School of Nursing and Midwifery, University of Southern Queensland, Queensland, Australia; Centre for Health Research, University of Southern Queensland, Queensland, Australia; Institute of Health and Wellbeing, Federation University Australia, Victoria, Australia.
School of Nursing and Midwifery, University of Southern Queensland, Queensland, Australia; Institute of Health and Wellbeing, Federation University Australia, Victoria, Australia.
Nurse Educ Pract. 2024 May;77:103989. doi: 10.1016/j.nepr.2024.103989. Epub 2024 May 4.
This study aimed to explore what changes rural placement had on the perceptions of nursing students and the impact of placement frequency and duration on student considerations for rural practice.
A strong rural healthcare workforce is a global concern and has led countries to look for creative ways to address this challenge. One approach is to train more health professionals, however, nursing students who grew up or lived in metropolitan or urbanised areas are suggested to be less inclined to pursue a rural career. As such it is posited that recurrent exposure to rural settings may exert a positive impact on future intention for rural practice. However, there is a need to explore the specific thresholds related to both the frequency and duration of rural placement exposure, as well as the cumulative impact multiple rural placements may have on the intention to engage in rural practice.
A repeated cross-sectional design.
All nursing students from an Australian regional university were invited to complete an online questionnaire between 2019 and 2023. Demographic and placement specific questions were included. A modified version of the Nursing Community Apgar tool also measured the importance of key variables in rural career decision-making. Data were analysed using independent sample t-tests and one-way ANOVAs. Significance was determined at two-tailed p≤.05.
Among the 835 respondents (response rate 15.4%), the average number and duration of rural placements was 2.45 placements and 3.01 weeks respectively. Rural placements did not have an impact on students who resided rurally or regionally. However, among metropolitan students who had experienced more than three rural placements, or more than sixteen cumulative weeks of placement, were significantly more likely to consider rural employment. Greater number of rural placements and longer cumulative duration had the greatest impact.
Issues related to the nursing rural workforce are dynamic and complex. Understanding the unique drivers that improve the rural experiences among students, particularly metropolitan students, can have an impact on decision-making to pursue employment in rural environments. Importantly, whilst professional and clinical motivation and experiences are influential factors, the socialisation, environment and community features are essential elements that influence students' decisions to pursue a career in rural practice. Undertaking a nuanced approach that facilitates rural practice understanding among students may help shape future employment decision-making.
本研究旨在探讨农村实习对护理学生观念的改变，以及实习频率和时长对学生考虑农村实践的影响。
拥有强大的农村医疗保健队伍是全球关注的问题，促使各国寻找创造性的方法来应对这一挑战。一种方法是培训更多的卫生专业人员，然而，据认为，在大都市或城市化地区长大或居住的护理学生不太倾向于从事农村职业。因此，人们认为反复接触农村环境可能对未来从事农村实践的意愿产生积极影响。然而，需要探讨与农村实习经历的频率和时长相关的具体门槛，以及多次农村实习对从事农村实践意愿的累积影响。
重复的横截面设计。
邀请澳大利亚一所地区性大学的所有护理学生在 2019 年至 2023 年期间在线填写问卷。问卷包括人口统计学和实习特定问题。护理社区 Apgar 工具的修订版也衡量了农村职业决策中的关键变量的重要性。使用独立样本 t 检验和单向方差分析对数据进行分析。以双侧 p≤.05 为显著水平。
在 835 名应答者（应答率 15.4%）中，农村实习的平均次数和时长分别为 2.45 次和 3.01 周。农村实习对居住在农村或地区的学生没有影响。然而，在经历过三次以上农村实习或累计十六周以上实习的大都市学生中，考虑农村就业的可能性显著更高。更多的农村实习次数和更长的累计时长影响最大。
与护理农村劳动力相关的问题是动态和复杂的。了解改善学生，特别是大都市学生农村实习体验的独特驱动因素，可能会对他们在农村环境中就业的决策产生影响。重要的是，虽然专业和临床动机和经验是影响因素，但社会化、环境和社区特征是影响学生从事农村实践职业决策的重要因素。采取细致入微的方法，让学生更好地理解农村实践，可能有助于塑造他们未来的就业决策。
