Bachelor studies for nurses organised in rural contexts - a tool for improving the health care services in circumpolar region?
Bachelor studies for nurses organised in rural contexts - a tool for improving the health care services in circumpolar region?
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DOI：
10.3402/ijch.v71i0.17902
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发表时间：
2012-01-01
影响因子：
1.3
通讯作者：
Eriksen, Liss
中科院分区：
文献类型：
--
作者：
Nilsen, Gudrun;Huemer, Jeanette;Eriksen, Liss
目的：本文基于芬兰马克大学学院在农村地区组织的护士校外学士课程（BA）的试点研究。目的是探讨这些课程是否有助于减少出缺；校外课程的学习结果是否与校内课程相同，以及教育如何影响护士在当地卫生服务机构的专业实践。研究设计：在本研究中，我们采用混合策略收集和分析数据。方法：收集2009/2010年3个校外班级及其同期校内班级的课程完成情况、平均年龄、平均成绩和留校效果等数据。然后对7名校外护士进行访谈。对数据采用了内容分析方法。结果：校外开设护士本科课程是最有效的措施之一，保留率为93%，农村地区尤为明显。雇主对毕业后继续教育的支持似乎是高保留率的一个重要因素。地方小组学习活动等教学方法影响护士的专业发展。当地的培训补助、监督和当地的学习环境对他们毕业后选择第一份工作很重要。结论：该研究证实，通过校外课程教育的护士在毕业后仍留在该县一段时间。“本土”护士熟悉当地文化和这个偏远地区人口的特殊需求。该研究证实了其他研究的发现，即继续教育是留住护士的重要因素。
Objectives: This article is based on a pilot study of Finnmark University College's off-campus bachelor programme (BA) for nurses, organised in rural areas. The objectives were to explore whether these courses had contributed to reduced vacancies; whether the learning outcome of the off-campus courses was the same as the on-campus programme, and how the education had influenced the nurses' professional practice in local health services.Study design: In the study we used mixed strategies in data collection and analyses.Methods: Data about course completion, average age, average grades and retention effect were collected in 2009/2010 from 3 off-campus classes and their contemporary on-campus classes. Then 7 of the off-campus nurses were interviewed. A content analytical approach to the data was employed.Results: With retention of 93%, the off-campus BA course for nurses has been one of the most effective measures, particularly in rural areas. The employers' support for further education after graduating seems to be an important factor for the high retention rate. Teaching methods such as learning activities in small local groups influenced the nurses' professional development. Local training grants, supervision and a local learning environment were important for where they chose their first job after graduation.Conclusions: The study confirms that nurses educated through off-campus courses remain in the county over time after graduating. The "home-grown" nurses are familiar with the local culture and specific needs of the population in this remote area. The study confirms findings in other studies, that further education is an important factor for nurses' retention.