Cheetham Nina B, Norbye Bente
Department of Health and Care Sciences, UiT Norges Arktiske Universitet, Tromsø, Norway.
Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Int J Circumpolar Health. 2025 Dec;84(1):2513105. doi: 10.1080/22423982.2025.2513105. Epub 2025 Jun 6.
This article explores the challenges and opportunities for nursing students during clinical placements in rural areas with Indigenous and minority populations, specifically focusing on the Sami and Kven communities in Northern Norway. It highlights the importance of cultural sensitivity and competence in nursing education, as emphasised by the National Framework for Nursing and Health Professional Education. The Arctic Samprax project, utilising an action research approach, aims to develop sustainable practice models that integrate cultural sensitivity into nursing students' learning experiences. The study reveals that explicit supervision and reflective dialogue are crucial for students to understand and address cultural aspects in healthcare. Challenges such as staff shortages, inconsistent supervision, and lack of continuity hinder the learning process. The article emphasises the need for collaboration between educational institutions and rural practice sites to enhance students' cultural competence. Recommendations include developing preparatory programs focusing on the learning outcomes relevant for rural practice placements, as well as increasing practice placements in Indigenous areas. The study underscores the responsibility of educational institutions in circumpolar regions to contribute to inclusive and equitable healthcare services for diverse populations. We suggest a greater focus on cultural humility in the curriculum to align with the ethical guidelines for nurses.
本文探讨了护理专业学生在有原住民和少数民族人口的农村地区进行临床实习时所面临的挑战与机遇,特别关注挪威北部的萨米族和克文人社区。文章强调了护理教育中文化敏感性和能力的重要性,这一点在《护理与健康专业教育国家框架》中得到了强调。北极桑普拉克斯项目采用行动研究方法,旨在开发可持续的实践模式,将文化敏感性融入护理专业学生的学习体验中。研究表明,明确的指导和反思性对话对于学生理解和应对医疗保健中的文化问题至关重要。人员短缺、指导不一致以及缺乏连续性等挑战阻碍了学习进程。文章强调教育机构与农村实习地点之间需要开展合作,以提高学生的文化能力。建议包括制定侧重于与农村实习相关学习成果的预备课程,以及增加在原住民地区的实习安排。该研究强调了环极地地区教育机构为不同人群提供包容和平等医疗服务的责任。我们建议在课程中更加注重文化谦逊,以符合护士的道德准则。