Dafny Hila Ariela, Cooper Paul, Waheed Nasreena, Champion Stephanie, Mccloud Christine, Snaith Nicole, Pront Leeanne
College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia.
Nurs Open. 2024 Dec;11(12):e70125. doi: 10.1002/nop2.70125.
To explore clinical facilitators' understanding, experiences and perceptions of their role in supporting registered nurse students (RNS) who experience workplace violence (WPV) during clinical placement.
An exploratory, qualitative design.
Data were collected between September and November 2022 using semi-structured interviews of 1-h duration with 11 clinical facilitators working in South Australia. The interviews were transcribed verbatim and analysed using thematic analysis.
Participants reported that WPV is experienced in many forms, including verbal and physical violence towards RNS during clinical placements. Clinical facilitators are not always aware of this experience and have mixed abilities to resolve the damage. Most importantly, clinical facilitators saw themselves as disempowered to provide the support required by RNS after WPV incidents as they perceived themselves as visitors to the facilities.
Findings indicate that a clinical facilitator's scope and ability to support a RNS is often not at a level where real impact and safety can occur. Varying perceptions of what WPV is, what is acceptable, and the authority or influence of a clinical facilitator have all informed this issue and need to be considered in developing strategies to address WPV towards RNS.
This study highlights that by understanding the causation of WPV and recognising the lack of influence and scope of clinical facilitators to act to support RNS during WPV events, positive industry changes can be instigated to promote student placement experiences and healthcare provision.
Clinical facilitators felt limited in their role to support RNS experiencing WPV. This research impacts future nursing students, education providers, clinical facilitators and clinical placement providers.
COREQ guidelines were utilised to report qualitative research.
This paper explores specifically the clinical facilitators' perceptions of WPV.
探讨临床带教老师对其在支持临床实习期间遭受工作场所暴力（WPV）的注册护士学生（RNS）方面的角色的理解、经验和看法。
探索性定性设计。
2022年9月至11月期间，对南澳大利亚州的11名临床带教老师进行了为期1小时的半结构化访谈，收集数据。访谈内容逐字转录，并采用主题分析法进行分析。
参与者报告称，WPV有多种形式，包括临床实习期间对RNS的言语和身体暴力。临床带教老师并不总是了解这种情况，解决损害的能力也参差不齐。最重要的是，临床带教老师认为自己在WPV事件发生后无权为RNS提供所需的支持，因为他们将自己视为医疗机构的访客。
研究结果表明，临床带教老师支持RNS的范围和能力往往未达到能够产生实际影响和保障安全的水平。对WPV的定义、可接受程度以及临床带教老师的权威或影响力的不同看法都影响了这一问题，在制定应对针对RNS的WPV的策略时需要加以考虑。
本研究强调，通过了解WPV的成因，并认识到临床带教老师在WPV事件中缺乏采取行动支持RNS的影响力和范围，可以促使行业做出积极改变，以改善学生实习体验和医疗服务提供。
临床带教老师感到在支持遭受WPV的RNS方面的作用有限。这项研究对未来的护理学生、教育提供者、临床带教老师和临床实习提供者产生影响。
采用COREQ指南报告定性研究。
本文专门探讨临床带教老师对WPV的看法。
