The Structure of the Study Support Provided by Supervisors in the Psychiatric Nursing Practicum

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  • 精神看護学実習における実習指導者の学習支援の構造
  • セイシン カンゴガク ジッシュウ ニ オケル ジッシュウ シドウシャ ノ ガクシュウ シエン ノ コウゾウ

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The purpose of this research is to clarify the structure of the study support provided for a student nurse in a clinical practicum in psychiatric nursing and mental health, focusing on the role of the supervisor. The participants in this qualitative, inductive research are 10 male and female nurses who have worked for five or more years in psychiatric wards at one of three different hospitals, and who are acting as practicum supervisors. The researcher performed half-structured interviews with them about their impressions working in this role, and analyzed the results using a Modified Grounded Theory approach. The study support provided by these supervisors in the clinical practicum in psychiatric nursing and mental health exhibited a 3-faceted functional structure consisting of a total of 7 categories and 29 distinct concepts. The three aspects were firstly Target Attainment Support, which could be separated into the five categories of "primary encounter," "overcoming barriers with the mentally disabled," "proactive involvement with the medical treatment team," "promoting an enhanced patient-student clinical relationship," and finally "phasing out the study support"; secondly the aspect of leading students into the Realm of Study, which can be classified as "preventing an early exit from the profession by enticing students into the patient's world"; and thirdly the aspect of Total Mental Support for the whole clinical practicum, which includes the category of "protection from intimidation". This study makes three suggestions: for supervisors, a structured learning support model; for teachers, for whom direct intervention is typically difficult, a means of coordinating with the clinical side; and for the medical care team, a structure for making full use of the practicum system in the treatment of patients.

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