AimThe recruitment and retention of preceptors to mentor health professional students and apprentices in their clinical studies are not easy. The aim of this study was to investigate factors that hindered the implementation of an intervention intended to improve the working conditions for preceptors in nursing homes. The preceptorship was related to clinical studies for health professional students and apprentices.DesignA qualitative, explorative design was applied.MethodsQualitative data were collected in September 2014 by means of focus groups with preceptors and key informant interviews. The data were prepared by thematic analysis and interpreted in the light of institutional theory.ResultsThe intervention to improve the working conditions for preceptors was hampered by institutional traits involving rule‐like perceptions of “want to,” “ought to” and “have to.” Precepting was preserved as an individual task of the preceptors and was not considered a daily activity in nursing homes.ConclusionsTo improve the working conditions for preceptors in nursing homes and thus improve recruitment and retention among preceptors, the nursing home leaders should address institutional traits related to preceptorship.
Oppsummering av erfaringene med å gjennomføre nasjonal deleksamen i tre profesjonsutdanninger Mars 2017 www.nokut.no NOKUTs arbeid skal bidra til at samfunnet har tillit til kvaliteten i norsk høyere utdanning og fagskoleutdanning, samt godkjent høyere utenlandsk utdanning. Med rapportserien «NOKUTs oppsummeringer» vil vi bidra til økt kunnskap om temaer knyttet til fagskole, høyere utdanning og godkjenning av utenlandsk utdanning i Norge. Data til rapportene får NOKUT gjennom arbeidet med akkreditering og godkjenning.Vi håper at resultatene våre kan vaere nyttige i arbeidet med godkjenning av utenlandsk utdanning og for laerestedene i arbeidet med å kvalitetssikre og videreutvikle utdanningstilbudene.
The nursing home (NH) population becomes increasingly frail, suffering several chronic ill-nesses, high symptom severity, and short remaining lifespan after admission; all this requires skilled, well-organized professional care. Little is known about how NH managers influence the caring and learning environment (CLE) to ensure competencies in meeting NH patients’ needs. The aim of this study is to explore how NH managers influence the CLE to provide basic nursing education for students and apprentices, in order to improve it. This study applies a qualitative design, using multiple methods and focusing on NHs as a context involving complex adaptive systems and on basic nursing as a complex issue. NH managers express a constant struggle to keep workloads manageable, and NHs come across as exhausted organizations with little surplus. Both managers and staff look for ways to execute the work with as little effort as pos-sible and mainly stick to well-established routines. Not participating directly in either daily caring or placement learning, NH managers influence the CLE indirectly through taming and coping strategies, largely using taming strategies that lead to serious unintended outcomes. Coping strategies involve leading collaborative processes in holding environments that are feasible with their workload and roles as managers.
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