...ed based A Qualitative Study of Nursing Student Experiences of Clinical Practice Farkhondeh Sharif1 & Sara Masoumi2 1Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing & Midwifery Shiraz University of Medical Sciences, Zand BlvD, Shiraz, Iran 2English Department, Shiraz University, Shiraz, Iran Published 9 November 2005 [pic] Abstract Background Nursing student's experiences of their clinical practice provide greater insight to develop an effective clinical teaching strategy in nursing education. The main objective of this study was to investigate student nurses' experience about their clinical practice. Methods Focus groups were used to obtain students' opinion and experiences about their clinical practice. 90 baccalaureate nursing students at Shiraz University of Medical Sciences (Faculty of Nursing and Midwifery) were selected randomly from two hundred students and were arranged in 9 groups of ten students. To analyze the data the method used to code and categories focus group data were adapted from approaches to qualitative data analysis. Results Four themes emerged from the focus group data. From the students' point of view," initial clinical anxiety", "theory-practice gap"," clinical supervision", professional role", were considered as important factors in clinical experience. Conclusion The result of this study showed that nursing students were not satisfied with the clinical component of their education. They experienced anxiety...
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...html/7a472f356346424a4967304141507673?" TARGET="_blank"> [pic] < dl class="google-ad wide noscript"> < /dl> Log on BioMed Central Journals Gateways [pic] Top of Form Search [pic]for [pic]Go Bottom of Form Advanced search Home Articles Authors Reviewers About this journal My BMC Nursing [pic] Top Abstract Background Methods Results Discussion Conclusion Competing interests Authors' contributions Acknowledgements References Pre-publication history [pic][pic] < dl class="google-ad noscript"> Advertisement < /dl> BMC Nursing Volume 4 Viewing options Abstract Full text PDF (253KB) Associated material PubMed record About this article Readers' comments Pre-publication history Related literature Cited by on Google blog search Other articles by authors on Google Scholar Sharif F Masoumi S on PubMed Sharif F Masoumi S Related articles/pages on Google on Google Scholar on PubMed Tools Download references Download XML Email to a friend Order reprints Post a comment Share this article More options... Citeulike Connotea Del.icio.us Email Facebook Google+ Mendeley Twitter [pic][pic]Research article A qualitative study of nursing student experiences of clinical practice Farkhondeh Sharif1* and Sara Masoumi2 * Corresponding author: Farkhondeh Sharif shariffarkhondeh@hotmail.com Author Affiliations 1 Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing and Midwifery Shiraz University of Medical Sciences, Zand...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...I am prepared for the MS in Epidemiology with a concentration in cancer epidemiology at Georgetown due to my work experience in public health and clinical research. Since I graduated Wellesley College, I gained statistical analysis experience and research operations which will help me design effective epidemiology studies in the future. Before my job at UCLA in 2014, I learned from my experiences that research is an iterative process through conducting interviews, developing a quality of life instrument, managing research studies, and publishing an article. However, my experience working with cancer immunotherapy trials at UCLA from 2014-2016 sparked my interest in cancer epidemiology. My work at UCLA helped me to craft a new vision for my career that included oncology and ultimately cancer epidemiology. My favorite parts the job was listening to the clinical trial sponsor and the PI discuss the background and clinical significance of the protocol and the design of the clinical trial. Also, I enjoyed hearing guest speakers from other universities discuss their research findings. At a talk I attended, a professor discussed a large epidemiological study that collected genetic information for women of African descent with breast cancer. This is when I learned that African-American...
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...Analysis of the Clinical Informatics Job Description Ann Miller American Sentinel University Analysis of the Clinical Informatics Job Description What is an Informatics Nurse, an Nurse Informaticist? When people ask me what job that I do and I reply “Informatics”, they get an interesting look on their face. The look is of concern and of that is not what a nurse does. The public is not educated in what this position’s importance really is and that is too bad. What is a typical day like for an informatics nurse like myself? That question is easy. There are no typical days! I can honestly say that this is what I like about my job position. Some days I am going to staff meetings where I am educating on a new process to a page from the floor that a provider needs my help. I have many computer classes to teach for staff, nursing students, providers, and soon 80 or so high school students who will be joining us for the next seven months to learn patient basic care and documentation. In my spare time- I do get some from time to time, I have many projects that I am working on to optimize the electronic medical record. The projects can be getting rid of any paper processes that remain and doing whatever it takes to get them all electronic from the development of provider order sets (Powerplans), to nursing processes, and education. You cannot forget about the education. Education has to come in many formats, including group settings (staff meetings), one-on-one, on-line...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...assignment is to demonstrate that I can through critical reflection, evaluate my performance as a mentor to a student nurse I have been working with on the ward. According to the Nursing and Midwifery Council (NMC) (2006) the term mentor is used to denote the role of a registered nurse who facilitates learning and supervises and assesses students in the practice place. They furthermore identify the eight mandatory standards that must be achieved to become a mentor, and within the assignment I shall be referring to the Standards to Support Learning and Assessment in Practice; NMC standards for mentors, practice teachers and teachers, and identifying the standards for mentors required (SM). This assignment will first look at the personal and professional reasons why I wanted to undertake the mentorship module. It will also discuss the importance of a supportive learning environment in the workplace, and how essential it is. My role as a mentor to a nursing student will be evaluated, looking at the way in which I supported her on the ward and how I facilitated this. In conclusion, I will identify my own personal development in undertaking and completing this module. As a registered nurse on a busy Paediatric ward I always enjoy supporting student nurses whilst they are on placement with us. There is an apparent shortage of qualified mentors on the ward, and within my last personal development review with my line manager I identified a need to attain the mentorship qualification. The...
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...within the clinical environment using relevant literature and recognised frameworks. A critical analysis of learning, teaching and assessment strategies as well as educational theories will be integrated and applied. A written re-evaluation of this experience using the recognised reflective cycle of Boyd et al. (1985) will also be incorporated to enable me to effectively analyse my personal and professional development as a practice mentor. Prior to commencing this portfolio the learner and mentor were informed of my intentions and consent was gained freely and independently. The principles of confidentiality in accordance with the NMC (2004, p8) guidelines have been adhered to at all times. Within this portfolio the person being taught and assessed will be referred to as the student or learner. Another person relevant to this process is my mentor; they will be assessing my ability of mentoring and will subsequently be referred to as the mentor, thus protecting their anonymity. I am currently employed as a staff nurse working in an Emergency Department in the North of England. My role as a staff nurse is to work within a team, supporting and assisting other team members to achieve and implement high standards of care delivery. Part of the criteria for this portfolio was for me to choose a mentor that was able to objectively evaluate my ability of teaching and assessment, therefore I chose a mentor who was experienced, knowledgeable and educated within this clinical environment...
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...facility. In this regard therefore, there exists a systematic approach aimed at maintaining as well as improving the quality of medical health care within a given health system- this is what is referred to as Clinical Governance. This paper aims at discussing various issues to do with clinical governance as well as the practice of Nursing. Learning Activity One Introduction There are three major aspects of professional performance that have been discussed; these are professional accountability expected from the practitioners to their clients, their fellow staff as well as to the organizations that they work for. There is also the need to have a system through which there will be appraisals for good performers within a health facility that will encourage the others to provide exemplary service and finally, clinical governance which is a vehicle that tackles all the wide differences in the quality of healthcare provided to the patients throughout the world. It is important to note that there has been a difficulty in the past to produce a universally approved definition of clinical quality. It is the framework that is used to enhance clinical excellence (Department of Health, 2008). Aspects of efficiency or resource usage discussed Information delivery is a major issue that clinical governance seeks to address. It should be noted that every health care organization requires having a rich information environment, it should be noted that information forms a...
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...employees’ behavior, attitudes, and performance (Noe, et al. 2006). An analysis of work is considered a building block for most HR systems in organizations. Corporate restructuring processes, quality improvement programs, human resource planning, job design, recruitment strategies, training programs, succession planning, and compensation systems are among the other HR activities that are based on work analysis (Bernardin, 2008). Choosing a job that interested me to perform a work analysis was not easy; I really wanted to take this opportunity to put to work the information learned in Chapter 3 and 4 of our class with a job that it always interested me in learning on how they perform their job and what it takes to do the job. I chose a sign language interpreter from my previous job at the National Institutes of Health, Clinical Center. I worked for the National Institutes of Health (NIH) Clinical Center for 7 years and felt totally committed in complying with their mission to clinical research. The NIH Clinical Center (CC) is the clinical research hospital for the National Institutes of Health. It's the nation's largest hospital devoted entirely to clinical research. Through clinical research, clinician-investigators translate laboratory discoveries into better treatments, therapies and interventions to improve the nation's health. About 1,500 clinical research studies currently are active at the NIH Clinical Center. About half are the first tests of new drugs or medical treatment...
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...Clinical reasoning, evidenced based practice and my application of both in nursing practice Clinical reasoning, evidenced based practice and my application of both in nursing practice Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the practicing nurse must feel confident in her decision of what type of care to provide, this is where her skills of clinical reasoning (cognitive process) come in and she is able to decide on the type of care to be given based off of her skills alone. The following are some of the different types of clinical reasoning out there. 1. Subjective expected utility theory, which explains how, decisions ‘ought’ to be made using mathematical estimation of highest probability. (Simmons, 2009, p. 1153). 2. Information processing theory, which focuses on how decisions are made, not how they should be made. (Simmons, 2009, p. 1153). 3. Hypothetico-deductive method which is a medical descriptive model based on information processing. (Simmons, 2009, p. 1153)...
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...Running head: PRACTICUM EXPERIENCE 1 Nursing 740 Practicum Experience Ginger VanDenBerg Ferris State University PRACTICUM EXPERIENCE Abstract 2 Orienting to the role of an academic nurse educator is a dynamic and challenging process. While engaging in this role with a preceptor, this novice nurse educator was guided by the core competencies developed by the National League for Nursing to teach Bachelor’s of Science in Nursing (BSN) degree students. Utilizing teaching, assessment, and evaluation strategies learned throughout the Master’s in Nursing Science program, this educator developed a didactic presentation on building cultural competence for Health Assessment nursing students, demonstrated and assisted in the development of essential skills to conduct an adult physical examination, and coordinated a perioperative clinical rotation for senior level nursing students. This practicum experience has played a pivotal role in strengthening this novice educator’s ability to assist students in identifying their learning needs, strengths, and limitations, while providing opportunity to experience the teaching-learning environment of the academic arena. Keywords: nursing students, learning, practicum learning, nurse educator PRACTICUM EXPERIENCE Nursing 740 Practicum Experience New nurse educators transforming into their new role often discover they are not as prepared as they would hope to be (Poindexter, 2008). Being an experienced or expert nurse is not sufficient...
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...This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections. I have chosen this as within my first clinical placement this was a widely used method of drug administration and I became involved in the process of IM injections. I therefore researched the topic of IM injections and my knowledge within this area developed. The first stage of Gibbs (1988) model of reflection requires a description of events. I was asked to administer a drug to a patient via IM injection. I had observed this clinical skill on a variety of occasions and had previously administered an IM injection under supervision. On this occasion I...
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...Clinical supervision continues to be a term evident in everyday language in nursing and definitions of the term are variable. Definitions suggest it has a broad purpose in nursing and can appear to have a lack of accord and focus. Jones (1999) suggests that clinical supervision offers nurses guidance, support and education and is concerned with quality, safety and protection of clients which reflects the Department of Health ‘Vision for the Future’ (1993) interpretation of clinical supervision as a: ‘formal process of professional support and learning which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and safety of care in complex situations. It is central to the process of learning and to the scope of the expansion of practice and should be seen as a means of encouraging self assessment and analytical and reflective skills.’ The following assignment aims to demonstrate a critical appraisal of the concept of clinical supervision, critique the process and the outcomes of clinical supervision and review contemporary research that directly informs understanding and application of clinical supervision to practice. It will also reflect on personal knowledge, skills and attributes required for effective clinical supervision and evaluate the impact that clinical supervision has on health and social care practice with the emphasis on my professional discipline of nursing/ mental...
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...Practice (2008) 8, 103–111 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Belongingness: A prerequisite for nursing students’ clinical learning Tracy Levett-Jones a a,* , Judith Lathlean b,1 School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia School of Nursing and Midwifery, The University of Southampton, Nightingale Building (67), University Road, Highfield, Southampton SO17 1BJ, United Kingdom b Accepted 4 April 2007 KEYWORDS Belongingness; Nursing student; Learning; Clinical placement Introduction Summary The concept of belongingness has intuitive appeal. Human beings are social creatures; the need to belong and be accepted is fundamental, and social exclusion can be devastating. This paper reports on the selected findings from the qualitative phase of mixed-methods study that explored nursing students’ experience of belongingness while on clinical placements. The 18 interview participants in this study were from Australia and the United Kingdom. They provided a range of perspectives on belongingness and how it influenced their placement experience. Central to this discussion was their strong belief that belonging is a prerequisite for clinical learning. This theme dominated all of the interviews. Given that the primary purpose of clinical placements is for students to learn to nurse, there needs to be a clear understanding of the relationship between belongingness and learning. With reference...
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