School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban.
Curationis. 2023 Jun 22;46(1):e1-e7. doi: 10.4102/curationis.v46i1.2385.
Clinical scholarship is defined as an approach that enables evidence-based nursing and the development of best practices to meet the needs of clients efficiently and effectively. However, there are many barriers that impede its progress.
This study aimed to identify the barriers and enablers to scholarship for post basic nursing students in clinical service areas.
This multimethods study used a structured questionnaire followed by semi-structured individual interviews of post basic nursing students and their lecturers (nurse educators).
The 81 students who completed the questionnaire indicated a lack of support or funding assistance and mentoring, as well as no mechanisms to reward or recognise scholarship as top barriers to clinical scholarship. Top enablers were noticed as reward mechanisms in place, more protected time and availability of role models and mentoring. Twelve respondents engaged in the qualitative phase and three categories emerged from the data, namely (1) resource dependent, (2) 'what's the use of research', (3) making a change.
It has been shown that there is a need to adopt and promote a culture of clinical scholarship to ensure that the best available evidence is being utilised by nurses to effectively manage their patients; however, to support clinical scholarship, resources are needed.Contribution: This study highlighted the lack of funding and resources as being a major barrier to scholarship, together with an institutional culture that did not promote clinical scholarship. Providing protected time, mentoring and criteria for promotion and reward based on scholarship is viewed as enabling.
临床学术被定义为一种方法,使循证护理和最佳实践的发展能够有效地满足客户的需求。然而,有许多障碍阻碍了它的发展。
本研究旨在确定在临床服务领域的基础后护理学生的学术障碍和促进因素。
本多方法研究使用了结构问卷调查,随后对基础后护理学生及其讲师(护理教育者)进行了半结构化的个人访谈。
完成问卷的 81 名学生表示缺乏支持或资金援助和指导,以及没有奖励或认可奖学金的机制,这是临床学术的最大障碍。最大的促进因素是已经存在的奖励机制,更多的受保护时间,以及榜样和指导的可用性。12 名受访者参与了定性阶段,数据中出现了三个类别,分别是(1)资源依赖,(2)“研究有什么用”,(3)做出改变。
研究表明,需要采取和推广临床学术文化,以确保护士利用最佳现有证据有效地管理他们的患者;然而,要支持临床学术,需要资源。
本研究强调了缺乏资金和资源是奖学金的主要障碍,以及一种不促进临床学术的机构文化。提供受保护的时间、指导以及基于奖学金的晋升和奖励标准被认为是具有促进作用的。