Needham Judith, Beggs Rhonda, van de Mortel Thea F
School of Nursing and Midwifery, Griffith University University Drive, Meadowbrook, QLD, 4131, Australia.
School of Nursing and Midwifery, Griffith University, Kessels Rd, Nathan, QLD, 4111, Australia.
BMC Nurs. 2023 Sep 18;22(1):322. doi: 10.1186/s12912-023-01506-3.
Nursing students and nurse preceptors indicate that a comprehensive orientation is vital to successful work-integrated learning placements in Prison Health Services. The aim of this study was to implement and evaluate a Prison Health Service orientation package that included innovative asynchronous online video simulations with branched decision-making and feedback opportunities to stimulate learning and improve students' feelings of preparedness for a placement in this setting.
A cross-sectional pre and post design was used to evaluate the resource. Students were given access to the package and invited to complete a pre-placement survey evaluating the resource and their feelings of preparedness for placement. Following placement, they re-evaluated the resource in terms of how well it prepared them for the placement and how well prepared they felt. Third year Australian undergraduate nursing students from one university who completed a Prison Health Service work-integrated learning placement in 2018, 2021, and 2022 were invited to participate. Placements were unavailable in 2019 and 2020. Independent t-tests were used to determine differences in scale means and level of preparedness between pre- and post-survey responses.
Twenty-three of 40 (57.5%) eligible nursing students completed the pre-placement survey and 13 (32.5%) completed the post placement survey. All respondents to the pre-placement survey indicated that they felt satisfactorily, well, or very well prepared after completing the orientation package prior to their clinical placement. Students were significantly more likely to consider themselves well prepared by the package after they had attended placement (p < .001). All students post placement indicated that overall, the simulation resources and the specific simulation scenario about personal boundaries and management of manipulative behaviours was useful for their placement. The majority of students would recommend the orientation package to other students. Suggestions for improvement included streamlining the resource to reduce the time to complete it.
Asynchronous online simulation with the capacity for branched decision making and feedback along with a comprehensive online orientation package were perceived as useful to prepare undergraduate students for placement in the Prison Health Service work-integrated learning setting.
护理专业学生和带教护士表示，全面的入职培训对于在监狱卫生服务机构成功进行工作整合学习实习至关重要。本研究的目的是实施并评估一套监狱卫生服务入职培训资料包，其中包括创新的异步在线视频模拟，具备分支决策和反馈机会，以促进学习并增强学生对在该环境中实习的准备感。
采用横断面前后设计来评估该资源。向学生提供该资料包，并邀请他们在实习前完成一项调查，评估该资源以及他们对实习的准备感。实习结束后，他们重新评估该资源在为实习做准备方面的效果以及他们自身的准备程度。邀请了来自一所大学的澳大利亚本科三年级护理专业学生参与，这些学生在2018年、2021年和2022年完成了监狱卫生服务工作整合学习实习。2019年和2020年没有实习安排。使用独立t检验来确定调查前后量表均值和准备程度水平的差异。
40名符合条件的护理专业学生中有23名（57.5%）完成了实习前调查，13名（32.5%）完成了实习后调查。所有参与实习前调查的受访者表示，在临床实习前完成入职培训资料包后，他们感觉准备充分、准备较好或准备非常充分。学生在参加实习后更有可能认为自己通过该资料包准备充分（p < 0.001）。所有实习后的学生都表示，总体而言，模拟资源以及关于个人边界和操纵行为管理的特定模拟场景对他们的实习很有用。大多数学生愿意向其他学生推荐该入职培训资料包。改进建议包括精简资源以减少完成所需时间。
具备分支决策和反馈能力的异步在线模拟以及全面的在线入职培训资料包被认为有助于让本科学生为在监狱卫生服务工作整合学习环境中的实习做好准备。
