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初级护理如何融入本科护理课程:一项来自四个国家的混合方法研究。

How is primary care nursing embedded in nursing undergraduate curricula: A mixed-method study from four countries.

作者信息

Kako Mayumi, Halcomb Elizabeth, Mizukawa Mariko, Moriayama Michiko

机构信息

Division of Nursing Science, School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.

School of Nursing, Faculty of Science, Medicine & Health University of Wollongong Wollongong New South Wales Australia.

出版信息

J Gen Fam Med. 2024 Aug 22;25(6):309-316. doi: 10.1002/jgf2.711. eCollection 2024 Nov.

Abstract

INTRODUCTION

Given the increase in the primary care nursing workforce and the need to further grow nursing roles in the community understanding how this is included in undergraduate education is important. This study aimed to explore the inclusion of primary care in the undergraduate nursing education curriculum of four countries.

METHOD

A mixed-method design was employed to obtain a broader context of primary care nursing in nursing education and teaching approaches relating to primary care nursing. Subsequently, Australia, Canada, Spain, and Ireland were selected for this study because primary healthcare systems are established as a part of their healthcare system.

RESULTS

In total, 136 nursing faculties (40 in Australia, 35 in Canada, 46 in Spain, and 15 in Ireland) were invited to participate in this study. Of these, 27 responses were obtained (19.8% response rate). Following the survey phase, in-depth interviews were conducted with 13 participants. The results indicated that the highest number was coded within the theme of "Understanding of PHC in the curriculum" ( = 108). The second highest number ( = 87) was within the theme of "Interpretation differences of PHC in curriculum," and the third highest ( = 31) was coded within "Policy impact on health by national government and others."

CONCLUSION

The results emphasized the ambiguity of primary care within the undergraduate nursing curriculum and that interpretation and implementation into the curriculum largely depended on the school's intentions.

摘要

引言

鉴于初级保健护理劳动力的增加以及在社区进一步拓展护理角色的需求,了解其在本科教育中的纳入情况非常重要。本研究旨在探讨四个国家本科护理教育课程中初级保健的纳入情况。

方法

采用混合方法设计,以获取护理教育中初级保健护理的更广泛背景以及与初级保健护理相关的教学方法。随后,选择澳大利亚、加拿大、西班牙和爱尔兰进行本研究,因为初级卫生保健系统是其卫生保健系统的一部分。

结果

总共邀请了136个护理学院(澳大利亚40个、加拿大35个、西班牙46个、爱尔兰15个)参与本研究。其中,获得了27份回复(回复率为19.8%)。在调查阶段之后,对13名参与者进行了深入访谈。结果表明,编码数量最多的是“课程中对初级卫生保健的理解”主题(=108)。第二多的(=87)是“课程中初级卫生保健的解释差异”主题,第三多的(=31)编码在“国家政府及其他方面对健康的政策影响”主题中。

结论

结果强调了本科护理课程中初级保健的模糊性,并且其在课程中的解释和实施很大程度上取决于学校的意图。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac1/11565068/127c970b51d8/JGF2-25-309-g002.jpg

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