探索实习护理助理在初级护理或社会护理中的家庭安置经历。

Vicki Leah, Paul Watts, Anna Caffrey
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引用次数: 0

摘要

背景:越来越多的护理助理学徒在初级保健或社会护理中接受家庭安置,但对护理助理学徒的这些经历了解有限。目的:探讨实习护理助理在初级保健或社会护理中的家庭安置经历,并初步了解在这些环境中,什么可能支持或阻碍他们的专业发展。方法:采用混合方法研究设计,定性访谈辅以定量调查。参与者是从27名在伦敦一所大学学习的现任或前任护理助理学徒中招募的。采访了11名现任或前任学徒,其中15人完成了调查。研究结果:参与者申请成为护理助理的动机是为了发展专业和推进他们的职业生涯。他们经历了支持性的学习环境,在那里他们感觉自己是团队的一部分,但也经历了不支持性的环境,在这里他们被剥夺了受保护的学习时间和受监督的实践。一些参与者经历了不公平待遇和滥用职权,包括不支付大学学费和外部安置费、性骚扰和边缘化。结论:实习护理人员在初级保健或社会护理的家庭安置中可能有不理想的经历,并受到不公平的待遇和虐待。高等教育机构和雇主需要采取紧急行动,确保学徒护理助理得到充分支持。
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Exploring apprentice nursing associates' experiences of their home placements in primary care or social care.

Background: An increasing number of apprentice nursing associates undertake their home placement in primary care or social care, but there is limited understanding of apprentice nursing associates' experiences in these settings.

Aim: To explore apprentice nursing associates' experiences of a home placement in primary care or social care and provide initial insight into what may support or hinder their professional development in these settings.

Method: A mixed-methods study design was used with qualitative interviews complemented by a quantitative survey. Participants were recruited among 27 current or former apprentice nursing associates studying at one London university. Eleven current or former apprentices were interviewed and 15 completed the survey.

Findings: Participants' motivations for applying to become nursing associates were to develop professionally and advance their careers. They experienced supportive learning environments where they felt part of the team, but also unsupportive learning environments where they were denied protected learning time and supervised practice. Several participants experienced unfair treatment and abuses of power, including non-payment for university days and external placements, sexual harassment and marginalisation.

Conclusion: Apprentice nursing associates can have suboptimal experiences of home placements in primary care or social care and be subjected to unfair treatment and abuse. Urgent action is required from higher education institutions and employers to ensure apprentice nursing associates are adequately supported.

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Coaching members of the healthcare team to improve care provision. Identifying and addressing the challenges experienced by nursing associates. Concerns about practice: supporting staff by fostering a climate of psychological safety. Managing uncivil behaviour in the workplace. How to implement compassionate leadership in nursing teams.
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