians, nurse educators, student nurses factors); Environmental system challenges (paradoxical academic design and structure, paradoxical clinical setting); Integration Inadequacy (team cooperation paucity, scarce surveillance, insufficient timing of clinical placement); Observing effects of TPG (observing adverse impacts, observing positive implications).
The causes of TPG during clinical practice emerge from nursing education and practice. TPG have adverse impacts on patients, nursing students, nursing education and practice, other health practitioners, while linkage to response is its positive implication.
本研究评估了尼日利亚埃努古一所三级医疗机构护理本科生在临床实践中经历的 TPG 的原因和影响。
采用质的设计，采用存在描述现象学方法，对尼日利亚埃努古一所三级医疗机构的 20 名护理本科 500 级学生进行了研究。采用目的抽样选择班级水平，使用雪球技术确定抽样的具体学生人数。半结构化访谈指南是数据收集的工具。使用录音带、面对面深入讨论收集数据，并使用定性主题分析进行分析。
本研究出现了五个广泛的主题和 12 个次主题，即：资源限制（资源有限、资源即兴创作）；不健康的人类态度和行为因素（护士临床医生、护士教育者、护士学生因素）；环境系统挑战（矛盾的学术设计和结构、矛盾的临床环境）；整合不足（团队合作不足、监督不足、临床实习时间不足）；观察 TPG 的影响（观察不良影响、观察积极影响）。
临床实践中 TPG 的原因来自护理教育和实践。TPG 对患者、护理学生、护理教育和实践、其他卫生保健从业者都有不良影响，而与之相关的是其积极影响。
