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Problems of practical teaching of nurses from the perspective of students and nurses
VLČKOVÁ, Darina
The education of nurses, as well as other non-doctor medical workers, has seen significant changes in the course of the past twenty years. In compliance with current legislation, the studies of general nurses only take place at universities and colleges these days.The schooling of nurses consists of theoretical and practical education. Both of them mingle and supplement each other during the complete course of the studies. Theoretical part consists of general as well as special subjects which are followed by practical schooling. This takes place at and ambulatory, ward, one-day and home-based sanitary facilities.Three aims of dissertation were set at the beginning of the research. First was to find about factors which influence the cooperation of students and nurses during the practical session. Second was based on finding factors with influence on nurse's conduct of the practical session. The last aim was to find about factors which motivate and de-motivate students during the practical session.For the purpose of gaining the data, two groups were established. First was the group of seven female students studying the combined form of subject field ?general nurse? at ZSF JU, all of them having received medical education before. Second was the group of nurses working at České Budějovice Hospital, Inc. For the purpose of data collection, the qualitative method of inquiring through semi-standardized interviews was chosen. The answer to the question ? what factors most often influence the cooperation of students and nurses during the practical session? ? was defined by their cooperation, chiefly by the way of their mutual conduct. This was the essential factor pervading all areas of the research.The other important factor applies to the groups of five or more female students where nurses did not have enough time for the students. The other important question was: what influences nurses' conduct of the practical session? As the main positive influence, the interest of students to learn new things as well as their dilligence was cited. The main obstacle in this process, according to nurses, is the lack of time which is devoted to students in order to teach them or show them the aspects of the profession. Demands and challenges of the profession also contribute to the factor cited above. The last but not least factor is the negative influence of large group of students being part of the same shift at the department. And the factors that motivate students during the practical session? It is obvious that the key factor is the possibility to gain information and enough capacity to perform medical actions. At the same time, the students expect helpful and accomodating personnel possessing enough time and patience which should be devoted to them. On the contrary, the factors which de-motivate students are negative attitude and conduct of nurses at departments, too many students grouped into a shift and few opportunities to perform expert medical action. All interviews suggest that improvement could be accomplished through permanent presence of mentors or expert tutors from the faculty who would have enough time for students.It is suggested that data and information from research could be used at clinical facilities for the purpose of practical sessions. The persons responsible for practical sessions could use those data and information to make the practice and cooperation more effective. Information could be used as a base for seminar for shift nurses who get in touch with students on a daily basis. Furthermore, the outputs of research could serve as recommendations for students which could lead to their improvement. Above all, the research serves as a topic for reflection and insight into both worlds.
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