The aim of this study was to explore students' experiences of using structured learning activities as unit-specific learning outcomes and targeted reflection during clinical placements in an outpatient unit. This article demonstrates the meaningful learning that resulted as a consequence of using critical reflection on practice. 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]. 2012;12(3):1649. This study aims at exploring nursing students' perspectives on the facilitators of reflective practices in the clinical setting. Lancet. Lillemoen L: Det er bare snn jeg er- : en underskelse om sykepleiestudenters utvikling av moralsk opptreden. Licensee MDPI, Basel, Switzerland. Understanding the factors considered by faculty in the clinical evaluation of nursing students. Participants willingness to learn more and thus reflect on their experiences was certainly strong. Lfmark et al. The students were approached by the researchers who were not affiliated with their university, and did not teach them any classes. 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. As the sample is small no data will be shared due to confidentiality. Reflective writing in undergraduate clinical nursing education: A literature review. STUDENT NURSE REFLECTION ON LEARNING AND DEVELOPMENT September 14th, 2022 admin Education One of the most important sectors of human life is health. An outpatient unit is also quite specific in terms of offering students the possibility of observing and participating in a range of different skills. Springer Nature. Unauthorized use of these marks is strictly prohibited. Relji N.M., Pajnkihar M., Fekonja Z. Self-reflection during first clinical practice: The experiences of nursing students. The majority of the students felt that their values have driven them to reflect on what they have practiced, how they dealt with the patient, the family, and their colleagues so that they can detect any wrongdoing and make sure to avoid such encounters in the future. Nilsen SR. Nr samhandling kreves : et helsevesen i endring krever ny kompetanse. The authors read the interviews right through each by themselves in order to obtain a sense of the whole. Faculty of Health and Social studies, stfold University College, P.O. 2008;8:10311. This account will identify practical needs that I must improve with supportive evidence based research, and evaluate the impact of this need for my personal development as a future qualified nurse. The current study was undertaken to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. vol. Download. Inclusion in an NLM database does not imply endorsement of, or agreement with, In past years, a considerable discrepancy across instructional experiences and practical nursing services has resulted in a nursing care discrepancy, as well as critique of nurses care quality in some Saudi hospitals [14]. Privacy Overview First year student nurse, Emma Second year student nurse, Saima Third year student nurse, Darren This scenario focuses on the learning that Saima undertook while on a shift during her third week of a ten-week practice learning experience on Ward A which is a surgical ward. Pre-registration nursing students enjoy a wealth of learning during community placements, develop invaluable knowledge and skills and gain exposure that may help them consider this dynamic field . Its crucial to establish a secure setting in which people may reflect on their experiences [9]. 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. Barbagallo M.S. Coyne and Needham [12] show that a higher nurse-patient ratio allows more time for student supervision. Data showed that some of the students had read and used the forms ahead of the week in the outpatient unit. For example, one of the students shared, one time I had a patient who is 19 years old this made me put myself in their shoes and pay attention to more details regarding the case and the management as his case was truly critical and I was thinking I can be in his place at any moment in life this make me think a lot about my work and the value of careI felt I want to read more about it afterwards and I did (S2). In the first year of my nursing programme my first placement was in an acute admission ward for older people. Overall, the review found interventions, tools, approaches and the measurement of nurses reflection in clinical practice settings are highly varied. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The importance of skill development in nursing education is vital as it promotes self-awareness and develops best practice (Dolphin, 2013; Vaughan, . One limitation of the current study was that it only looked at nursing students perspectives; thus, additional research should look at additional subtopics, such as nursing educators perceptions of encouraging reflection in clinical settings. Before Contreras et al. What causes you to reflect on these scenarios? Int J Nurs Stud. Students were chosen starting from the second semester because nursing students must complete around 39 credits in the clinical area, which commence in the second semester, and they are regularly confronted with a variety of challenging situations from the outset of their training program, that might drive reflection. Contreras J.A., Edwards-Maddox S., Hall A., Lee M.A. In order to learn, students need to feel a sense of belonging [15]. As per the research carried out by Hwang et al. ; formal analysis, Y.A., B.A., L.B. In order to secure as open-minded an approach as possible, the researchers discussed their own preconceptions on the topic and made efforts to put these aside during the data collection and analyses. Accessibility Cadman K, Clack E, Lethbridge Z, Millward J, Morris J, Redwood R. Nurse Educ Today. The interviews were carried out using virtual meeting technologies by the investigators, who were able to conduct interviews until data saturation was reached. 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.. Dr Micah DJ Peters, Director of the National Policy Research Unit from the ANMF Federal Office and author of the paper said training and developing competences based on reflection in an evidence-based practice has to be tested and validated. Reflecting on health and wellbeing as a student nurse: a personal journey | Nursing Times EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 10th Floor, Southern House, Wellesley Grove, Croydon, CR0 1XG We use cookies to personalize and improve your experience on our site. One area that has continued to raise particular challenges in community nursing is maintaining the level of student learning capacity, supervision and assessment to the extent of pre-pandemic levels. Across EU member states, the Health at a glance Europe 2012 report asserts a decrease in hospital beds from 6.5 beds per 1000 population in 2000 to 5.3 in 2010. This allows time for reflection. Over the past decade, there has been a reduction of hospital beds in most European countries. The age of the informants, six women and one man, ranged between 20 and 41years (mean 28, median 22). Empathy and support in nursing. Patel A.B., Shah S.V. Research suggests nurses who are able to effectively reflect are better at developing strategies that promote a flexible, individualised and holistic approach to patient care; resolving problems through reasoning; and monitoring and enhancing their professional competence. The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board (ECO-R-103). Nurse Educ Pract. The site is secure. As a result, facilitation of reflection and reflective capacities is seen as an essential part of professional growth [7]. Practice Assessment Document (ePAD) system information for School of Nursing students, practice assessors, practice supervisors and academic assessors ePAD is for Nursing students. AKH, AGG and AKR drafted the manuscript and contributed to the interpretation of the results and critical review of the manuscript. Vrd i Norden 2010. The researchers used several methods in accordance with past research in the field of qualitative analysis in attempt to optimize the study reports credibility and prevent biases from emerging [18]. Hsieh HF. This study shows that use of outpatient units for clinical placement in nursing studies has several challenges but also the potential for creating positive experiences for the students. My personal and professional development will allow me to facilitate and encourage the learning and development of other nursing students in the future. Our findings show that, when in an outpatient clinic, students have more time between patients. To maintain this association, it is important that the clinical placement offers an environment where this can be taught. 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. The number of nursing students rose by 14% between 2010 to 2014, from 3,179 to 3,630 [5]. [The Nursing education curriculum 25. 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. ; project administration, M.F. Informed written consent was given by all informants. and M.F; writingoriginal draft preparation, Y.A. One aim of the reforms in nurse education is to produce reflective practitioners. Only 4 (19.04%) were in the second semester of the third year. If I did not have those forms to help me reflect, I would never have understood what I was actually doing or was a part of., The fact that you are being guided towards what you are supposed to look for and stuff, I really liked it.. All authors have read and agreed to the published version of the manuscript. Reflection has been shown to provide valuable professional development. Get Help With Your Nursing Essay According to Lovell (2018), encouraging activity analysis should be accomplished in conjunction with other determinants to enable reflection in the medical field, such as making sure that trainers are sufficiently educated are able to offer a consistent atmosphere for students, and have an effective relationship with their students. The scoping review included 17 studies from around the world, conducted between 2007-2020 . Rapid progress in the treatment of many medical conditions has caused a shift in nurses duties and functions and many changes in nursing education over the last two decades [7, 8]. 2004 Jan;17(1):36-41. doi: 10.1177/0894318403260550. Thus, the findings of the study highlight the importance of emphasizing the significance of professional values such as personal responsibility and intrinsic motivational factors. Preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. California: Addison-Wesley Publishing Company Nursing Division Melno Park; 1984. 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. This sense has led students to reflect on their clinical experiences and knowledge as they want to be completely responsible for their patients and doing them good. Part of [When interaction is required: a healthcare in change demands new skills]. There are waiting periods between most procedures at outpatient units. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. Inclusion criteria for joining the study were: second-year students, undergoing clinical placement at the cardiology or neurology units. Uniped. Adamson E, Dewar B. Compassionate Care: Student nurses learning through reflection and the use of story. Integrate themes into a thorough description, Determine the underlying basis of the phenomenon, Contact respondents for additional information. 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. According to the findings, the drivers of reflection ranged from personal and extrinsic levels. 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. Depending on the outpatient units, students can acquire skills that are essential to nursing practice as well as more specialized knowledge about different examinations and treatments, and an enhanced understanding of the human anatomy, as well as a wider understanding of the nurses role. Trainers can help students reflect on their encounters by allowing them to communicate their recollections and perspectives, conducting dialogues, and directing class discussion. 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). 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). official website and that any information you provide is encrypted Therefore, more precise, consistent reporting on the outcomes of interventions to promote reflection would help educators and clinical supervisors decide which tools and approaches may fit their specific clinical practice and promote reflection among participants to develop care competencies.. An official website of the United States government. The students also perceived that cooperation amongst instructors, clinicians, nursing staff, and nursing students may create a favorable environment for students to reflect on their encounters through proper communication, as well as a desirable supporting environment. Complex technologies in some of these units represent a challenge for students who have limited existing knowledge or experience. 2002 Aug;25(3):35-42. doi: 10.4102/curationis.v25i3.784. The encounter will be analysed and conclusions on the need for nursing professional conduct will be drawn. Tellingly, none of the 17 studies examined included the same combination of elements. Nine students were asked to participate in the study, but only seven ultimately participated in the interviews. PubMedGoogle Scholar. Housing quality impacts ADHD symptoms in children, Learn how nurses and midwives play a crucial part in cyber security, Nurse sounds a warning on hearing loss for COVID-19 patients, Scholarships and subsidies for Victorian nurses , midwives and students open for applications at the end of the month, Addressing nursing workforce shortages with comprehensive evidence-based strategies, Promising new Network set to boost nursing and midwifery research, Take precautions against respiratory infections in early pregnancy, Higher dietary magnesium delays brain ageing, Shift workers at risk of higher blood pressure, study finds, Newly Qualified / Transition to Practice (33). The first extrinsic driver that was prevalent among the nursing students who took part in this study showed that the students were motivated by the complex cases rather than the common ones to reflect on their knowledge and skills. The researchers had no prior relationship with the students; however, they were introduced upon receiving the email of participation through mutual colleagues and professors who taught the students. The data will be shared by the authors of this research paper upon request. Our findings show that, through reflection, students were able to focus less on technology and more on the patient. The transcriptions were placed in a sealed envelope, delivered to the translation professionals and were received back in a sealed envelope. Conclusion: As per the results of the study, nursing students perceived that they underwent reflection as a response to personal motivational and external educational aspects. how should findings and outcomes be reported consistently? In Saudi Arabia, the only study that tackled the reflection highlighted the perspectives of preceptors rather than students. Reflection for professional development Nursing Essay Example for MSN Nursing Students. 47 to the Storting (20082009) [https://www.regjeringen.no/en/dokumenter/report.no.-47-to-the-storting-2008-2009/id567201/], Rammeplan for sykepleierutdanning : fastsatt 25. januar 2008 av Kunnskapsdepartementet. Universitetet i Oslo, Det medisinske fakultet Unipub; 2008. 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. FOIA This information failure can most likely be linked to the introduction of the new concepts of learning outcome and targeted reflection, and the new forms which had been specifically developed for the project. Kindly elaborate on one of your clinical encounters that has prompted you to ponder and reflect more? This study aims at exploring nursing students perspectives on the facilitators of reflective practices in the clinical setting. by studentnurse88 (student) University Degree Subjects allied to Medicine The purpose of this essay is to reflect on my experience and skills gained during a two-week clinical placement as a first year Student Nurse and also the learning outcomes stated in my Personal Development Plan (PDP). Newton and McKenna [23] argue that students are often not ready to understand the expertise and advanced treatments that take place in such specialist areas.
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