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Caring and learning intertwined in supervision at a dedicated education unit ‒ a phenomenological study
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
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2015 (English)In: Reflective Practice, Vol. 16, no 6, 753-764 p.Article in journal (Refereed) Published
Resource type
Text
Abstract [en]

Supervising student nurses in clinical praxis entails dealing with both caring and learning aspects. There is a dearth of research focusing on both the caring and learning aspects in supervision. The present study describes how caring and learning is intertwined in supervision. The study was performed with a Reflective Lifeworld Research approach and analyzed phenomenologically for meanings. Eight interviews were conducted with supervisors on an orthopedic-dedicated education unit. The findings reveal how supervisors constantly move in order to be either close to or standing back, adjusting to the students’ and the patients’ needs. This is described in more detail via the constituents: handling responsibility in constant movement, participating in a new and different way, coexisting with students creates meaning and development. The findings show that a reflective attitude in supervision , clear structure for daily activities, and a lifeworld-led didactics can promote a learning and caring environment. Supervisors’ demanding task requires pauses in order to maintain motivation among supervisors. A mutual link between supervisors, students and patients is crucial in order to create an environment where caring and learning are intertwined. © 2015 Taylor & Francis.

Place, publisher, year, edition, pages
2015. Vol. 16, no 6, 753-764 p.
Keyword [en]
caring, dedicated education unit, lifeworld, phenomenology, supervisor
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-3964DOI: 10.1080/14623943.2015.1095726Scopus ID: 2-s2.0-84948580554OAI: oai:DiVA.org:hb-3964DiVA: diva2:878714
Note

Export Date: 9 December 2015

Available from: 2015-12-09 Created: 2015-12-09 Last updated: 2016-02-05
In thesis
1. Vårdande och lärande sammanflätas i genuina möten: erfarenheter, förutsättningar och ansvarpå utbildningsvårdavdelning
Open this publication in new window or tab >>Vårdande och lärande sammanflätas i genuina möten: erfarenheter, förutsättningar och ansvarpå utbildningsvårdavdelning
2016 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of this thesis is to create knowledge about caring and learning asan intertwining phenomenon at a Dedicated Education Unit and how it can bedeveloped.

Approach and methodA lifeworld approach, based on the phenomenological philosophies foremost derivedfrom Husserl and Merleau-Ponty was used and carried out in lifeworld interviews andwith meaning-oriented analysis in accordance with reflective lifeworld research. Theparticipants were: 13 student nurses (study I), 11 patients (study II), 8 supervisors (studyIII) all from the same DEU in orthopedic care and 10 managers from various DEUs(study IV).

Main findingsIntertwined caring and learning is most evident in genuine encounters between studentsand patients, supported by supervisors and managers. The intertwining is created inappealing challenges where students feel safe and ready. In the encounter with thepatient they gain a sense of the whole where they can find their personal style. Patients,who feel invited to participate, could describe the encounter with students as genuineand a new dimension in nursing care. These encounters are characterized by closeness,thoroughness, accessibility, acknowledgement and sensitivity. When the encounter isless genuine, supervisors constitute an essential support for stabilizing the care.Supervisors constantly move in order to either stay close to or stand back, adjusting tothe students’ and patients’ needs. Their demanding task as reflective supervisors requirespauses in order to maintain motivation. The managers’ daily struggle in a stressful andchallenging reality is influenced by them either having or taking responsibility.Differences in approaches are shown in terms of more or less involvement andcommitment in caring environment and educational issues.

ConclusionsGenuine encounters are characterized by the core of both caring and learning and willthereby benefit both the students and the patients. Identifying and supporting genuineencounters is necessary for students, supervisors and managers. It is time to find ways todevelop a unified view of how caring and learning can be intertwined.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2016. 150 p.
Keyword
Caring, learning, reflective lifeworld research, genuine encounter, dedicated education unit, phenomenology, lifeworld-led didactics
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-8781 (URN)978-91-87925-99-3 (ISBN)
Public defence
2016-03-04, Sparbankssalen, Allégatan 1, Borås, 13:00 (Swedish)
Available from: 2016-02-05 Created: 2016-02-05 Last updated: 2017-05-02

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