Rylance-Graham Rebecca
University of Liverpool, School of Health Sciences, The Quadrangle, Brownlow Hill, Liverpool L69 3GB, Merseyside, UK.
Nurs Res Pract. 2024 Apr 3;2024:7871499. doi: 10.1155/2024/7871499. eCollection 2024.
Current literature acknowledges that undergraduate students undertaking programmes in medicine, nursing, and allied health professions experience occupational stress which presents as a detriment to mental health, psychological wellbeing (PWB), and burnout. Strategies to improve the wellbeing of students have been slow to embed and have had limited impact, indeed the issue of declining wellbeing amongst this group is escalating. Studies from the business literature suggest that organisations that foster a playful environment reap benefits in terms of employee wellbeing. This interpretive phenomenological analysis (IPA) study explored the lived experiences of play amongst undergraduate students from medicine, nursing, and allied health professions' programmes in the clinical practice setting. The resultant findings offer some unique empirical insights into the types of play that the students engaged in, ranging from informal banter with peers and patients to artful, sophisticated, cocreated play. The study also revealed insights about the factors which facilitate play, notably the "big personalities" on the ward. The factors which limited play are related to the tension between being a health professional and the enactment of play as well as hierarchical factors. Crucially, the study found that the practice of play induced key hedonic and eudaimonic PWB benefits to the students, ranging from positive affect to improved relationships, a sense of meaning, and a positive learning environment, offering original empirical insights. These findings have not been observed previously and shine a conceptual light on a previously unknown phenomenon.
当前文献承认,攻读医学、护理及相关健康专业课程的本科生会经历职业压力,这种压力对心理健康、心理幸福感(PWB)和职业倦怠都有不利影响。改善学生幸福感的策略在实施过程中进展缓慢且影响有限,实际上,这一群体幸福感下降的问题正在加剧。商业文献中的研究表明,营造轻松愉快环境的组织在员工幸福感方面会有所收获。这项解释性现象学分析(IPA)研究探讨了医学、护理及相关健康专业课程的本科生在临床实践环境中的玩耍体验。研究结果为学生参与的玩耍类型提供了一些独特的实证见解,从与同伴和患者的非正式玩笑到巧妙、复杂的共同创造的玩耍。该研究还揭示了促进玩耍的因素,特别是病房里的“个性鲜明的人”。限制玩耍的因素与身为健康专业人员和进行玩耍之间的矛盾以及等级因素有关。至关重要的是,研究发现玩耍实践给学生带来了关键的享乐主义和幸福主义的心理幸福感益处,从积极情绪到改善人际关系、意义感和积极的学习环境,提供了原创的实证见解。这些发现以前未曾被观察到,为一个此前未知的现象提供了概念性的启示。