Health Professional Education Health Professional Education Living on the Edge: Issues That Undermine the Capacity of Residential Aged Care Providers to Support Student Nurses on Clinical Placement
Health Professional Education Health Professional Education Living on the Edge: Issues That Undermine the Capacity of Residential Aged Care Providers to Support Student Nurses on Clinical Placement
复制标题
卫生专业教育 卫生专业教育 生活在边缘：削弱住院老年护理提供者支持实习护士临床实习能力的问题
DOI：
--
复制
发表时间：
--
期刊：
影响因子：
--
通讯作者：
M. Fassett
中科院分区：
文献类型：
--
作者：
A. Robinson;S. Andrews;Assoc Prof;M. Fassett
本文部分报道了“老年护理建立联系”项目，该项目旨在为澳大利亚塔斯马尼亚州住院老年护理的本科护理学生开发高质量的临床实习。该项目采用行动研究方法，并使用多种方法收集数据，探讨了影响学生安置经历的问题，实施了解决已识别问题的策略，并测试了所取得成果的可持续性。这项研究强调了住宅老年护理设施对不断变化的条件的脆弱性，并表明与人员配置和工作量相关的问题情况如何很容易削弱其为澳大利亚人口老龄化1 提供支持性教学和学习环境的能力，这给老年护理提供者带来了挑战。住宅老年护理设施 (RACF) 将为越来越多的体弱老年人提供护理——自 20 世纪 90 年代末以来，有证据表明，进入住宅老年护理机构的人们年龄较大且依赖性程度较高。 2 这种变化突显了吸引经过适当培训的员工提供所需护理的重要性。自 1997 年以来，老年护理行业雇用的注册护士 (RN) 数量一直在稳步下降，3 并且愿意在 RACF 工作的护士短缺 4 令人担忧。临时工和兼职就业水平的提高意味着注册护士目前仅占劳动力的 20% 以上，4 因此，他们在向居民提供“直接护理”方面的作用有所下降。与此同时，个人护理助理（PCA）提供的护理比例显着增加。 5 RACF 中 PCA 数量的不成比例增加导致了 RN 的监督责任增加，而据报道，不适当的技能组合对 RN 的工作满意度以及他们在该部门的招聘和保留产生了负面影响。 6 据报道，老年护理护士的满意度低于其他老年护理人员，也就不足为奇了。 4 有证据表明，工作环境不支持、与人员短缺和高工作量相关的压力，以及增加的抵抗力 - 关于该主题已知什么？住宅老年护理机构被认为是实习护士临床实习的合适地点。然而，关于人员配置和组织问题对学生学习机会的影响的研究却很少。这篇论文添加了什么？关键人员的缺乏和相关的组织条件加剧了设施内的压力水平，对老年护理护士为学生提供富有成效的学习体验的能力产生了负面影响。这 …
This paper reports in part on the Building Connections in Aged Care Project about developing quality clinical placements for undergraduate nursing students in residential aged care in Tasmania, Australia. Informed by an action research approach, and using multi-methods data collection , the three-stage project explored issues impacting on students' experiences of placement, implemented strategies to address identified issues, and tested the sustainability of achievements gained. This research highlights the vulnerability of residential aged care facilities to changing conditions and shows how problematic circumstances related to staffing and workloads can readily undermine their capacity to provide supportive teaching and learning environments for THE AGEING OF Australia' s population 1 presents challenges to aged care providers. Residential aged care facilities (RACFs) will provide care for increasing numbers of frail elderly people —since the late 1990s there is evidence which suggests that people are entering residential aged care older and with greater levels of dependency. 2 This changing profile highlights the importance of attracting appropriately trained staff to provide required care. The number of registered nurses (RNs) employed in aged care has been steadily decreasing since 1997, 3 and with shortages of nurses willing to work in RACFs 4 there is cause for concern. Increasing levels of casualisation and part-time employment mean that RNs now constitute just over 20% of the workforce, 4 and consequently, their role in providing " direct care " to residents has declined. Meanwhile, the proportion of care provided by personal care assistants (PCAs) has increased significantly. 5 The disproportionate increase in the number of PCAs in RACFs has led to increased supervisory responsibilities for RNs, while inappropriate skill mix reportedly has a negative impact on RNs' work satisfaction and their recruitment and retention into the sector. 6 It is not surprising then that aged care nurses are reportedly less satisfied than other aged care workers. 4 Evidence of unsupportive work environments, stress associated with staff shortages and high workloads, combined with increased resi-What is known about the topic? Residential aged care facilities are recognised as appropriate sites for student nurse clinical placements. However, little study has been done on the impact of staffing and organisational issues on student learning opportunities. What does this paper add? The lack of key staff and associated organisational conditions that escalate stress levels within facilities negatively impact on the capacity of aged care nurses to provide students with a productive learning experience. The …