临床学习环境下护生专业自主培养经验之现象学研究

IF 2.8 3区医学 Q1 NURSING

Journal of Professional Nursing Pub Date : 2025-06-29 DOI:10.1016/j.profnurs.2025.06.006

Viktoriya Pleshkan PhD, APRN, FNP-C Assistant Professor

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引用次数: 0

摘要

背景：执业护士学生从观察到更独立的临床活动的进展，在最小的导师提示是必要的，以准备学生的实践。目的本研究的目的是描述和解释NP和医师导师的经验，准备护士执业学生过渡到成为自主的临床医生在他们的经验在临床现场。方法以范曼南的解释学现象学方法为基础进行定性研究。选取了27个有目的的标准和最大变异样本。通过深度访谈收集数据，并采用VanManen的方法进行分析。结果在人际关系、生活身体、生活时间、生活物品和生活空间的主题中，学生特征（准备、动机和信心）、教师特征（期望、信任、反馈）、场所特征（文献和电子病历）是学生特征的子主题；校长;提供者、工作人员和资源；病人和病人护理的复杂性)，以及时间（临床时间表和教学时间）。培养学生专业自主发展的关键因素是师长信任和师长委托决策。结论与意义本研究的结果可以帮助指导教师如何培养NP学生的专业自主发展，并在临床学习环境（CLE）中成功地融入更多独立的临床活动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Phenomenological study of preceptors' experiences with fostering nurse practitioner students' professional autonomy development in a clinical learning environment

Background

Nurse practitioner students' progression from observational to more independent clinical activities with minimal preceptor prompting is necessary to prepare students for practice.

Purpose

The purpose of this study was to describe and explain NP and physician preceptors' experiences with preparing nurse practitioner students for their transition to becoming autonomous clinicians during their experiences at clinical sites.

Methods

This hermeneutic phenomenological qualitative study was based on Van Manen's methodology. A purposive criterion and maximum variation sample of 27 preceptors was recruited. Data were collected using in-depth interviews and analyzed by VanManen's approach.

Results

Results showed that within the themes of human relation, lived body, lived time, lived things, and lived space, subthemes of student's characteristics (preparedness, motivation, and confidence), preceptors' characteristics (expectations, trust, feedback), site characteristics (documentation and EMR; preceptors; providers, staff, and resources; patients and patient care complexities), and time (clinical schedule and time to teach) were present. The key factors in fostering students' professional autonomy development were preceptor trust and their entrustment decisions.

Conclusions and implications

This study's results can help create preceptor and faculty guidance on how to foster NP students' professional autonomy development and successfully incorporate more independent clinical activities within the clinical learning environment (CLE).

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来源期刊

Journal of Professional Nursing 医学-护理

CiteScore

4.80

自引率

8.00%

发文量

153

审稿时长

52 days

期刊介绍： The Journal will accept articles that focus on baccalaureate and higher degree nursing education, educational research, policy related to education, and education and practice partnerships. Reports of original work, research, reviews, insightful descriptions, and policy papers focusing on baccalaureate and graduate nursing education will be published.