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Empathy and support in nursing. My week at the outpatient unit, was in my second week of clinicals. https://creativecommons.org/licenses/by/4.0/. The interviews were conducted by three of the researchers who were PhD holders and lecturing professors. Students were emailed a generic invitation to participate in the research as well as an explanation of the study objectives, and if they were willing to participate, they were asked to return a signed informed consent form. Reflection on creating a coaching approach to student nurse clinical The researchers alternated conducting the interviews to avoid the potential of a moderators domination; Each interview took between 20- and 25-min. In the next step of the process, the research team met and compared their codes and sorted them into categories and subcategories. Nurse Educ Pract. It also enables you to learn more deeply about a variety of situations and events, not just . Taking responsibility for ones own learning is an important part of being prepared [13] and being prepared for clinical placement is an attribute that can separate the successful students from the unsuccessful ones. This theme had four main subthemes; Motivation to learn, Responsibility towards patients, Desire to develop, and Ethical Regard. Federal government websites often end in .gov or .mil. Other students were well prepared for the new experiences, as they had read and used the forms ahead of the week in the outpatient unit in order to be alert. Students who were registered in a bachelor nursing degree at the targeted university, had at least one semester of clinical training program, and were prepared to partake and discuss their insights met the studys inclusion criteria. Springer Nature. 2022 Mar;7 (3):e008007. Article An outpatient unit is also quite specific in terms of offering students the possibility of observing and participating in a range of different skills. One of the ways I accomplished this task was, at the beginning of the placement, ask the preceptor for a list of commonly used medication and then use the medication charts to create a list of any unfamiliar medications so that I could research and be able to provide the necessary information. Community nursing placements: student learning experiences during a January 2008]. For instance, one of the students said my work as a nurse is guided not only by professional ethics but also by moral and cultural values too, which makes me in need to always relate my practice and performance to, so that I can be sure that I am doing the right thing I mean I would want to be treated in a dignified manner if I was ever in the place of the patient (S1). Methods: Semi-structured interviews were conducted among 21 Saudi nursing students at one major university in Saudi Arabia. Speziale H.S., Streubert H.J., Carpenter D.R. Students need guidance in understanding concepts and in applying expectations. Given that students often feel lost and uncertain in the initial phase of clinical placement, time plays an important factor in their experience of a good learning process [16]. Results: Two major themes were prevalent upon thematic analysis, namely, Personal Drivers of Reflection which consisted of Motivation to Learn, Desire to develop, Ethical Regard, and Responsibility towards patients and External Drivers of Reflection which consisted of Patient characteristics, Case complexity, and Competent Instructors. Bookshelf The art of caring should therefore be emphasized both in theory and in clinical practice. Nurse Educ Pract. Data were analyzed by means of content analyses. Careers, Unable to load your collection due to an error. Data revealed that the students preparedness when entering the outpatient unit impacted on how they described the week. Bethesda, MD 20894, Web Policies Clinical Placement Reflective Essay-final - Introduction This essay The data was analyzed using a standard qualitative content analysis technique. For the purposes of this analysis, the term 'Nursing Student Clinical Leadership' (NSCL) will be used to describe clinical leadership in nursing students. What levels of reflection are identified or achieved: low (descriptive), middle (application), or high (evaluative)? Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. I was placed in a private ward during clinical placement as a student nurse. Role As A Student Nurse | Reflection - NursingAnswers.net The Reflection, Feedback, and Restructuring Model for Role Development Data revealed that some of the students lacked comprehensive understanding about being part of this specific project, of the terms used and about the forms. As a library, NLM provides access to scientific literature. As a result, it suggests a guide for education in clinical practice could include consideration of the following: which tool will be appropriate? National Library of Medicine Nilsen SR. Nr samhandling kreves : et helsevesen i endring krever ny kompetanse. Leveraging advanced practice nursing in complex health care systems. Overall, the review found interventions, tools, approaches and the measurement of nurses reflection in clinical practice settings are highly varied. Data also revealed that the timing of the students placements in the outpatient unit impacted on their preparedness, as they had to familiarize themselves with the group of patients and certain concepts before entering the unit. One aim of the reforms in nurse education is to produce reflective practitioners. [The Nursing education curriculum 25. Students may not feel adequately prepared for the multiple challenges, and it can be difficult to know how to approach this. As researchers were granted access to a registry of university webmail, students were contacted by email. More focus on outpatient care has also led to fewer opportunities for studying the continuity of a patients life situation. Tellingly, none of the 17 studies examined included the same combination of elements. Quotations were selected to support each description and to secure the trustworthiness of the data. [This is how I am - A study of student nurses moral development]. This assignment is a critical analysis and reflection of my continuing personal and professional development (CPPD) needs in practice. Cite this article. Informed consent was obtained from all subjects involved in the study. The development of new and improved technology has enabled a transition in most countries from long hospitalizations to same-day surgeries and increased use of outpatient treatments [1]. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. 2023 BioMed Central Ltd unless otherwise stated. Inclusion criteria for joining the study were: second-year students, undergoing clinical placement at the cardiology or neurology units. ; supervision, Y.A. As this was their first encounter with an outpatient clinic and such procedures, using the forms and preparing ahead enabled students to be more alert to new experiences. Nursing students are placed in clinical facilities to correlate classroom learning with real life situations to learn nursing skills and to socialise students into professional behaviours and practice (SANC, 2005).Nursing students are being prepared to become future competent registered nurses who are not only clinically competent but personally and . What do we know about coaching in medical education? All of the researchers utilized the same questioning frameworks, posed identical inquiries, and extensively explored any new concepts in order to eliminate blind spots in the findings. Study: Reflection as a learning strategy for the training of nurses in Another student also proclaimed, theres still a lot for me to learn so that I can become a proficient nurse and every time I feel like I lack knowledge in a certain aspect of care it only makes me more encouraged to dig deeper and reflect on my practice skills so that I can provide higher care quality for patients (S3). 2009;26(2):816. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Allowing students to discuss their results while also reflecting on the reasons, encourages them to speak openly about their flaws, limitations, uncertainty, and confusion, rather than hiding their possible negligence. Nurse Educ Today. 2015;14(1):110. Each transcription was compared against recordings to ensure authenticity. Readers are introduced to the process of critical and reflective thinking and the translation of these into coursework that will help them to achieve better grades in nursing courses. Newton and McKenna [23] refer to this as a transitional journey. Our findings might indicate that, if the students do not feel well adjusted to the general clinical area, their transition to the advanced outpatient unit is more difficult. Licensee MDPI, Basel, Switzerland. Reflection in Action: Developing Reflective Practice in Health and Social Services. When comparing results between studies, authors should explicitly state the foci or themes reflected on, as well as the length of the intervention period and the level of students educational experience.. Being prepared, which was one of the categories, incorporated the subcategories being able to understand what to do, being at the right place at the right time and being alert for new experiences. Concurrent data analysis allowed the generation of meaningful hypotheses through concurrent interviews, thus enabling the production of a complete understanding of the occurrences. Uniped. Ann Karin Helgesen. The forms were designed with the aim of enhancing reflection, consciousness and recognition of basic nursing skills in order to yield a better learning experience from placements in outpatient units. There are waiting periods between most procedures at outpatient units. The evaluation of the programme showed that some outpatient units were unsuitable for providing sufficient relevant learning situations for nursing students [17]. This problem arises in the face of complicated and unique situations that are difficult to resolve [30]. The paper was designed and written according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) reporting guidelines [16]. Barbagallo M.S. Lfmark A, Thorell-Ekstrand I. [https://www.regjeringen.no/globalassets/upload/kd/vedlegg/uh/rammeplaner/helse/rammeplan_sykepleierutdanning_08.pdf], Throughput of students in tertiary education - SSB [http://www.ssb.no/en/utdanning/statistikker/hugjen/aar/2015-06-26]. The authors are grateful to the participants in the study. Existential Phenomenological Alternatives for Psychology. Medical trainers must encourage reflection by assessing students reflective work and identifying educational obstacles in medical curricula while utilizing handwritten or web-based portfolios. This is in line with findings in Adamson and Dewars study [25] which emphasizes that reflective learning and the use of stories about the experience of giving and receiving care can contribute to development of knowledge, skill and confidence in the students. Moreover, the students who took part in this study have expressed the strong ethical and moral value of their work and the need to be up to the expectations of their personal, professional, cultural, and religious values in their work. sharing sensitive information, make sure youre on a federal Third year student nurse, Darren - Nursing and Midwifery Council However a rotation between an outpatient unit and a regular ward might be challenging, as a key influence on nursing students sense of belonging relates to the length and organization of the clinical placement [16]. HHS Vulnerability Disclosure, Help Purposeful reflection is a tool that helps nurses gain self-knowledge and insight (Palmer, 2007). Two focus group interviews were conducted with a total of seven nursing students who had experienced structured learning activities during clinical placements in an outpatient unit. An external reviewer with experience in qualitative studies evaluated conformability. A new paper, Reflection as a learning strategy for the training of nurses in clinical practice setting: a scoping review, delved into the tools and approaches used for reflection as a learning strategy for nurses and nursing students in clinical settings. Four of them undertook clinical placement at the cardiology unit and three of them at the neurology unit. One of the students said for instance, I reflect on my clinical experiences because when I graduate I want to be not just any other nurse I want to be an outstanding example of the highly professional nurse who continually works on developing themselves through increasing their knowledge and skills by reflecting on the areas needing improvement and thus develops into a higher standard of care (S9). Description. Conceptualization, Y.A., B.A., L.B., F.A., M.S.I., A.T. and M.F. The scoping review included 17 studies from around the world, conducted between 2007-2020 . To ensure credibility, the researcher documented and published the whole study procedure, allowing others to do follow-up investigation. Reflective writing is the purposeful and recursive contemplation of thoughts, feelings, and happenings that pertain to significant practice experiences (Kennison, 2012). Reflection on clinical skills by nursing students during the clinical learning process is critical to the development of such student competencies [6]. April 25, 2023. Students also find the procedure of reflection difficult and feel that it does not occur spontaneously, therefore, it needs a safe and secure atmosphere in which they may cultivate reflection with the assistance of professionals. Lfmark et al. 155-161. In addition, another student shared a similar anecdote, God is watching everything we do and my religion tells me that I need to do the most good to the people around me thats why I need to always keep myself in check and make sure that my performance is up to the level that will make the patient better and not do harm, whether clinically or even psychologically (S15). Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. and A.T.; resources, Y.A. Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects [https://www.etikkom.no/en/ethical-guidelines-for-research/medical-and-health-research/declaration-of-helsinki/], Norwegian Social Science Data Services (NSD) [http://pvo.nsd.no/prosjekt/sok?s=40573&innmeldt_fra=&innmeldt_til=&institusjon=0&side=1. Clipboard, Search History, and several other advanced features are temporarily unavailable. Regardless of the premise that reflection has been employed in nursing academia for many years and recognized as an academic requirement in the nursing profession that improves students knowledge and awareness, this subject still requires further investigation, especially in Saudi Arabia, where despite the advances in medical education and research, this topic is still in its infancy.