Lovisenberg Diaconal University College, Oslo, Norway.
Department of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Nurs Open. 2023 Jun;10(6):3666-3676. doi: 10.1002/nop2.1617. Epub 2023 Jan 29.
The aim of this study was to describe the experiences of a master's-level critical care nursing program for trainees in postoperative and intensive care units.
An exploratory design with a multidimensional approach was chosen.
The study was conducted from 2018 to 2019 at a university hospital in southern Norway in collaboration with a university college of nursing. Data were collected through seven focus group interviews with trainees, preceptors, heads of departments, clinical nurse educators and professors (n = 26). The thematic analysis progressed from description to a deeper understanding, searching for manifest and latent patterns across the data. The COREQ checklist was used for reporting the study.
The analysis resulted in one overarching theme: 'To walk the critical care nursing pathway - balancing competency, time, and challenges to become proficient'. The subthemes were 'expectations, obligations, and workload in unknown environments', 'constantly assessing while being assessed', 'continuous precepting and challenges', 'vulnerability and commitment' and 'thriving in the role, mastering new skills'. The study provides valuable insights into a complex learning environment and the importance of caring aspects for trainees during their critical care nursing education.
Precepting, continuous competence assessment and clear learning outcomes are necessary to create a safe environment for the trainees during their development.
The results advocate investing in inexperienced trainees' competency development to become proficient, creating a safe learning environment in a highly complex setting. This may also, as previous studies suggest, increase staff retention.
本研究旨在描述术后和重症监护病房培训师的硕士级重症监护护理课程的经验。
选择了具有多维方法的探索性设计。
该研究于 2018 年至 2019 年在挪威南部的一家大学医院与护理大学学院合作进行。通过与学员、导师、部门主管、临床护士教育者和教授进行的 7 次焦点小组访谈收集数据（n=26）。主题分析从描述进展到更深入的理解，在数据中搜索明显和潜在的模式。使用 COREQ 清单报告研究。
分析产生了一个总体主题：“走重症监护护理之路-平衡能力、时间和挑战以达到熟练水平”。子主题是“在未知环境中的期望、义务和工作量”、“在被评估的同时不断评估”、“持续指导和挑战”、“脆弱性和承诺”和“在角色中茁壮成长，掌握新技能”。该研究深入了解了复杂的学习环境以及在重症监护护理教育期间对学员关怀方面的重要性。
指导、持续的能力评估和明确的学习成果对于学员在发展过程中创造安全的环境是必要的。
研究结果主张投资于缺乏经验的学员的能力发展，以使其熟练掌握，在高度复杂的环境中创造安全的学习环境。正如先前的研究表明，这也可能提高员工保留率。
