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利益相关者在支持临床实习期间遭受工作场所暴力的护理专业学生方面的行动、责任和局限性:临床辅导员的观点。

Stakeholders' Actions, Responsibility and Limitations in Support of Nursing Students Experiencing Workplace Violence During Clinical Placement: The Clinical Facilitators View.

作者信息

Dafny Hila Ariela, Snaith Nicole, Cooper Paul, Waheed Nasreena, Champion Stephanie, Mccloud Christine

机构信息

College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.

Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia.

出版信息

J Clin Nurs. 2025 Jun;34(6):2348-2359. doi: 10.1111/jocn.17706. Epub 2025 Feb 19.

Abstract

BACKGROUND

Workplace violence toward nurses is a significant global issue affecting their mental and physical health, job satisfaction and performance, and can ultimately lead to decisions to leave the profession. As the least experienced caregivers in the health workforce, nursing students are particularly vulnerable to experiencing workplace violence and are often powerless to deal with WPV incidents.

AIM

To examine clinical facilitators' insights into how to support nursing students following experiences of workplace violence during their clinical placement.

DESIGN

An exploratory, descriptive qualitative design.

METHODS

Data were collected between September and November 2022 using semi-structured interviews with 11 clinical facilitators working in South Australia, each lasting about 1 h. The interviews were transcribed verbatim and analysed using thematic analysis.

RESULTS

Clinical facilitators identified that many students found support and solace from avenues outside of the CFs and university staff, including ward staff, family, friends and other students. However, students are limitedly prepared for the realities of clinical work, particularly concerning workplace violence, and that the university supports available were reactive to events in the clinical environment.

CONCLUSION

Addressing workplace violence requires systemic changes, better support for clinical facilitators and a steadfast commitment by all stakeholders to student safety.

IMPLICATIONS FOR THE PROFESSION

Solid collaborations between universities and clinical facilities with clear guidelines and direct lines to address potential violence issues are essential. Zero-tolerance policies regarding workplace violence could provide a safer environment that promotes nursing student learning outcomes, safer placements, better student experiences and optimal healthcare provision.

REPORTING METHOD

COREQ guidelines were adhered to for reporting qualitative research.

NO PATIENT OR PUBLIC CONTRIBUTION

This paper specifically explores the perspective of the clinical facilitator's experience of WPV in their role of supporting student learning during clinical placement.

摘要

背景

针对护士的工作场所暴力是一个重大的全球性问题,影响着他们的身心健康、工作满意度和工作表现,并最终可能导致他们决定离开该职业。作为卫生人力队伍中经验最少的护理人员,护生特别容易遭受工作场所暴力,而且往往无力应对工作场所暴力事件。

目的

探讨临床带教老师对于如何在护生临床实习期间经历工作场所暴力后为其提供支持的见解。

设计

探索性、描述性定性设计。

方法

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半结构化访谈,每次访谈持续约1小时,收集数据。访谈内容逐字转录,并采用主题分析法进行分析。

结果

临床带教老师发现,许多学生从临床带教老师和大学工作人员之外的渠道获得支持和慰藉,包括病房工作人员、家人、朋友和其他学生。然而,学生对临床工作的现实情况,尤其是工作场所暴力方面的准备有限,而且大学提供的支持是对临床环境中的事件做出的反应。

结论

解决工作场所暴力问题需要系统性变革、对临床带教老师更好的支持以及所有利益相关者对学生安全的坚定承诺。

对该职业的启示

大学与临床机构之间建立坚实的合作关系,制定明确的指导方针并建立直接沟通渠道以解决潜在的暴力问题至关重要。对工作场所暴力采取零容忍政策可以提供一个更安全的环境,促进护生学习成果、更安全的实习安排、更好的学生体验和最佳的医疗服务提供。

报告方法

本定性研究报告遵循COREQ指南。

无患者或公众参与

本文专门探讨临床带教老师在支持学生临床实习学习过程中对工作场所暴力的体验观点。

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本文引用的文献

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Australian nursing students' experiences of workplace violence during clinical placement: A cross-sectional study.
J Adv Nurs. 2024 Dec;80(12):4933-4945. doi: 10.1111/jan.16189. Epub 2024 Apr 3.
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Nursing Students' Experience of Sexual Harassment During Clinical Practicum: A Phenomenological Approach.
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Nursing students' experience of workplace violence in clinical practice: A qualitative systematic review.
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