Clinical supervision in primary health care; experiences of district nurses as clinical supervisors - a qualitative study

BMC Nursing

Päivi Kaila³  Charlotte Silén¹  Elisabeth Bos² 

[1] Karolinska Institutet, Department of Learning, Informatics, Management and Ethic, Stockholm, Sweden;Karolinska Institutet, Centre for Family Medicine, Department of Neurobiology, Care Sciences and Society, Alfred Nobels Allé 12, Huddinge, Sweden;Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden

关键词: Qualitative content analysis;    Primary health care;    Supervisor;    District nurse;   

Others  :  1221256
DOI  :  10.1186/s12912-015-0089-3

 received in 2014-01-24, accepted in 2015-07-14,  发布年份 2015

【 摘 要 】

Background

Learning in the clinical environment is an important part of nursing education. Several recent studies focusing on clinical learning have been based on hospital settings. Little is known about primary health care (PHC) as clinical environment where district nurses (DNs) or nurses supervise students. It is important to understand more about opportunities and difficulties in supervising in this area in order to develop PHC as an optimal learning environment for nursing students. The main objective of this study was to gain an understanding of supervisors’ experiences of supervising undergraduate students at PHC units.

Methods

A qualitative research approach was used to collect data and analyse supervisors’ experiences. Six focus groups were carried out with 24 supervisors. Focus group data were audio-taped. The data were analysed using an inductive content analysis.

Results

Three themes illustrated supervisors’ experiences: abandonment, ambivalence and sharing the holistic approach. Supervisors felt abandoned by their managers, colleagues and nurse teachers from universities. They experienced ambivalence due to simultaneously being supervisors for students and carrying out their daily work with patients. At the same time, they were proud to be DNs and willing to share their unique role to apply a holistic approach and continuity in patient care with students.

Conclusion

When supervising students in PHC, social support and communication between supervisors and their colleagues and management as well as nurse teachers need to be taken into consideration both at universities and at primary health care units.

【 授权许可】

   
2015 Bos et al.

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