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首页> 外文期刊>BMC Nursing >How nursing students’ placement preferences and perceptions of community care develop in a more ‘community-oriented’ curriculum: a longitudinal cohort study
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How nursing students’ placement preferences and perceptions of community care develop in a more ‘community-oriented’ curriculum: a longitudinal cohort study

机译：在更加“社区为导向”的课程中，护理学生的放置偏好和对社区护理的看法如何：纵向队列研究

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Extramuralisation in healthcare has influenced medical and nursing curricula internationally with the incorporation of themes related to primary/ community care. Despite this, students do not easily change their career preferences. The hospital is still favourite, leading to labour market shortages in extramural care. This study investigates how baccalaureate nursing students’ perceptions of community care and placement preferences develop over time in a more ‘community-care-oriented’ curriculum, to gain insights on which curriculum elements potentially influence career choices. A nursing student cohort of a University of Applied Sciences in the Netherlands (n?=?273) underwent a new four-year curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). Data were collected each year of study. Descriptive statistics were used to investigate students’ placement preferences and perceptions, and linear mixed model techniques (LMMs) for measuring how students’ perceptions develop over time. Patterns of placement preferences at individual level were visualised. Students’ perceptions of community care, as measured with SCOPE, show a slight decrease between year 1 and 4, while items mutually differ substantially. In contrast, the preference of community care for a placement increases from 2.6% in year 1 tot 8.2% in year 4. The hospital is favourite in year 1 (79.8%), and remains most popular. At individual level, students often change placement preferences, although a preference for the hospital is more consistent. The LMMs indicates that, at the four time-points, the estimated marginal means of students’ perceptions fluctuate between 6 and 7 (range 1–10). A placement in community care did not positively influence students’ perceptions, and an intensive 1?week theoretical programme was only temporarily influential. Although interest for placement in community care increased substantially, it was not clear which curriculum elements stimulated this, nor did the curriculum positively influence students’ perceptions. As most students do not look forward to the high responsibility of the field, other curricula with educational tracks for more mature students/ nurses with a vocational training may be an alternative contribution to solving the labour market problems in community care.
机译：医疗保健的审议受到与初级/社区护理相关的主题的医疗和护理课程。尽管如此，学生不容易改变他们的职业偏好。医院仍然最喜欢，导致越来越患上的劳动力市场短缺。本研究调查了学生的护理学生如何在一个更多的“社区保育的”课程中随着时间的推移发展，以获得哪些课程元素可能影响职业选择的洞察力。在荷兰的一个应用科学大学的护理学生队列（n？=？273）接受了一个新的四年课程，其中包含社区护理的扩大要素。根据社区护理感知的规模评估了主要结果（范围）。每年都会收集数据。描述性统计数据用于调查学生的放置偏好和感知，以及用于测量学生的感知如何随时间发展的线性混合模型技术（LMMS）。可视化各个层面的放置偏好模式。学生对社区护理的看法，以范围衡量，在1年和4年间显示出略微减少，而物品相互差异大幅不同。相比之下，社区护理的优先级在第4岁的1 TOT 8.2％中增加了2.6％。医院在1年级最受欢迎（79.8％），仍然最受欢迎。在个人级别，学生往往会改变放置偏好，尽管对医院的偏好更为一致。 LMMS表示，在四个时间点，学生的感知的估计边际手段在6到7之间波动（范围1-10）。社区护理的安置并没有积极影响学生的看法，并且一个密集的1？周理论计划只是暂时有影响力。虽然对社区护理的利益大幅增加，但课程因素刺激了这一点，课程也不明确，课程也没有积极影响学生的看法。由于大多数学生不期待该领域的高责任，其他具有职业培训的更成熟学生/护士的教育轨道的其他课程可能是解决社区护理中劳动力市场问题的替代贡献。

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