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儿科护理中带教制的意义与实践及其对公共卫生的影响:一项扎根理论研究

Meanings and Practices of Preceptorship in Pediatric Nursing and Their Implications for Public Health: A Grounded Theory Study.

作者信息

Silva Thiago Privado da, Soares Flávia Souza, Silva Italo Rodolfo, Duarte Sabrina da Costa Machado, Silva Laura Johanson da, Depianti Jessica Renata Bastos

机构信息

Nursing Institute, Multidisciplinary Center, Federal University of Rio de Janeiro, Macaé 27930-560, Brazil.

Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro 20211-110, Brazil.

出版信息

Int J Environ Res Public Health. 2025 Aug 11;22(8):1255. doi: 10.3390/ijerph22081255.

DOI:10.3390/ijerph22081255
PMID:40869841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12386358/
Abstract

Strengthening the education of health professionals is imperative to effectively address contemporary public health challenges. Preceptorship, by integrating teaching and care within service settings, stands out as a relevant strategy for developing clinical, ethical, and relational competencies. This study aimed to construct a theoretical model based on the meanings attributed by nurse preceptors to preceptorship in pediatric nursing within the context of hospital-based training at a referral institute specializing in rare and complex diseases in Rio de Janeiro, Brazil. The study used Grounded Theory and Symbolic Interactionism as its methodological and theoretical frameworks, respectively, and involved interviews with 14 preceptors. The resulting model characterizes preceptorship as an interactive process materialized in pedagogical practices that integrate technical skill, empathy, responsibility, and creativity into the daily routine of care. The findings offer valuable insights for strengthening professional training programs in health and contribute to public policies that recognize preceptorship as a component of interprofessional education and of workforce development, with a focus on humanization, safety, and contextualized care.

摘要

加强卫生专业人员的教育对于有效应对当代公共卫生挑战至关重要。通过在服务环境中整合教学与护理,带教实习成为培养临床、伦理和人际关系能力的一项相关策略。本研究旨在基于巴西里约热内卢一家专门诊治罕见和复杂疾病的转诊机构在医院培训背景下,儿科护理带教老师对带教实习的理解构建一个理论模型。该研究分别使用扎根理论和符号互动主义作为其方法论和理论框架,并对14名带教老师进行了访谈。所得模型将带教实习描述为一个互动过程,体现在教学实践中,即将技术技能、同理心、责任感和创造力融入日常护理工作中。这些发现为加强卫生专业培训项目提供了宝贵见解,并有助于公共政策将带教实习视为跨专业教育和劳动力发展的一个组成部分,重点关注人性化、安全性和情境化护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ca/12386358/baae068da44f/ijerph-22-01255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ca/12386358/baae068da44f/ijerph-22-01255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ca/12386358/baae068da44f/ijerph-22-01255-g001.jpg

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本文引用的文献

1
Barriers to preceptorship in Interprofessional Education: an integrative review.
Cien Saude Colet. 2025 Jun 2;30(suppl 1):e11472023. doi: 10.1590/1413-812320242911.11472023. eCollection 2025.
2
Qualitative study on nurse preceptors' preparedness, roles and familiarity with the basic principles of teaching and learning in a district hospital in Ghana.加纳某地区医院护士带教老师在教学准备、角色以及对教学基本原则熟悉程度方面的定性研究。
BMJ Open. 2025 Feb 3;15(2):e090743. doi: 10.1136/bmjopen-2024-090743.
3
A Cross-Sectional Study on Nursing Preceptors' Perspectives About Preceptorship and Organizational Support.一项关于护理带教老师对带教工作及组织支持看法的横断面研究
SAGE Open Nurs. 2024 Oct 9;10:23779608241288756. doi: 10.1177/23779608241288756. eCollection 2024 Jan-Dec.
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Facilitators of and Barriers to Effective Preceptorships for Pre-licensure Nursing Students: What Nursing Faculty Need to Know.护理专业学生有效临床带教的促进因素与障碍:护理教师需要了解的内容。
SAGE Open Nurs. 2024 Sep 2;10:23779608241279148. doi: 10.1177/23779608241279148. eCollection 2024 Jan-Dec.
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The role of Empathy in the relationship between emotional support and caring behavior towards patients among intern nursing students.同理心在实习护生对患者的情感支持与关怀行为关系中的作用。
BMC Nurs. 2024 Jun 28;23(1):443. doi: 10.1186/s12912-024-02074-w.
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The effect of the preceptorship training program on the participation of clinical nurses in training nursing internship students: a quasi-experimental study.带教培训计划对临床护士参与护理实习生培训的影响:一项准实验研究。
BMC Nurs. 2024 Jun 7;23(1):395. doi: 10.1186/s12912-024-02034-4.
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Nurses' perspectives on workplace environment needs associated to resilience: a qualitative descriptive study.护士对与复原力相关的工作场所环境需求的看法:一项定性描述性研究。
Front Psychiatry. 2024 Feb 9;15:1345713. doi: 10.3389/fpsyt.2024.1345713. eCollection 2024.
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The lived experiences of nurse preceptors in training new nurses in Qatar: qualitative study.卡塔尔护士带教老师培训新护士的亲身经历:定性研究
BMC Nurs. 2023 Dec 4;22(1):456. doi: 10.1186/s12912-023-01619-9.
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Clinical Preceptor Development and the Benefit of Structured Teaching Techniques: A Scoping Review.临床导师发展与结构化教学技巧的益处:范围综述。
J Physician Assist Educ. 2024 Mar 1;35(1):52-61. doi: 10.1097/JPA.0000000000000525. Epub 2023 Oct 4.
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Preceptorship contributions to the development of clinical and managerial skills in nursing residency.导师制对护理住院医师临床和管理技能发展的贡献。
Rev Bras Enferm. 2023 May 12;76(2):e20220510. doi: 10.1590/0034-7167-2022-0510. eCollection 2023.