Health Innovation and Transformation Centre, Federation University Australia, Berwick, Victoria, Australia.
School of Nursing, Midwifery and Social Sciences, CQUniversity Australia, 160 Ann Street, Brisbane, Queensland, Australia.
Nurse Educ Pract. 2024 Oct;80:104150. doi: 10.1016/j.nepr.2024.104150. Epub 2024 Sep 25.
to report a thematic synthesis of students' narratives in free text comments from a national quality survey of Australian nursing degree students' clinical placements.
Nursing student evaluation surveys are submitted to the Australian National Placement Evaluation Centre. Students in 36 Australian nursing programs are included.
Thematic synthesis of nursing students' narrative comments.
Data were sourced from 10,226 surveys submitted between July and December 2023. From these, the 3640 free text comments were extracted and tabulated to form the sample for synthesis. Three authors conducted a thematic synthesis and all five authors agreed on the findings.
Student's comments generally portrayed a positive learning culture in clinical placement environments. One dominant theme 'Support' was interpreted as giving deeper meaning to students' perceptions of the help and encouragement of placement facility staff. Three subthemes 'Welcoming environment', 'Providing learning opportunities' and 'Teaching strategies' described students' ideas of what elements contribute to learning. Ten ways of teaching were revealed in students' narratives as education activities. Students commonly referred to staff supporters, illustrating that various staff worked to ensure students were supervised during clinical skills practice and that students' learning objectives were addressed.
Staff-student relationships are paramount for students' learning and students' narratives revealed perceptions of a generally positive learning environment. The notion of support is implied as vital to nursing students' positive experience of clinical learning during placements. Curriculum designers, university course convenors and placement partners may use the findings identified in this study to ensure academic and placement facility staff are aware of how best to support students. In this way, institutions may narrow the gap between successful and less successful nursing student clinical placements.
报告对澳大利亚护理学位学生临床实习全国质量调查中来自学生自由文本评论的主题综合分析。
护理学生评估调查提交给澳大利亚国家实习评估中心。包括 36 个澳大利亚护理项目的学生。
护理学生叙事评论的主题综合分析。
数据来自 2023 年 7 月至 12 月期间提交的 10226 项调查。从这些调查中提取并制表了 3640 条自由文本评论，作为综合分析的样本。三位作者进行了主题综合分析，五位作者均同意研究结果。
学生的评论普遍描绘了临床实习环境中的积极学习文化。一个主导主题“支持”被解释为赋予学生对实习机构工作人员的帮助和鼓励的看法更深层次的意义。三个子主题“欢迎环境”、“提供学习机会”和“教学策略”描述了学生对促进学习的要素的想法。学生在叙述中揭示了十种教学方式作为教育活动。学生通常提到工作人员的支持者，说明各种工作人员努力确保学生在临床技能实践期间得到监督，并解决学生的学习目标。
师生关系对学生的学习至关重要，学生的叙述揭示了对临床学习的普遍积极环境的看法。支持的概念被认为是护理学生在实习期间积极体验临床学习的关键。课程设计师、大学课程负责人和实习合作伙伴可以使用本研究中确定的发现，确保学术和实习机构工作人员了解如何最好地支持学生。通过这种方式，各机构可以缩小成功和不太成功的护理学生临床实习之间的差距。
