护理专业学生在成年男性监狱临床实习的生活体验探索：一项现象学研究。
An exploration of nursing students' lived experience of clinical placement in adult male prisons: A phenomenological study.
作者信息
Brooke Joanne, Rybacka Monika, Sarwan Shubhangi, Ojo Omorogieva
机构信息
Centre of Social Care, Health, and Related Research, Birmingham City University, Birmingham, UK.
School of Nursing, Midwifery and Health, Coventry University, Coventry, UK.
出版信息
J Adv Nurs. 2025 Mar;81(3):1517-1528. doi: 10.1111/jan.16355. Epub 2024 Jul 29.
AIM
To explore nursing students' lived experience of a clinical placement within healthcare in a prison, to gain an insight into the support provided prior to and during this unique clinical placement.
DESIGN
An inductive phenomenological study.
METHODS
Participants included 14 nursing students from three undergraduate nursing programmes in England, Adult (n = 4), Learning Disability (n = 3) and Mental Health (n = 7). Following a clinical placement in a prison, each participant completed a semistructured audio-recorded interview on MS Teams between October and December 2021. Audio recordings were transcribed verbatim and thematic analysis was completed.
RESULTS
Two overarching themes were identified, 'shock' due to the (a) reality of prison; (b) overwhelming emotional impact and (c) frequency and severity of self-harm and 'surprise' due to (a) the need to work with prison officers; (b) recognizing and addressing preconceptions of people in prison and (c) the development of clinical knowledge, skills and becoming a nurse.
CONCLUSIONS
The need remains for a comprehensive strategy of preparation and orientation for nursing students before commencing a clinical placement in prison, which includes the development of knowledge and clinical skills to support the complex health and social care needs of people in prison.
IMPACT
Our research identified the support provided to nursing students prior to clinical placement in prison varies considerably. The development of a preparation and orientation programme has the potential to reduce pre-placement anxiety, emotional burden and support nursing students in addressing their preconceptions of people in prison. This approach is essential to support future nursing students to embrace the unique opportunity of a clinical placement within a prison, enhance their clinical knowledge and skills, and develop as a nurse.
REPORTING METHOD
Our paper adheres to the consolidated criteria for reporting qualitative research (COREQ).
PATIENT OR PUBLIC CONTRIBUTION TO THE DEVELOPMENT OF THIS STUDY
None.
目的
探讨护理专业学生在监狱医疗环境中临床实习的生活体验，以深入了解在此独特临床实习之前及期间所提供的支持。
设计
一项归纳现象学研究。
方法
参与者包括来自英格兰三个本科护理专业的14名护理专业学生，成人护理专业（n = 4）、学习障碍护理专业（n = 3）和心理健康护理专业（n = 7）。在监狱完成临床实习后，每位参与者于2021年10月至12月期间在MS Teams上完成了一次半结构化录音访谈。录音逐字转录并完成了主题分析。
结果
确定了两个总体主题，由于（a）监狱的现实情况、（b）压倒性的情感影响以及（c）自残的频率和严重程度而产生的“震惊”，以及由于（a）与狱警合作的必要性、（b）认识并消除对监狱中人员的先入之见以及（c）临床知识、技能的发展和成为一名护士而产生的“惊喜”。
结论
在护理专业学生开始监狱临床实习之前，仍然需要一个全面的准备和指导策略，其中包括发展知识和临床技能，以支持监狱中人员复杂的健康和社会护理需求。
影响
我们的研究发现，在监狱临床实习前提供给护理专业学生的支持差异很大。制定一个准备和指导计划有可能减少实习前的焦虑、情感负担，并支持护理专业学生消除对监狱中人员的先入之见。这种方法对于支持未来的护理专业学生接受监狱临床实习的独特机会、增强他们的临床知识和技能以及成长为一名护士至关重要。
报告方法
我们的论文遵循定性研究报告的统一标准（COREQ）。
患者或公众对本研究开展的贡献
无。
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