识别具有不安全临床实践的护理学生的自我呈现成分：一项定性研究。
Identifying self-presentation components among nursing students with unsafe clinical practice: a qualitative study.
机构信息
Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
BMC Med Educ. 2023 Jul 21;23(1):524. doi: 10.1186/s12909-023-04486-9.
BACKGROUND
Maintaining patient safety is a practical standard that is a priority in nursing education. One of the main roles of clinical instructors is to evaluate students and identify if students exhibit unsafe clinical practice early to support their remediation. This study was conducted to identify self-presentation components among nursing students with unsafe clinical practice.
METHODS
This qualitative study was conducted with 18 faculty members, nursing students, and supervisors of medical centers. Data collection was done through purposive sampling and semi-structured interviews. Data analysis was done using conventional qualitative content analysis using MAXQDA10 software.
RESULTS
One main category labelled self-presentation emerged from the data along with three subcategories of defensive/protective behaviors, assertive behaviors, and aggressive behaviors.
CONCLUSION
In various clinical situations, students use defensive, assertive, and aggressive tactics to maintain their professional identity and present a positive image of themselves when they make a mistake or predict that they will be evaluated on their performance. Therefore, it seems that the first vital step to preventing unsafe behaviors and reporting medical errors is to create appropriate structures for identification, learning, guidance, and evaluation based on progress and fostering a growth mindset among students and clinical educators.
背景
维护患者安全是护理教育中的首要实践标准。临床指导员的主要职责之一是评估学生，尽早发现学生是否存在不安全的临床实践，从而为他们提供补救措施。本研究旨在确定具有不安全临床实践的护理学生的自我呈现要素。
方法
这是一项采用目的抽样法和半结构式访谈法对医疗中心的 18 名教师、护理学生和督导员进行的定性研究。数据分析采用 MAXQDA10 软件进行常规定性内容分析。
结果
从数据中得出一个主要类别，即自我呈现，以及三个亚类，分别为防御/保护行为、自信行为和攻击行为。
结论
在各种临床情况下，学生在犯错或预测自己的表现将被评估时，会使用防御、自信和攻击策略来维护自己的职业身份，并呈现出积极的自我形象。因此，似乎防止不安全行为和报告医疗差错的首要关键步骤是基于进展为识别、学习、指导和评估创建适当的结构，并在学生和临床教育者中培养成长心态。
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