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Reflection as a Skill-Clinical Supervision as a Prerequisite for Professional Development to Ensure Patient Safety

Open Journal of Nursing 2017年第9期7卷 979-992页

作者： Eva Roed Rosnaes anne lind jolstad Elisabeth Severinsson anne Lyberg The Centre for Women’s Family and Child HealthDepartment of Nursing and HealthFaculty of Health and Social SciencesUniversity College of Southeast NorwayKongsbergNorway

This study is set in the context of the final phase of nurse specialist students’ (NSS) postgraduate education in surgical, oncological, anaesthesia and intensive care nursing at the University College in June 2015. The aim was to explore NSSs’ experiences of clinical supervision (CS) during their postgraduate clinical education. 46 NSS answered open-ended questions and their responses were analysed by means of a qualitative content analysis. The response rate was 82%. One main theme emerged: CS as a prerequisite for professional development and two domains: A reflective way of growing and learning through CS and The meaning of being and acting in a reflective and professional manner to ensure patient safety (PS). The results indicate that reflection is a crucial part of the NSS’ experiences of CS during their postgraduate clinical education. The supervisor’s ability to confirm the students, mutual trust and feeling safe in the relationship with the supervisor are of great importance. The students highlighted the value of continuity in CS and being supported yet challenged. The supervisor has great responsibility for the NSS’ development of professional clinical competence. The supervisor’s personal and professional skills, in addition to her/his ability to provide CS are important for PS as well as for professional and interdisciplinary teamwork. Acting in a reflective and professional manner is of great importance for ensuring PS. Although most of the students reported being sufficiently competent to ensure PS and agreed that CS and reflection are of great importance for PS, they wanted more time to reflect on their actions together with their supervisor. In conclusion, CS has the potential to lead to quality improvement. However, in order to enhance reflective practice, which is a prerequisite for CS and PS, we recommend closer cooperation between the university college and clinical supervisors, as well as a formal master level education for clinical supervisors.

关键词： Clinical Supervision Nurse Specialist Student Postgraduate Education Patient Safety Reflection

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Clinical Supervision and Non-Technical Professional Development Skills in the Context of Patient Safety—The Views of Nurse Specialist Students

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Open Journal of Nursing 2017年第2期7卷 253-267页

作者： anne lind jolstad Eva Roed Rosn■s anne Lyberg Elisabeth Severinsson The Centre for Women’s Family and Child HealthDepartment of Nursing and Health SciencesFaculty of Health and Social SciencesUniversity College of Southeast NorwayKongsbergNorway

The aim of the study was to evaluate nurse specialist students’ views of clinical supervision (CS) and its influence on their professional competence development. An additional aim was to interpret the results and link them to non-technical skills and Patient Safety (PS) topics. The research question was: What are the benefits of clinical supervision focusing on non-technical skills in the area of PS? A cross-sectional study of 46 nurse specialist students was conducted by means of questionnaires and exploratory factor analysis. Factors that influenced the nurse specialist students’ competencies were: interpersonal, professional and communication skills in addition to awareness of ethical skills, the importance of teamwork and the benefit of involving patients and their family members in safe care. The results were linked to non-technical skills and PS competencies. Clinical supervision is crucial for the development of non-technical skills and PS competencies among nurse specialist students. However, finding time to reflect and learn from the supervision was reported to be a problem. Over half of the students stated they did not have enough time for supervision. Thus, there is a potential for quality improvement. We recommend that universities should provide formal educational programmes for supervisors focusing on the professional development of students, especially in the area of non-technical skills. In conclusion, CS should be prioritised by management and clinical leaders as it enhances PS.

关键词： Clinical Supervision Non-Technical Skills Nurse Specialist Students Patient Safety Professional Development

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爱思唯尔护理英语系列教材基础护理第4版

爱思唯尔护理英语系列教材基础护理第4版

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2015年

作者：（美）思维特瑞（lind anne Silvestri）李珺

本系列教材引自Elsevier公司出版的最经典和最畅销、被誉为“护士执照考试圣经”的美国国家注册护士执照考试（NCLEX-RN）的辅导用书——《Saunders Comprehensive Review for the NCLEX-RN Examination》。本书为“护理英语系列教材”... 详细信息

ISBN: (纸本)9787509182758

本系列教材引自Elsevier公司出版的最经典和最畅销、被誉为“护士执照考试圣经”的美国国家注册护士执照考试（NCLEX-RN）的辅导用书——《Saunders Comprehensive Review for the NCLEX-RN Examination》。本书为“护理英语系列教材”的《基础护理》分册，阐述了基础医学和护理方面内容，包括多元性文化与护理实践，伦理与法律，领导、授权与病人护理的排序，体液与电解质，酸碱平蘅，实验室检查，营养及肠外营养，静脉治疗，血液制品的管理，提供安全环境，药物和静脉液体的管理，生命支持，围术期护理，病人体位及管道护理，等方面的内容。本套教材在保持原版英语教材原汁原味的同时，对每页英文原文都结合上下文进行了精准词汇注释，使学生既避免了查阅大量英文生词之苦和误查与上下文含义不符之痛，通过直接阅读理解英文原文和扩大常用与专业词汇量，从而有效提高英语水平。适用于医学本科护理在校生及美国注册护士考生考试辅导。

关键词：医药、卫生临床医学护理学

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将医疗保健干预措施从试验转化为实践

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英国医学杂志中文版 2010年第6期13卷 361-365页

作者： Paul Glasziou Iain Chalmers Douglas G Altman Hilda Bastian IsabeUe Boutron anne Brice Gro Jamtvedt Andrew Farmer Davina Ghersi Trish Groves Carl Heneghan Sophie Hill Simon Lewin Susan Michie Rafael Perera Valerie Pomeroy Julie Tilson Sasha Shepperd John W Williams 周久顺(译) 张孔来(校) Department of Public Health and Primary Care University of Oxford Oxford OX3 7LF James lind Initiative Oxford OX2 7LG Centre for Statistics in Medicine Oxford OX2 6UD German Institute for Quality and Efficiency in Health Care Cologne Germany INSERM Universite Paris Paris France Norwegian Knowledge Centre for the Health Services Oslo Norway Department of Research Policy and Cooperation World Health Organization Geneva BMJ London Centre for Health Communication and Participation Australian Institute for Primary Care La Trobe University Victoria Australia Division of Psychology and Language Sciences University Coflege London London WC1E 7HB Health and Social Sciences Research Institute Faculty of Health University of East Anglia Norwich Division of Biokinesiology and Physical Therapy University of Southern California Los Angeles CA USA Duke Evidence -based Practice Center Duke University and Durham VA Medical Center Durham NC USA 中国医学科学院基础医学研究所流行病与卫生统计学教研室

成千上万的试验结果从未被用于实践，因为其发表的报告未能详细地描述具体的干预措施。如何才能改进这些报告呢？

关键词：干预措施医疗保健试验转化

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