探索护理实习学生及其指导教师对临床环境中实施护理程序的复杂性和障碍的看法：一项深入的定性调查。
Exploring the perceptions of nursing internship students and their faculty mentors regarding the complexities and hindrances associated with implementing the nursing process within the clinical setting: An in-depth qualitative investigation.
作者信息
Shahzeydi Amir, Jazi Zahra Hadian, Babaei Sima
机构信息
Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Heliyon. 2024 May 29;10(11):e31715. doi: 10.1016/j.heliyon.2024.e31715. eCollection 2024 Jun 15.
BACKGROUND
Utilizing the nursing process within clinical settings serves to enhance the scientific stature of the nursing field. Nonetheless, various research findings suggest that nursing internship students encounter difficulties when it comes to implementing the nursing process and may lack the necessary proficiency.
OBJECTIVES
The aim of this investigation is to identify the perceptions of nursing internship students and their faculty mentors regarding the complexities and hindrances associated with implementing the nursing process within the clinical setting.
DESIGN
A qualitative content analysis
PARTICIPANTS
Nursing internship students and their faculty mentors from the Isfahan School of Nursing and Midwifery.
METHODS
In this study, individual interviews were conducted with 13 participants. The data for this study were gathered through these semi-structured interviews and subsequently analyzed using the Granheim and Lundman method. To ensure the validity and reliability of the data, the evaluative criteria of Lincoln and Guba were employed.
RESULTS
The obstacles unveiled in this study can be categorized into three primary domains, each with its own subcategories: 1-Student role ambiguity (1-1 Lack of practical autonomy; 1-2 Insufficient proficiency in the nursing process; 1-3 Motivational deficiency). 2- Organizational Challenges (2-1 Shortage of nursing staff; 2-2 Suboptimal interpersonal dynamics); And 3- Gradual Erosion of the Nursing Process.
CONCLUSION
Recognizing the paramount importance of the nursing process in enhancing patient care quality is universally accepted. Therefore, it is imperative to systematically identify and tackle the challenges associated with its application. This study highlights that these challenges stem from various factors, including the multifaceted roles assumed by nursing students, organizational shortcomings within healthcare institutions, and the neglect or erosion of the nursing process in specific clinical settings. Addressing these issues is crucial for ensuring the effective utilization of the nursing process within the nursing profession and for optimizing patient care outcomes.
背景
在临床环境中运用护理程序有助于提升护理领域的科学地位。然而，多项研究结果表明，护理实习生在实施护理程序时会遇到困难，且可能缺乏必要的熟练度。
目的
本调查旨在确定护理实习生及其带教老师对在临床环境中实施护理程序所涉及的复杂性和障碍的看法。
设计
定性内容分析
参与者
来自伊斯法罕护理与助产学院的护理实习生及其带教老师。
方法
本研究对13名参与者进行了个人访谈。研究数据通过这些半结构化访谈收集，随后使用格兰海姆和伦德曼方法进行分析。为确保数据的有效性和可靠性，采用了林肯和古巴的评估标准。
结果
本研究揭示的障碍可分为三个主要领域，每个领域又有各自的子类别：1-学生角色模糊（1-1缺乏实践自主权；1-2护理程序熟练度不足；1-3动力不足）。2-组织挑战（2-1护理人员短缺；2-2人际互动不佳）；以及3-护理程序的逐渐侵蚀。
结论
认识到护理程序在提高患者护理质量方面的至关重要性已得到普遍认可。因此，必须系统地识别并应对与其应用相关的挑战。本研究强调，这些挑战源于多种因素，包括护理学生所承担的多方面角色、医疗机构内部的组织缺陷，以及特定临床环境中对护理程序的忽视或侵蚀。解决这些问题对于确保护理程序在护理专业中的有效应用以及优化患者护理结果至关重要。
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