• No results found

Lärande av praktiska färdigheter Studier av lärande i olika arenor av

N/A
N/A
Protected

Academic year: 2021

Share "Lärande av praktiska färdigheter Studier av lärande i olika arenor av"

Copied!
2
0
0

Loading.... (view fulltext now)

Full text

(1)

Lärande av praktiska färdigheter

Studier av lärande i olika arenor

av

Mona Ewertsson

Akademisk avhandling

Avhandling för medicine doktorsexamen i Medicin med inriktning mot Hälso- och vårdvetenskap

som kommer att försvaras offentligt Fredagen den 21 april 2017 kl. 13.00,

Hörsal P2, Örebro universitet Opponent: Docent Elisabeth Carlson

Malmö högskola Malmö Örebro universitet Institutionen för Hälsovetenskaper Örebro universitet 701 82 Örebro

(2)

Abstract

Mona Ewertsson (2017): Learning practical skills within nursing profession – studies of learning in different arenas. Örebro Studies in Care Sciences 70. A central part of the nursing profession is the performance of practical skills. In order to provide adequate care, maintain patient-safety, and feel comforta-ble in the profession, registered nurses (RNs) need to be equipped with requi-site skills. Overall aim: To explore and describe how learning and develop-ment of practical skills occurs during the preparatory phases and within the nursing profession. Method: Qualitative (I, III, IV) and quantitative methods (II) were used. Data were collected through individual interviews (I, IV), ques-tionnaires (II) and participant observations, including informal talks (III, IV). Results: Both students and new RNs expressed a need to learn and develop practical skills (I, II, III, IV). Less than half of the new RNs had access to a clinical skill laboratory (CSL), where they could learn and practice practical skills (II). The students described that learning at a CSL had been meaning for their clinical practice. They also expressed a great need for continuing learning in real patient situations (I, III, IV). During clinical practice, preceptors and students took different approaches which affected student’s learning process-esö (I, III, IV). There was a tension between learning at a CSL and learning in clinical practice sites because students perceived differences in the perfor-mance of skills. Students described that they understood that perforperfor-mance of skills could be done in different ways without injuring patients. However, the data also showed deviations in performances that could jeopardize patient-safety. In these situations, student’s behavior differed (I, IV). One third of new RNs deviated from evidence based guidelines when they performed practical skills which they were unfamiliar with (II). Both students and new RNs re-ported that reflection in connection with the performance of practical skills was not common (I, II III, IV). Conclusions: Cooperation between university CSLs and clinical settings must be intensified in order to enhance the under-standing of learning processes regarding practical skills. A consensus regard-ing academic approaches should be reached. Universities need to support pre-ceptors in educational issues where the importance of reflection is clarified and exemplified. Increasing patient-safety requires that new RNs receive op-portunities for training in artificial environments, and that a culture that rein-forces the use of guidelines and a reflective stance is cultivated.

Key word: clinical skill laboratories, learning, new registered nurses, nurse education, nurse student, practical skills, simulation, socialization

Mona Ewertsson, School of Health Sciences, Örebro University, SE-701 82 Örebro, Sweden, e-mail: mona.ewertsson@oru.se

References

Related documents

Förtroendet för systemet är av yttersta vikt när farliga operationer skall genomföras där höga krav ställs på soldater och officerare, en god tilltro till den egna

Utmaningen för både universitetets KTC och hälso- och sjukvårdens verksamheter är inte att lära studenterna eller nyutbildade sjuksköterskor ett enda specifikt sätt att

Det innebär att det krävs ett samarbete mellan lärosätet och hälso- och sjukvårdens ak- törer för att optimera studentens möjlighet till att lära praktiska färdigheter och

Alongside those potential applications, several challenges facing the adoption of the blockchain technology by the AEC industry were also underlined in the literature

För att kunna göra en så bra analys som möjlig med relevans för syfte och frågeställningar menar Jacobsen (2008) att en form av kategorisering är till stor hjälp för att få

interesting aspect for further research would be comparing a group of assistant nurse students who choose the program and take a study loan with the group of students who are

To evaluate if a higher win rate could be achieved when training an agent to play a nondeter- ministic match-three game with Proximal Policy Optimization, compared to average

To achieve the aim of this thesis, two studies were performed on learning manual and procedural clinical skills in simulation skills training: one about