A framework to develop a clinical learning culture in health facilities: ideas from the literature
A framework to develop a clinical learning culture in health facilities: ideas from the literature
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DOI：
10.1111/j.1466-7657.2010.00858.x
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发表时间：
2011-06-01
影响因子：
4.1
通讯作者：
Paterson, K.
中科院分区：
文献类型：
--
作者：
Henderson, A.;Briggs, J.;Paterson, K.
背景：在国际上，有一个在临床实践环境中教育护士的需求增加。临床实践设置，鼓励教学和学习期间的情节护理delivery.Aim：本文提出了一个框架，告知文献，确定了关键因素，需要鼓励相互作用的基本学习在临床practice.Key概念：学习发生时，护士展示良好的做法，通过对话和讨论分享他们的知识，并提供反馈给学习者，如学生和新手。当积极的领导实践鼓励工作人员之间的信任和开放，当管理团队为工作人员提供课程，学习如何与学习者互动，以及当伙伴关系提供支持和指导，在工作场所学习时，这些类型的互动就会发生。从建议的测量工具的反馈可以提供有价值的信息，这些概念在临床学习环境中的积极和消极方面。的分量表的分析可以帮助确定适当的建议策略概述的框架，以指导护士在改善公认的赤字之间的关系concepts.Conclusion：领导，管理和伙伴关系是至关重要的积极的学习环境的创建和维护。诊断性测量工具可以提供关于这些领域弱点的具体信息。这些知识可以指导未来的举措。
Background:Internationally, there is an increase in demand to educate nurses within the clinical practice environment. Clinical practice settings that encourage teaching and learning during episodes of care delivery can be powerful in educating both the existing nursing workforce and nursing students.Aim:This paper presents a framework, informed by the literature, that identifies the key factors that are needed to encourage the interactions fundamental to learning in clinical practice.Key concepts:Learning occurs when nurses demonstrate good practice, share their knowledge through conversations and discussions, and also provide feedback to learners, such as students and novices. These types of interactions occur when positive leadership practices encourage trust and openness between staff; when the management team provides sessions for staff to learn how to interact with learners, and also when partnerships provide support and guidance around learning in the workplace.Application of concepts:This framework presents how the concepts of leadership, management and partnership interact to create and sustain learning environments. The feedback from proposed measurement tools can provide valuable information about the positive and negative aspects of these concepts in the clinical learning environment. Analysis of the subscales can assist in identifying appropriate recommended strategies outlined in the framework to guide nurses in improving the recognized deficits in the relationship between the concepts.Conclusion:Leadership, management and partnerships are pivotal for the creation and maintenance of positive learning environments. Diagnostic measurement tools can provide specific information about weaknesses across these areas. This knowledge can guide future initiatives.