Translating person-centred care: a case study of preceptor nurses and their teaching practices in acute care areas
Translating person-centred care: a case study of preceptor nurses and their teaching practices in acute care areas
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DOI：
10.1111/j.1365-2702.2006.01366.x
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发表时间：
2006-05-01
影响因子：
4.2
通讯作者：
McCarthy, B
中科院分区：
文献类型：
--
作者：
McCarthy, B
目的和目标。本研究旨在探讨导师如何解释，操作，文件和教导以人为本的护理，因为他们引导学生在一个急性手术环境。以人为本的护理是一个术语，是广泛使用的护理文献，然而，它的解释在护理实践中仍然几乎未被探索。这是具有重要意义的护士一般，但爱尔兰护士，特别是谁这项研究的重点。由于导师护士已被确定为临床学生的教育中的关键人物，它被认为是重要的，探讨临床导师如何促进以人为本的护理，目前本科护生。设计和方法。本研究采个案研究设计，采质性研究方法，选取六位教师参与研究。资料收集方式为参与观察、回顾护理记录及半结构式访谈。数据分两个阶段进行分析。第一阶段涉及确定主题。在第二阶段，使用一些命题来分析数据，以检查和解释在文献中最初确定的背景下从数据中收集到的内容。研究结果强调，导师有一个有限的概念，以人为本的护理。护理措施反映了医学护理模式。除此之外，老师们还表示了良好的举止或尊重礼仪方面的照顾。辅导员对学习所需的内容也认识有限，并且除了他们认为对安全实践至关重要的内容之外，对课堂理论持怀疑态度。结论。这项研究强调，导师需要内部和外部的支持，以实施由护理委员会在1998年，护理教育论坛在2000年，卫生和儿童部在2001年和一个边界Altranais在2003年倡导的变化。以人为本的护理是一个相对较新的概念，在护理和建议的做法。指导者需要促进其执行。为了促进医疗保健服务的变化，建议大学讲师授权学生实践循证护理作为学生，随后作为合格的护士。
Aims and objectives. The research aims to explore how preceptors interpret, operationalize, document and teach person-centred care as they guide students within an acute surgical environment.Background. Person-centred care is a term that is widely used in the nursing literature; however, its interpretation in nursing practice remains virtually unexplored. This is of great significance to nurses in general but to Irish nurses in particular on whom this study is focused. As preceptor nurses have been identified as key people in the education of clinical students, it was considered important to explore how clinical preceptors promote person-centred care to current undergraduate nursing students.Design and method. Using a case study design and a qualitative approach, six preceptors were chosen to participate in this study. Data were collected by means of participant observation, review of nursing care records and semi-structured interviews. Data were analysed in two stages. The first stage involved the identification of themes. In the second stage data were analysed using a number of propositions to examine and explain what was gleaned from the data in the context of what was originally identified in the literature.Results. Findings highlighted that preceptors had a limited conception of person-centred care. Measures of care reflected the medical model of nursing. Beyond that, preceptors expressed care in terms of good manners or respectful etiquette. Preceptors also had limited appreciation of what learning entails and were sceptical about classroom theory other than what they considered essential for safe practice.Conclusions. This study highlights that preceptors need both internal and external support to implement the changes advocated by the Commission in Nursing in 1998, the Nursing Education Forum in 2000, the Department of Health and Children in 2001 and An Bord Altranais in 2003.Relevance to clinical practice. Person-centred care is a relatively new concept in nursing and recommended for practice. Preceptors need facilitation with its implementation. In an effort to promote changes in the delivery of health care, it is suggested that university-based lecturers empower students to practice evidence-based nursing as students and subsequently as qualified nurses.