Mature women's experiences of preregistration nurse education

Mature women's experiences of preregistration nurse education
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DOI:
10.1046/j.1365-2648.2003.02890.x
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发表时间:
2004-02-01
影响因子:
3.8
通讯作者:
Webb, C
Webb, C
中科院分区:
医学3区
文献类型:
--
作者:
Kevern, J;Webb, C

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背景。英国政府鼓励采取更灵活的招聘策略,以克服合格护士短缺的问题。成熟女性通常在成家后重返校园,这是一个主要目标,但很少有人对她们在护理专业接受高等教育的经历进行评估。本研究的目的是跟进先前对成熟女性学生预注册文凭课程结果的定量研究,以更深入地了解她们的经历,并考虑如何解决她们的需求。在一所高等教育机构进行了五个焦点小组调查,并利用Word for windows的“尖峰”功能对数据进行了专题分析。他们确定了三个主要主题:“不知道会发生什么”、“现实冲击”和“学习游戏”。“学习游戏”的副主题是“学术研究”、“实习和轮班工作”、“管理课程工作量对家庭角色的影响”、“个人成长和不断变化的关系”以及“支持系统和友谊”。这些调查结果与关于妇女在高等教育中的一般经历的报告有关。我们的结论是,成熟女性预注册护理学生的情况和需求是这样的,需要重新设计基本的课程,以便她们能够以允许家庭和学生生活融合的方式参与高等教育,并允许她们以与年轻学生相同的方式从高等教育经验中受益。这项研究受限于其局部性质,但研究结果反映了其他工作的结果,使其具有更广泛的适用性。建议改变的理念和组织未来的方案,以提高其适当性和接受成熟的女性护理学生。
Background. The government of the United Kingdom is encouraging more flexible recruitment strategies to overcome the shortage of qualified nurses. Mature women returning to education, often after completing their families, are a major target, but there has been little evaluation of their experiences as higher education students of nursing.Aim. The aim of the study was to follow-up a previous quantitative study of mature women students' outcomes on preregistration diploma courses in order to gain a deeper understanding of their experiences, and consider ways in which their needs might be addressed.Methods. Five focus groups were conducted in one higher education institution, and data were analysed using thematic analysis, assisted by the 'spike' feature of Word for Windows.Findings. Three major themes were identified: 'Didn't know what to expect', 'Reality shock' and 'Learning the game'. Subthemes of 'Learning the game' were 'Academic study', 'Practice placements and shift work', 'Managing the effect of course workload on domestic roles', 'Personal growth and changing relationships', and 'Support systems and friendships'.Conclusions. The findings are discussed in relation to reports of women's experiences in higher education in general. We conclude that the situation and needs of mature women preregistration nursing students are such that fundamental curriculum redesign is needed so that they can participate in higher education in ways that allow integration of their family and student lives, and permit them to benefit from the higher education experience in the same ways as younger students. The study is limited by its local nature, but the findings mirror those of other work, giving reassurance of its wider applicability. Recommendations are made for changes in the philosophy and organization of future programmes to improve their appropriateness and acceptability to mature women nursing students.