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护士执业评估者在评估学生心理健康护士时的优先事项是什么?定性内容分析。

What are nurse practice assessors' priorities when assessing student mental health nurses? A qualitative content analysis.

机构信息

Department of Nursing and Midwifery, College of Health Wellbeing & Life Sciences, Sheffield Hallam University, Collegiate Crescent, Sheffield, UK; Rotherham, Doncaster and South Humber NHS Trust, UK.

Department of Nursing and Midwifery, College of Health Wellbeing & Life Sciences, Sheffield Hallam University, Collegiate Crescent, Sheffield, UK.

出版信息

Nurse Educ Pract. 2023 Oct;72:103776. doi: 10.1016/j.nepr.2023.103776. Epub 2023 Sep 4.

Abstract

BACKGROUND

UK healthcare policy has observed over a decade of changes that has focussed on healthcare staffs' professional values as a marker for safe, high-quality care In 2018 the regulatory body for nursing and midwifery introduced several new proficiencies, with an emphasis on physical health assessment. However, a global debate has since surfaced regarding the generification of nurse education, which has been thought to have eroded field specific skills in mental health nursing.

AIM

To explore the priorities of practice assessors, articulated within the open comments written within online practice assessment documents.

METHODS

A qualitative study was conducted, with data collected from comments made within online practice assessment documents relating to the ongoing assessment of student mental health nurses at one UK University. 26 individual sets of assessor comments were collected. An inductive content analysis was used to explore the nature of qualitative feedback provided to student mental health nurses, generated by mental health practice assessors. The COREQ checklist was used for the reporting of the study.

RESULTS

Findings demonstrated that practice assessors were prioritising two core areas or broad-based skills categories: 'transactional' and 'transformational' competencies. Transactional competencies related to the practical application of specific tasks. Transformational competencies were commented on more frequently and placed emphasis on the students' personal attributes and characteristics, and how these contribute to 'good' mental health nursing practice.

CONCLUSION

Mental health nurses prioritise assessing student nurses in relation to their personal attributes, work ethic, and values that are congruent with humanist perceptions of mental health nursing.

摘要

背景

英国医疗政策十年来发生了多次变化,这些变化将医护人员的专业价值观作为安全、高质量护理的标志。2018 年,护理和助产学监管机构引入了几项新的专业能力,重点是身体健康评估。然而,自此之后,全球范围内出现了一场关于护士教育普及化的争论,有人认为这削弱了精神科护理领域的特定技能。

目的

探索实践评估员在在线实践评估文件中的开放式评论中所表达的实践重点。

方法

这是一项定性研究,数据来自英国一所大学对学生精神科护士进行持续评估的在线实践评估文件中的评论。共收集了 26 组评估员的评论。采用归纳内容分析法探索精神科实践评估员为学生精神科护士提供的定性反馈的性质。该研究报告使用了 COREQ 清单。

结果

研究结果表明,实践评估员优先考虑两个核心领域或广泛的技能类别:“交易”和“转型”能力。交易能力与特定任务的实际应用有关。转型能力被更频繁地评论,并强调学生的个人属性和特征,以及这些如何有助于“良好”的精神科护理实践。

结论

精神科护士优先评估学生护士的个人属性、职业道德和价值观,这些与精神科护理的人本主义观念相一致。

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