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助产学专业实习:本科学生与新手和专家导师的经验。

Midwifery professional placement: Undergraduate students' experiences with novice and expert preceptors.

机构信息

Nursing and Midwifery, Peninsula Campus, Monash University, VIC 3199, Australia; Monash Health, Clayton Rd, Clayton, VIC 3168, Australia.

Nursing and Midwifery, Peninsula Campus, Monash University, VIC 3199, Australia.

出版信息

Nurse Educ Today. 2023 Dec;131:105976. doi: 10.1016/j.nedt.2023.105976. Epub 2023 Sep 14.

Abstract

BACKGROUND

In recent decades, increased midwifery university places have been offered to address midwifery workforce shortages. As a result, more graduate midwives entered the workforce, in turn leading to more midwifery students precepted by novice midwives when on professional placement. It is not known whether this more junior midwifery workforce impacts student experience.

AIMS

To explore undergraduate midwifery students' experiences with novice and expert midwifery preceptors, and to identify the benefits and challenges of working with novice and expert preceptors, from the perspective of undergraduate student midwives.

METHOD

This study used a qualitative descriptive approach. Nineteen third/fourth-year Bachelor of Nursing/Bachelor of Midwifery (Honours) students attended six focus groups (ranging from 2 to 5 participants). Data were analysed thematically.

RESULTS

Three overarching themes were identified: 'Building relationships'; 'Teaching and learning'; and 'Improvements to professional placement'. Benefits and challenges existed with both novice and expert preceptors. Importantly, feeling welcomed and receiving critical feedback were identified.

CONCLUSION

The student/preceptor relationship is based upon feeling welcomed, and relatability, and is developed more easily with novice preceptors. Expert preceptors provide insightful and valuable feedback and are more able to actively teach. Novice preceptors' consolidation of practice can impact student learning opportunities. Including students in decision-making aids development of critical thinking. Allocation practices which address student learning needs will improve the student professional practice experience. Midwifery students benefit from working with midwifery preceptors of all experience levels. Translating the findings from this project into preceptorship training programs for midwives will improve student satisfaction and outcomes.

摘要

背景

近几十年来,为了解决助产士劳动力短缺的问题,大学提供了更多的助产士学位。因此,更多的注册助产士进入了劳动力市场,这反过来又导致在专业实习时,更多的助产专业学生由新手助产士指导。目前尚不清楚这种更初级的助产士劳动力是否会影响学生的体验。

目的

从本科助产士学生的角度出发,探索本科助产士学生与新手和专家助产士导师的经历,并确定与新手和专家导师合作的好处和挑战。

方法

本研究采用定性描述方法。19 名三年级/四年级护理学士/助产士学士(荣誉)学生参加了六次焦点小组(每组 2 至 5 名参与者)。数据进行了主题分析。

结果

确定了三个总体主题:“建立关系”、“教学与学习”和“改善专业实习”。新手和专家导师都有好处和挑战。重要的是,感受到欢迎和收到关键反馈。

结论

学生/导师关系基于感受到欢迎和相关性,并且更容易与新手导师建立。专家导师提供有见地和有价值的反馈,并且更能够积极教学。新手导师实践的巩固会影响学生的学习机会。让学生参与决策有助于培养批判性思维。解决学生学习需求的分配实践将改善学生的专业实践体验。助产士学生受益于与所有经验水平的助产士导师合作。将该项目的研究结果转化为助产士的导师培训计划将提高学生的满意度和成果。

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