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护理教育中的临床适应能力:泰国教师对支持学生成长的见解

Clinical Resilience in Nursing Education: Insights from Thai Instructors on Supporting Student Growth.

作者信息

Aryuwat Pimwalunn, Holmgren Jessica, Asp Margareta, Radabutr Matanee, Lövenmark Annica

机构信息

Boromarajonani College of Nursing Udonthani, Faculty of Nursing, Praboromarajchanok Institute, Udon Thani 41330, Thailand.

School of Health, Care and Social Welfare, Mälardalen University, 721 23 Vasteras, Sweden.

出版信息

Nurs Rep. 2025 May 20;15(5):180. doi: 10.3390/nursrep15050180.

Abstract

Resilience is a cornerstone attribute for nursing students, enabling them to adapt to stressful situations encountered during their educational journey and subsequent healthcare career. This qualitative study aimed to explore nursing instructors' experiences promoting resilience among nursing students during clinical education. Focus groups were conducted with 27 instructors from four nursing colleges in Thailand. Data were analyzed using Braun and Clarke's inductive thematic analysis approach, guided by the Unitary Caring Science Resilience-Building Model. : Two main themes emerged: (1) Challenges to Nursing Students' Resilience and (2) Support Strategies for Enhancing Resilience. Challenges included bridging theory and practice, upholding confidence in clinical skills, adapting to new clinical environments, and managing expectations. Support strategies encompassed providing comprehensive preparation, fostering open communication, implementing peer support systems, and utilizing reflective practice. The findings highlight the complex interplay of factors affecting nursing students' resilience and the multifaceted approaches instructors use to support it. This study underscores the need for a holistic approach to nursing education that addresses clinical competence and psychological well-being. Implications include curriculum redesign to bridge the theory-practice gap, enhanced instructor training in mentorship and resilience-building, implementation of comprehensive student support systems, and technology integration to support learning and resilience.

摘要

适应力是护理专业学生的一项关键特质,使他们能够适应在教育过程及后续医疗职业生涯中遇到的压力情境。本定性研究旨在探讨护理教师在临床教育中促进护理专业学生适应力的经验。对泰国四所护理学院的27名教师进行了焦点小组访谈。数据采用布劳恩和克拉克的归纳主题分析法进行分析,以整体护理科学适应力构建模型为指导。出现了两个主要主题:(1)护理专业学生适应力面临的挑战;(2)增强适应力的支持策略。挑战包括弥合理论与实践的差距、保持对临床技能的信心、适应新的临床环境以及管理期望。支持策略包括提供全面准备、促进开放沟通、实施同伴支持系统以及运用反思性实践。研究结果凸显了影响护理专业学生适应力的因素之间的复杂相互作用,以及教师用于支持适应力的多方面方法。本研究强调了采取整体护理教育方法以兼顾临床能力和心理健康的必要性。其启示包括重新设计课程以弥合理论与实践的差距、加强教师在指导和适应力培养方面的培训、实施全面的学生支持系统以及整合技术以支持学习和适应力。

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