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考察传统与非传统心理健康临床实习对护理专业学生对家庭暴力理解的影响:一项准实验研究。

Examining the impact of traditional and non-traditional mental health clinical placement on nursing students understanding of domestic violence: A quasi-experimental study.

作者信息

Lewer Kelly, Patterson Christopher, Drury Peta, Cordina Joanne, Villeneuve-Smith Suzi, Roberts Michelle, Yousiph Taylor, Robson Georgia, Jay Elissa-Kate, Moxham Lorna

机构信息

School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Australia.

Faculty of Science, Medicine and Health, University of Wollongong, Australia.

出版信息

Nurse Educ Today. 2025 May;148:106639. doi: 10.1016/j.nedt.2025.106639. Epub 2025 Feb 20.

Abstract

AIM

To compare the effects of traditional mental health placements versus non-traditional placements on pre-registration nursing students' knowledge, attitudes, and beliefs about domestic violence (DV).

DESIGN

A between-subjects, repeated-measures design.

METHODS

Pre-registration nurses (N = 286) were purposively sampled in association with attending either a traditional (n = 100) or non-traditional (n = 186) mental health clinical placement as part of their university studies. Knowledge, attitudes, and beliefs about DV were measured pre- and post-placement via the Community Attitudes Survey (CAS). Changes in these areas were compared both between placement types as well as before and after the different clinical placements.

RESULTS

In both placement types, student nurses similarly recognised a high number of DV behaviours and rejected stereotypical gender roles and statements trivialising DV. Attending either type of clinical placement enhanced recognition of domestically violent behaviours; however, a non-traditional clinical placement improved the perceived severity of certain DV behaviours, while attending a traditional placement did not. Nursing students that attended a non-traditional placement increased in knowledge regarding accessing support resources, while knowledge in this area decreased among nursing students that attended a hospital-based clinical placement.

CONCLUSION

This study highlights the critical role that clinical placements play in shaping nursing students' understanding of DV. While participation in both types of mental health clinical placement settings provided certain benefits for students, those who attended a non-traditional mental health placement experienced unique advantages that varied by gender. Notably, the non-traditional placement enhanced all nursing students' (both male and female) understanding of available support resources for individuals experiencing DV.

摘要

目的

比较传统精神卫生实习安排与非传统实习安排对预注册护理专业学生关于家庭暴力(DV)的知识、态度和信念的影响。

设计

一项组间重复测量设计。

方法

作为大学学习的一部分,预注册护士(N = 286)被有目的地抽样,他们分别参加传统(n = 100)或非传统(n = 186)精神卫生临床实习。通过社区态度调查(CAS)在实习前后测量关于DV的知识、态度和信念。比较不同实习类型之间以及不同临床实习前后这些方面的变化。

结果

在两种实习类型中,学生护士同样识别出大量的DV行为,并且拒绝刻板的性别角色以及将DV视为小事的说法。参加任何一种临床实习都增强了对家庭暴力行为的识别;然而,非传统临床实习提高了对某些DV行为严重程度的认知,而参加传统实习则没有。参加非传统实习的护理专业学生在获取支持资源方面的知识有所增加,而参加医院临床实习的护理专业学生在这方面的知识有所减少。

结论

本研究强调了临床实习在塑造护理专业学生对DV理解方面所起的关键作用。虽然参与两种精神卫生临床实习环境都为学生带来了一定益处,但参加非传统精神卫生实习的学生有独特的优势,且因性别而异。值得注意的是,非传统实习增强了所有护理专业学生(包括男性和女性)对遭受DV的个人可获得支持资源的理解。

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