Exploring nurses' role in guiding residents' workplace learning: A mixed-method study.

Autor: Jansen I; Professional Performance and Compassionate Care Research Group, Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands., Silkens MEWM; Centre for Healthcare Innovation Research, City University of London, London, UK., Galema G; University Medical Center Groningen, Department of Anesthesiology, University of Groningen, Groningen, The Netherlands., Vermeulen H; Scientific Center for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.; School of Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands., Geerlings SE; Internal Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; Amsterdam Institute for Infection and Immunity, Amsterdam, The Netherlands., Lombarts KMJMH; Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands.; Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands., Stalmeijer RE; School of Health Professions Education, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Jazyk: angličtina
Zdroj: Medical education [Med Educ] 2023 May; Vol. 57 (5), pp. 440-451. Date of Electronic Publication: 2022 Oct 26.
DOI: 10.1111/medu.14951
Abstrakt: Introduction: Understanding residents' workplace learning could be optimized by not only considering attending physicians' role but also the role of nurses. While previous studies described nurses' role during discrete activities (e.g. feedback), a more profound understanding of how nurses contribute to residents' learning remains warranted. Therefore, we used the educational concept of guidance and explored the extent to which residents' and nurses' perceptions align regarding nurses' guiding role and which reasons they provide for their perceptions.
Methods: This mixed-method study was conducted at four Dutch university medical centres in 2021. We simultaneously collected quantitative and qualitative data from 103 residents and 401 nurses through a theory-informed questionnaire with a Likert-scale and open-ended questions. We analyzed quantitative data to explore respondents' perceptions of nurses' guiding role by using anova. The thematically analyzed qualitative open comments explored respondents' reasons for their perceptions.
Results: Nurses indicated to provide significantly more support (p = .01) and guidance on learning from patient care (p < .01) than perceived by residents. Moreover, nurses indicated that attending physicians did not always involve them in guiding residents, whereas residents perceived nurses were being involved (p < .001). Themes suggest that nurses and residents could be divided into two groups: (i) respondents who felt that guiding was inextricably linked to good interprofessional collaboration and patient care and (ii) respondents who saw the guiding role as limited and emphasised the distinct fields of expertise between nurses and physicians.
Conclusions: Residents and nurses felt that nurses played an important role in guiding residents' workplace learning. However, some residents did not always perceive to be guided. To further capitalise on nurses' guiding role, we suggest that residents can be encouraged to engage in the learning opportunities nurses provide to achieve optimal team-based patient care.
(© 2022 The Authors. Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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