在理论与实践的鸿沟中工作:讲师实践者的故事

Alex Carson DipN MSc PhD RGN PGCE RNT, Ros Carnwell BA MA PhD RGN RHV Cert Ed (FE)
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引用次数: 34

摘要

通过对预注册护士的临床教育,缩小理论与实践的差距,具有重要的国际意义。尼泊尔、香港及土耳其均有报告指出,在监督学生进行临床教育时遇到困难,而不同国家亦对注册前的临床经验作出不同规定。在英国,注册前护理教育标准和课程内容使护士能够安全执业,并在法规中有明确规定。学生在临床实践中花费50%的课程,在那里他们在导师,讲师从业者(LP)和链接导师的指导下应用理论概念。本文介绍了一项三阶段研究的第一阶段的结果,该研究旨在探讨导师、lp和链接导师之间的差异,以及他们如何共同努力,使预注册护理学生能够将理论与实践相结合。本阶段研究的目的是探索LP角色如何在整个研究领域中实施,以及他们如何与导师合作,并将导师联系起来,使学生能够将理论与实践相结合。对有限合伙人进行了11次半结构化访谈。采用恒值比较法对数据进行分析。数据中出现了三个主题——参与者对自己角色的看法以及他们与他人的关系(在两个阵营中都有一席之地);参与者对学生适应实践的关心(正确看待);参与者对他们的工作如何得到改善(使工作更好)的看法。本文讨论了这三个主题,即LP的角色与导师和联系导师的角色有何不同,以及他们如何共同促进注册前护理学生的理论/实践整合。
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Working in the theory–practice gap: the lecturer practitioner's story

Narrowing the theory–practice gap through clinical education of pre-registration nurses is of international importance. Difficulties arising from supervising students in clinical education have been reported in Nepal, Hong Kong and Turkey and different countries also make various provisions for pre-registration clinical experience. In the UK, pre-registration nursing education standards and course content equip nurses to practice safely and are defined in statute. Students spend 50% of the course in clinical practice where they apply theoretical concepts under the guidance of a mentor, lecturer practitioner (LP) and link tutor.

This paper presents the results of the first phase of a three-phase study, which sought to explore differences between mentors, LPs and link tutors and how they work together to enable pre-registration nursing students to integrate theory and practice. The aim of this phase of the study was to explore how LP roles were implemented across the study area and how they worked with mentors and link tutors to enable students to integrate theory and practice.

Eleven semistructured interviews of LPs were conducted. The constant comparison method was used to analyse the data. Three themes emerged from the data — participants’ perceptions of their role and how they relate to others (a foot in both camps); participants’ concern to fit students for practice (look at it the right way); participants’ perceptions of how their work could be enhanced (making the job better). This paper discusses these three themes in relation to how the LP role differs from that of mentors and link tutors and how they work together to facilitate theory/practice integration in pre-registration nursing students.

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