Shaping clinical imagination as new graduate nurses in maternal-child simulation.

BACKGROUND: Combined with traditional placement, simulation has been used as an experiential learning opportunity to integrate theory and practice in maternal-child nursing. METHOD: van Manen's phenomenology of practice uncovered the lived experience of new graduate nurses adopting maternal-child simulation in their practice. Narrative methods included a three-phased approach to phenomenological interviews to capture the new graduate's entry into practice. RESULTS: Thematic analysis revealed four main themes: acting like a nurse, forming a clinical imagination, embodying the role of the novice nurse, and embracing in-situ simulation. DISCUSSION: The essence of being a nurse required immersion into the ethics of caring and creation of an optimal simulation debriefing using a skilled and thoughtful approach to trigger imaginative thinking. While an inventory of simulation in nursing education was deemed necessary to understand the current blend of traditional placement and simulation in practice education, the new graduate nurses in the study looked for specialty training, and exposure to advanced roles in the simulation experiences. CONCLUSION: An integrated traditional placement with the use of simulation fostered clinical imagination where the new graduate nurse visualized and embodied the role of the novice nurse. Future research is required to describe the impact of simulation on practice readiness.

De onde me vem Isso? / Where does This come from? / ¿De dónde me viene Eso? / D'où me vient Ça?

A autora aborda a experiência inquietante de sermos possuídos por afetos e comportamentos que não reconhecemos como "meus", e que nos impõem a pergunta: "de onde me vem Isso?" Em resposta a esta questão, Freud precisou criar o conceito de inconsciente. Um inconsciente vivo, constituído pelas marcas deixadas pela história emocional vivida na relação com o objeto, mas não suficientemente integrada. Por meio de dois casos clínicos, a autora ilustra o retorno do recalcado e do clivado, enfatizando a dimensão intersubjetiva daquilo que foi recalcado e clivado.

The author addresses the unsettling experience of being possessed by affections and behaviors that we do not recognize as "mine", and that impose the question "Where does This come from?" In response to this question, Freud had to create the concept of unconscious. A living unconscious, constituted by the marks left by the emotional history experienced with the object, but not sufficiently integrated. Through two clinical cases, she illustrates the return of repressed and of the splitted, emphasizing the intersubjective dimension of what has been repressed and splitted.

La autora aborda la experiencia inquietante de ser poseídos por afectos y comportamientos que no reconocemos como "míos", y que nos impone la pregunta: ¿de dónde me viene Eso? En respuesta a esta cuestión, Freud necesitó crear el concepto de inconsciente. Un inconsciente vivo, constituido por las marcas dejadas por la historia emocional vivida con el objeto, pero no suficientemente integrada. A través de dos casos clínicos, ilustra el retorno del reprimido y del clivado, enfatizando la dimensión intersubjetiva de lo que fue reprimido y clivado.

L'auteur aborde l'expérience troublante d'être possédé par des affections et des comportements que nous ne reconnaissons pas comme "miens" et qui imposent la question "d'où me vient Ça?" En réponse à cette question, Freud a dû créer le concept de inconscient. Un inconscient vivant, constitué des marques laissées par l'histoire émotionnelle vécue mais insuffisamment intégrée. A travers deux cas cliniques, il illustre le retour de refoulés et de clivés, en soulignant la dimension intersubjective de ce qui a été refoulé et clivé.