Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens

Abstract Background The recent UK Government paper ‘Five year forward view’ describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recrui...

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Main Authors: Robin Lewis, Shona Kelly
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-018-1182-6
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author Robin Lewis
Shona Kelly
author_facet Robin Lewis
Shona Kelly
author_sort Robin Lewis
collection DOAJ
description Abstract Background The recent UK Government paper ‘Five year forward view’ describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses. This paper reports upon the findings of a study evaluating the South Yorkshire ATPS network in relation to nursing students’ perceptions of general practice as a placement and a potential career option post-graduation. Methods Data were collected using semi-structured interviews with 18 nursing students. Qualitative data analysis used a framework approach and themes were cross-checked within the team. The research had ethical approval and anonymity and confidentiality were maintained throughout. Results Using the Communities of Practice (CoP) framework as a theoretical lens, two main themes emerged from the data: ‘Myths and misunderstandings’ outlined some of the misconceptions that abounded in the absence of an established CoP in general practice. These included perceptions of what constitutes a ‘good’ placement, an apparent lack of relevant content in the curriculum, and the widespread use of social media by students as a means of information gathering. ‘Changing hearts and minds’ referred to the need to positively influence the culture within general practice by addressing some of the longstanding myths. Through the fledgling CoP, the students’ perceptions of the GPN role in particular were positively revised, as was the prospect of a career in general practice upon graduation. Conclusions The CoP that is emerging through the ATPS placements appear to be gradually changing the socio-cultural landscape within general practice by enabling student nurses to experience the reality of life in general practice nursing, and to view the GPN role as a viable career option upon graduation.
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spelling doaj.art-8661d65459144048b6360c69f6efda9d2022-12-22T00:45:06ZengBMCBMC Medical Education1472-69202018-04-0118111010.1186/s12909-018-1182-6Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lensRobin Lewis0Shona Kelly1Department of Nursing and Midwifery, Sheffield Hallam UniversityFaculty of Health & Wellbeing, Sheffield Hallam University, Collegiate CrescentAbstract Background The recent UK Government paper ‘Five year forward view’ describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses. This paper reports upon the findings of a study evaluating the South Yorkshire ATPS network in relation to nursing students’ perceptions of general practice as a placement and a potential career option post-graduation. Methods Data were collected using semi-structured interviews with 18 nursing students. Qualitative data analysis used a framework approach and themes were cross-checked within the team. The research had ethical approval and anonymity and confidentiality were maintained throughout. Results Using the Communities of Practice (CoP) framework as a theoretical lens, two main themes emerged from the data: ‘Myths and misunderstandings’ outlined some of the misconceptions that abounded in the absence of an established CoP in general practice. These included perceptions of what constitutes a ‘good’ placement, an apparent lack of relevant content in the curriculum, and the widespread use of social media by students as a means of information gathering. ‘Changing hearts and minds’ referred to the need to positively influence the culture within general practice by addressing some of the longstanding myths. Through the fledgling CoP, the students’ perceptions of the GPN role in particular were positively revised, as was the prospect of a career in general practice upon graduation. Conclusions The CoP that is emerging through the ATPS placements appear to be gradually changing the socio-cultural landscape within general practice by enabling student nurses to experience the reality of life in general practice nursing, and to view the GPN role as a viable career option upon graduation.http://link.springer.com/article/10.1186/s12909-018-1182-6General practiceWorkforcePlacementsNurse educationCareer choices
spellingShingle Robin Lewis
Shona Kelly
Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
BMC Medical Education
General practice
Workforce
Placements
Nurse education
Career choices
title Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
title_full Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
title_fullStr Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
title_full_unstemmed Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
title_short Changing hearts and minds: examining student nurses’ experiences and perceptions of a general practice placement through a ‘community of practice’ lens
title_sort changing hearts and minds examining student nurses experiences and perceptions of a general practice placement through a community of practice lens
topic General practice
Workforce
Placements
Nurse education
Career choices
url http://link.springer.com/article/10.1186/s12909-018-1182-6
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