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对放射学专业学生在 COVID-19 大流行期间临床实习体验的反思性文章进行定性分析。

A qualitative analysis of radiography students' reflective essays regarding their experience of clinical placement during the COVID-19 pandemic.

机构信息

Radiography and Diagnostic Imaging, School of Medicine, University College, Dublin, Ireland.

Radiography and Diagnostic Imaging, School of Medicine, University College, Dublin, Ireland.

出版信息

Radiography (Lond). 2023 Mar;29(2):436-441. doi: 10.1016/j.radi.2023.01.022. Epub 2023 Feb 6.

Abstract

BACKGROUND

The COVID-19 pandemic significantly impacted healthcare services and clinical placement for healthcare students. There is a paucity of qualitative research into radiography students' experiences of clinical placement during the pandemic.

METHOD

Students in stages three and four of a 4-year BSc Radiography degree in Ireland wrote reflective essays regarding their experience of clinical placement during the COVID-19 healthcare crisis. Permission was granted by 108 radiography students and recent graduates for their reflections to be analysed as part of this study. A thematic approach to data analysis was used, allowing themes to emerge from the reflective essays. Two researchers independently coded each reflective essay using the Braun and Clarke model.

RESULTS

Four themes were highlighted; 1) Challenges associated with undertaking clinical placement during the pandemic, such as reduced patient throughput and PPE-related communication barriers; 2) Benefits of clinical placement during the pandemic, in terms of personal and professional development and completing degree requirements to graduate without delay; 3) Emotional impact and 4) Supporting students in clinical practice. Students recognised their resilience and felt proud of their contribution during this healthcare crisis but feared transmitting COVID-19 to family. Educational and emotional support provided by tutors, clinical staff and the university was deemed essential by students during this placement.

CONCLUSIONS

Despite the pressure hospitals were under during the pandemic, students had positive clinical placement experiences and perceived these experiences to have contributed to their professional and personal growth.

IMPLICATIONS FOR PRACTICE

This study supports the argument for clinical placements to continue throughout healthcare crisis periods, albeit with additional learning and emotional support in place. Clinical placement experiences during the pandemic prompted a deep sense of pride amongst radiography students in their profession and contributed to the development of professional identity.

摘要

背景

COVID-19 大流行对医疗保健服务和医学生临床实习产生了重大影响。关于放射学学生在大流行期间临床实习经历的定性研究很少。

方法

爱尔兰为期 4 年的 BSc 放射学学位的三、四年级学生就 COVID-19 医疗危机期间的临床实习经历撰写了反思性文章。108 名放射学学生和应届毕业生同意将他们的反思作为本研究的一部分进行分析。采用主题方法对数据进行分析,允许主题从反思性文章中浮现出来。两位研究人员使用 Braun 和 Clarke 模型独立对每篇反思性文章进行编码。

结果

突出了四个主题;1)在大流行期间进行临床实习所面临的挑战,例如患者吞吐量减少和与个人防护装备相关的沟通障碍;2)大流行期间临床实习的好处,包括个人和专业发展以及按时完成学位要求毕业;3)情绪影响和 4)在临床实践中支持学生。学生们认识到自己的韧性,并为自己在这场医疗危机中的贡献感到自豪,但担心将 COVID-19 传染给家人。学生们认为,在实习期间,导师、临床工作人员和大学提供的教育和情感支持至关重要。

结论

尽管大流行期间医院承受着压力,但学生的临床实习经历是积极的,他们认为这些经历有助于他们的专业和个人成长。

实践意义

这项研究支持在整个医疗危机期间继续进行临床实习的论点,尽管需要提供额外的学习和情感支持。大流行期间的临床实习经历在放射学学生中激起了对他们职业的深深自豪感,并有助于专业身份的发展。

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