点击蓝字
关注我们
1.文献信息：
Title:An exploration of nursing students' lived experience of clinical placement in adult male prisons: A phenomenological study.
护生在成年男性监狱临床实习生活体验的现象学研究。
Journal:Journal of Advanced Nursing .
IF//JCR分区: 3.8/Q1.
Keyword:education, ; nursing ; prisons ; students.
教育；护理；监狱；学生。
Design:A phenomenological study.
现象学研究。
2. 摘要 Abstract：
（译文仅供参考）
Aim: To explore nursing students' lived experience of a clinical placement within healthcare in a prison, to gain an insight into the support provided prior to and during this unique clinical placement.
目的:探索护理专业学生在监狱医疗保健部门的临床实习的生活经历，以深入了解在这种独特的临床实习之前和期间提供的支持。
Methods: Participants included 14 nursing students from three undergraduate nursing programmes in England, Adult (n= 4), Learning Disability (n= 3) and Mental Health (n= 7). Following a clinical placement in a prison, each participant completed a semistructured audio-recorded interview on MS Teams between October and December 2021. Audio recordings were transcribed verbatim and thematic analysis was completed.
方法:参与者包括14名护生，分别来自英国三个本科护理专业，成人(n= 4)，学习障碍(n= 3)和心理健康(n= 7)。在监狱的临床安置之后，每位参与者在2021年10月至12月期间完成了MS团队的半结构化录音采访。录音资料逐字抄录，并完成了专题分析。
Results: Two overarching themes were identified, ‘shock’ due to the (a) reality of prison; (b) overwhelming emotional impact and (c) frequency and severity of self-harm and ‘surprise’ due to (a) the need to work with prison officers; (b) recognizing and addressing preconceptions of people in prison and (c) the development of clinical knowledge, skills and becoming a nurse.
结果:确定了两个总体主题，“震惊”由于(a)监狱的现实;(b)压倒性的情感影响和(c)自残的频率和严重程度以及由于(a)需要与监狱官员合作而造成的“惊讶”;(b)认识和解决对监狱人员的先入之见;(c)发展临床知识、技能和成为一名护士。
Conclusions: The need remains for a comprehensive strategy of preparation and orientation for nursing students before commencing a clinical placement in prison, which includes the development of knowledge and clinical skills to support the complex health and social care needs of people in prison.
结论:在开始监狱临床实习之前，仍然需要为护理学生制定一项全面的准备和指导战略，其中包括发展知识和临床技能，以支持监狱中人员复杂的健康和社会护理需求。
Impact: Our research identified the support provided to nursing students prior to clinical placement in prison varies considerably. The development of a preparation and orientation programme has the potential to reduce pre-placement anxiety, emotional burden and support nursing students in addressing their preconceptions of people in prison. This approach is essential to support future nursing students to embrace the unique opportunity of a clinical placement within a prison, enhance their clinical knowledge and skills, and develop as a nurse.
影响:我们的研究发现，在监狱临床安置之前，为护理学生提供的支持差异很大。制定准备和定向方案有可能减少安置前的焦虑和情绪负担，并支持护理专业学生解决他们对监狱中的人的先入之见。这种方法对于支持未来的护理专业学生接受监狱内临床实习的独特机会，提高他们的临床知识和技能，并发展成为一名护士至关重要。
3.文献新知扩展：
①归纳现象学和海德格尔哲学
原文原句：
The study design was influenced by inductive phenomenology and the work of Heidegger (1962). Heideggerian philosophy is a theoretical approach and a method that guides the exploration to understand the essence and meaning of being. Heidegger discussed an ontological approach to discover the meaning of being, which is achieved through a process of interpretation of an individual's understanding of their world of objects and relations through language (Heidegger, 1962). Nursing research has applied Heideggerian philosophy, to understand the essence and meaning of particular phenomena, such as receiving or providing healthcare, through exploration of the lived experiences of individuals (GuerreroCastañeda et al, 2019). A Heideggerian approach supported the development of this study and the aim to understand nursing students' experience of a clinical placement in prison, and how the students interpreted and made sense of their feelings, provision of care and learning within this restricted environment.
研究设计受到归纳现象学和海德格尔(1962)著作的影响。海德格尔哲学是指导人们认识存在的本质和意义的一种理论途径和方法。海德格尔讨论了一种本体论的方法来发现存在的意义，这是通过通过语言解释个人对其对象和关系世界的理解的过程来实现的(海德格尔，1962)。护理研究应用了海德格尔哲学，通过探索个人的生活经历来理解特定现象的本质和意义，例如接受或提供医疗保健(GuerreroCastañeda等人，2019)。海德格尔的方法支持了这项研究的发展，目的是了解护理学生在监狱的临床安置经历，以及学生如何在这种有限的环境中解释和理解他们的感受、提供护理和学习。
归纳现象学是一种哲学方法，它强调通过直观和经验来研究人类经验和意识的本质特征，以寻求哲学真理。在定性研究中，归纳现象学方法涉及描述现象的特征、本质属性、结构和意义，观察感知、直觉和思维过程，以及从感性和经验入手进行归纳和总结，以发现表象之下的本质特征。
②监狱安全等级
原文原图：
③归纳现象学方法
原文原句：
Data analysis was completed from an inductive phenomenological approach in adherence with the six phases of thematic analysis as described by Braun and Clarke (2022). The first phase, familiarization with the data, was commenced during the transcription process, and reading and re-reading of the final transcripts, which was completed by J.B. and M.R. The following three phases coding, searching for themes and reviewing themes were completed simultaneously by J.B. and M.R. Codes were developed through notes and highlighting of direct quotes; this process was completed until no new codes were identified. When all codes were identified, these were explored and grouped to develop possible themes.
数据分析采用归纳现象学方法，遵循Braun和Clarke(2022)所描述的主题分析的六个阶段。第一阶段，数据熟悉，在转录过程中开始，最后的转录稿的阅读和重读，由J.B.和M.R.完成。接下来的三个阶段，编码、主题搜索和主题回顾由J.B.和M.R.同时完成。直到没有发现新的代码，这个过程才结束。当所有代码被确定后，这些代码被探索和分组，以开发可能的主题。
4.原文传递
✦
END
✦
