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- Hilli, Yvonne Elisabet, et al.
(författare)
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Being a preceptor : A Nordic qualitative study
- 2014
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 34:12, s. 1420-1424
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Tidskriftsartikel (refereegranskat)abstract
- Background: Positive preceptor experiences enhance learning and even affect the decisions of students to remain in nursing. In light of this, nurse managers have a responsibility, besides maintaining staff competence, to assess whether preceptors live up to their professional obligations. Aim: The aim of this Nordic qualitative study was to gain a deeper understanding of the perceived experiences of preceptorship used to support undergraduate student nurses during their clinical education. Method: Data was collected through narrative interviews with 31 preceptors in Finland and Sweden before being analysed using a hermeneutical approach. Findings: Preceptorship is all about teaching in a supportive environment with ethical dimensions uniting theory and praxis. A caring relationship is essential and the basis for student learning and development. Conclusion: The preceptors emphasise a caring relationship as the foundation for student learning. Moreover, preceptorship is an ethical issue, a responsibility that should be recognised by all stakeholders. The findings suggest that preceptorship should be examined from a new perspective. The ethical dimension must be recognised and linked to the further education of preceptors. Nurse managers are in a key position to lead for change. (C) 2014 Elsevier Ltd. All rights reserved.
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- Hilli, Yvonne Elisabet
(författare)
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Hemmet som ethos. En idéhistorisk studie av hur hemmet som ethos blev evident i hälsosysterns vårdande under 1900-talets första hälft
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Hemmet som ethos, en etisk dimension inom människan, utgör forskningsintresset i denna studie. Kan hemmet som ethos utgöra motiv och drivkraft för människan? Avhandlingen har en övergripande hermeneutisk ansats med en vårdvetenskaplig tolkningshorisont. Studien har som syfte att för det första göra en begreppsbestämning av begreppet ’hem’ för att utreda dess etymologiska och semantiska innebörd. Därtill utreds begreppets vårdvetenskapliga innehåll. För det andra är syftet, att genom en idéhistorisk metodansats undersöka, hur hemmet som ethos blir synligt och evident i hälsosysterns vårdande under 1900-talets första hälft. Vilka var de motiv som utgjorde drivkraften i hälsosysterns vårdande? Vilka idémönster framtonar? Materialet för den ontologiska begreppsbestämningen består av etymologiska ordböcker samt svenska ordböcker utgivna 1850–2001. Resultatet från begreppsbestämningen utmynnar i en preliminär idealmodell, där dimensioner såsom ethos som människans innersta rum, människans sätt att vara och metaforen ”Mitt hem är min borg” framtonar. Dessa delresultat utgör bakgrund till den idéhistoriska undersökningen. En idéhistorisk undersökning görs genom att granska och tolka historiska källor med fokus på hälsosysterns vårdande. Hälsosystern representerar kontexten och den rådande traditionen under nämnda tidsperiod. De historiska källorna utgörs av tre olika typer källor nämligen, läroböcker, arkivmaterial och facktidskrifterna Epione och Sairaanhoitajatarlehti. Strävan är att återupptäcka bärande idémönster genom att tematisera mönster i de historiska källorna. Tre övergripande idémönster med underliggande teman har återupptäckts: kärleken – en eld som brinner inom människan, vördnad inför människan och hemmet samt ansvaret som en hederssak. Idémönstren går in i varandra som trådarna i en väv och bildar ett mönster. En ny tolkning görs och horisonten vidgas vilket leder till att konturerna till en teorimodell tonar fram. Teorimodellen formas av tre olika skikt. Ethos som människans innersta rum – andan. Ethos som människans innersta rum innesluter människans värdegrund, den anda hon genomsyras av. Grundläggande värden omformas till en inre etik och blir synliga i människans sätt att vara – hållningen. Metaforen ”mitt hem är min borg” – tonen symboliserar det rum som bebos av människan abstrakt eller konkret. Andan, ethoset, kommer till uttryck i hemmets kultur och atmosfär, d.v.s. tonen i hemmet eller hur man bor i rummet. Gemenskapen ingår som en betydelsefull beståndsdel vid skapandet av kulturen och atmosfären. Teorimodellen ’öppnar upp’ för ett nytt seende som kan generera nya handlingsmönster i nutid. Utgående från teorimodellen kan implikationer härledas för vårdandet och vårdvetenskapen i dag med utgångspunkt i det historiska.
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- Hilli, Yvonne Elisabet
(författare)
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Hälsosysterns arbete i Finland 1920-1944
- 1997
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Ingår i: Hippokrates. Årsskrift för Finlands Medicinhistoriska Sällskap. - 0781-5859. ; 14
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Tidskriftsartikel (refereegranskat)
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- Hilli, Yvonne Elisabet, et al.
(författare)
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Idéhistoria som metod
- 2008
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Ingår i: Hoitotiede. - 0786-5686. ; 20:6, s. 345-353
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Tidskriftsartikel (refereegranskat)
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- Jonsén, Elisabeth, et al.
(författare)
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Finnish and Swedish nursing students' experiences of their first clinical practice placement : a qualitative study
- 2013
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 33:3, s. 297-302
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Nursing is a practice-based discipline. Clinical practice settings are important in preparing undergraduate nursing students for the role of registered nurse. AIM: The aim of this Nordic qualitative study is to illuminate first year undergraduate nursing students' experiences of clinical practice during their first clinical placement, with a focus on preception, reflection, and the link between theory and practice. METHOD: Data were collected by focus group interviews with 22 nursing students, and analyzed with qualitative content analysis. FINDINGS: Positive experiences included stimulating and visible preceptors, a permissive atmosphere, and reflection as a matter of course. Negative experiences were related to feelings of abandonment and powerlessness when preceptors were invisible and the atmosphere at the ward was non-permissive. The implementation of research-based knowledge was insufficient. CONCLUSIONS: A permissive atmosphere and visible preceptors are crucial if learning is to be maximized. Consequently, it is important to set aside time for preceptors to be more visible and to make the atmosphere at the clinical placement more permissive. The student must have the opportunity to combine scientific knowledge with evidence-based knowledge in order to develop nursing actions.
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- Melender, Hanna-Leena, et al.
(författare)
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Nursing students´ Experiences from Their First Clinical Education – a qualitative study
- 2012
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Ingår i: Journal of Cooperative Education and Internships. - 1933-2130. ; 46:1
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the experiences of 137 nursing students from their first clinical education. The material was collected with four open questions and was analyzed through qualitative content analysis. The descriptions focused on students' experiences in general as well as their clinical education circumstances and learning experiences. They reported on the characteristics of their preceptors, the feedback, and the preceptorship culture on the ward. The students assessed their own learning from the perspectives of activity level, nursing procedures they had practised, and personal development. Taking responsibility for their own learning was manifested as responsibility for learning according to the learning outcomes, an experience of having taken only a small amount of responsibility, and a desire to take part in all things possible.
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| 16. |
- Melender, Hanna-Leena, et al.
(författare)
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Quality of clinical education : comparison of experiences of undergraduate student nurses in Finland and Sweden
- 2013
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Ingår i: Nurse Education in Practice. - Oxford : Elsevier. - 1471-5953 .- 1873-5223. ; 13:4/S1, s. 256-261
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to compare the experiences of three groups of undergraduate student nurses on the quality of clinical education over time. The study is part of a longitudinal research and development project in Finland and Sweden. The sample (n = 109) consisted of three subgroups of student nurses: the first in a Swedish faculty (SWE) (n = 53), the second in a Finnish faculty (FIN1, n = 42), and the third in another Finnish faculty (FIN2, n = 14). In the comparison of the subgroups, FIN1 and FIN2 were put together, because of the small sample size. The first data was collected in 2009 after the students' first clinical education period in acute and elderly care. The second data was collected in 2010 after the students' second clinical education period on different wards in central hospitals, in primary care units and in elderly care. The data was collected using a self-administered questionnaire and analysed using statistical methods. On the basis of an explorative factor analysis conducted on the first data four sum variables were produced, named as follows: Clinical Preception, Learning in Clinical Education, Learning Objectives in Clinical Education, and Reflection in Clinical Education. In the comparison of the years 2009 and 2010 (n = 109), the factors Clinical Preception and Learning Objectives in Clinical Education had lower evaluations in year 2010 than in year 2009. In year 2009 Swedish students (n = 53) evaluated Clinical Preception and Learning in Clinical Education lower than Finnish students (n = 56). In year 2010 Finnish students evaluated Clinical Preception lower than Swedish students. It is evident that the clinical education practices should be developed in cooperation with the faculties and the staff of the clinical education placements.
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| 17. |
- Melender, Hanna-Leena, et al.
(författare)
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Quality of clinical education - A three-year follow-up among undergraduate nursing students in Finland and Sweden
- 2014
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Ingår i: Asia-Pacific Journal of Cooperative Education. - 1175-2882. ; 15:4, s. 305-319
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to compare the experiences of a group of Swedish and two Finnish groups of student nurses (n=86) on the quality of clinical education over time. The data was collected using an instrument including four factors. In the comparison of the years 2009, 2010 and 2011/2012 (n=86), there were no statistically significant differences between years in the whole data. In year 2009 Swedish students (n=41) evaluated clinical preception and learning in clinical education lower than Finnish students (n=45). In the year 2010 Finnish students' evaluated clinical preception lower than Swedish students. In year 2011/2012 Swedish students evaluated learning objectives in clinical education lower than Finnish students. The follow-up group and the dropout group did not differ from each other regarding the background variables or reports on the quality of clinical education.
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