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临床督导员和教育工作者对塑造护生职业身份的条件的看法:一项定性焦点小组研究

Clinical Supervisors' and Educators' Perspectives on Conditions Forming Nursing Students' Professional Identity: A Qualitative Focus Group Study.

作者信息

Soerensen Jette, Holen Mari, Jakobsen Ida Skytte, Larsen Palle, Nielsen Dorthe Susanne

机构信息

UCL University College, Odense, Denmark.

Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

出版信息

Nurs Inq. 2025 Oct;32(4):e70054. doi: 10.1111/nin.70054.

Abstract

Professional identity formation is a pivotal element of nursing education shaped by educational structures and by the roles of clinical supervisors and educators. This qualitative study examines how these stakeholders perceive their role in supporting nursing students' professional identity development and the conditions that influence this process. The empirical material was generated from six focus groups with clinical supervisors from somatic, psychiatric, and home care settings, and educators from diverse teams at a university college. Drawing on critical psychological practice research, the analysis centers on participants' interpretations, their reasons for acting as they do, and the broader societal and institutional conditions framing their practice. Three themes emerged: challenges arising from dual roles, perceived student vulnerability and its impact on the learning process, and a constructed distinction between professionalism and personality in identity formation. The findings illustrate the complex dynamics that, according to participants, shape nursing students' professional identity and highlight the importance of moving beyond explanations of individual shortcomings toward an understanding of challenges as embedded in everyday educational practices. This perspective emphasizes the need for structural changes that foster collaborative and reflective practices and better support students, clinical supervisors, and educators in navigating the complexities of nursing education.

摘要

专业身份形成是护理教育的关键要素,受教育结构以及临床督导和教育工作者的角色影响。这项定性研究探讨了这些利益相关者如何看待自己在支持护理专业学生专业身份发展方面的作用,以及影响这一过程的条件。实证材料来自六个焦点小组,参与者包括来自躯体、精神科和家庭护理机构的临床督导,以及一所大学学院不同团队的教育工作者。基于批判性心理实践研究,分析聚焦于参与者的解读、他们如此行事的原因,以及构成其实践的更广泛的社会和机构条件。出现了三个主题:双重角色带来的挑战、感知到的学生脆弱性及其对学习过程的影响,以及身份形成过程中专业精神与个性的人为区分。研究结果说明了参与者认为塑造护理专业学生专业身份的复杂动态,并强调超越对个体缺点的解释,转而理解日常教育实践中所蕴含挑战的重要性。这一观点强调需要进行结构变革,以促进协作和反思性实践,并更好地支持学生、临床督导和教育工作者应对护理教育的复杂性。

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