Jessup Belinda, Brand Anthea, Kirschbaum Melissa, Allen Penny, Bourke Lisa, Bailie Jodie, Heaney Susan, Sheepway Lyndal, Podubinski Tegan, Hoang Ha, Obamiro Kehinde, Jatrana Santosh, Knight Sabina, Fitzroy Robyn, Rasiah Rohan
Centre for Rural Health, The University of Tasmania, Launceston, Tasmania, Australia.
University Department of Rural Health Northern Territory, Flinders University, Bedford Park, South Australia, Australia.
Aust J Rural Health. 2025 Feb;33(1). doi: 10.1111/ajr.13209.
To explore changes to rural nursing and allied health placements during the latter stage of the COVID-19 public health emergency.
Regional, rural and remote Australia.
Nursing and allied health students with a scheduled University Department of Rural Health (UDRH) facilitated rural placement between 1 January 2022 and 31 October 2022.
Cross-sectional online survey (n = 333), followed by semi-structured interviews (n = 21).
Almost all students surveyed (98.5%) were able to undertake their placement, although 13.1% reported changes to the setting, timing or delivery of training. Placement tasks (47.3%), experience of the local community (39.0%) and connection with other students (39.6%) were the placement aspects most commonly reported to have changed. However, most students were satisfied with their placement (86.0%), agreed their placement provided quality clinical training (79.3%) and wanted to work rurally after their experience (73.2%). Nursing students had lower odds of reporting satisfaction with placement (OR, 0.49 [95% CI 0.24-0.99, p = 0.03]), while placements longer than 4 weeks had almost twice the odds of promoting rural intention (OR, 1.84 [95% CI 1.09-3.15, p = 0.02]). Placement changes were associated with: fear of contracting COVID-19; circulating illness; health workforce shortages; and health and safety compliance.
Despite changes, most students found rural placements undertaken during 2022 to be quality learning experiences which left them satisfied and wanting to work rurally. UDRHs should advocate for longer placements, improve remote supervision and accommodation infrastructure, and help prepare and support students for challenging learning environments to promote positive rural training experiences during public health emergencies.
探讨在2019冠状病毒病（COVID-19）公共卫生紧急事件后期农村护理及相关健康专业实习安排的变化情况。
澳大利亚的地区、农村和偏远地区。
2022年1月1日至2022年10月31日期间，由大学农村卫生系（UDRH）安排并参与农村实习的护理及相关健康专业学生。
横断面在线调查（n = 333），随后进行半结构化访谈（n = 21）。
几乎所有接受调查的学生（98.5%）都能够完成实习，不过13.1%的学生报告称实习地点、时间或培训方式发生了变化。实习任务（47.3%）、当地社区体验（39.0%）以及与其他学生的联系（39.6%）是最常被报告发生变化的实习方面。然而，大多数学生对其实习感到满意（86.0%），认可其实习提供了高质量的临床培训（79.3%），并且希望在实习后到农村工作（73.2%）。护理专业学生对实习表示满意的几率较低（比值比[OR]，0.49[95%置信区间0.24 - 0.99，p = 0.03]），而时长超过4周的实习促进农村就业意向的几率几乎高出一倍（OR，1.84[95%置信区间1.09 - 3.15，p = 0.02]）。实习安排的变化与以下因素有关：对感染COVID - 19的恐惧；疾病传播；卫生人力短缺；以及健康与安全合规情况。
尽管有变化，但大多数学生认为2022年进行的农村实习是高质量的学习经历，这让他们感到满意，并希望到农村工作。大学农村卫生系应倡导更长时间的实习安排，改善远程监督和住宿基础设施，并帮助学生为具有挑战性的学习环境做好准备并提供支持，以在公共卫生紧急事件期间促进积极的农村培训体验。
