student nurse reflection on learning and development

Licensee MDPI, Basel, Switzerland. The outcomes of a research in which student nurses in Saudi Arabia were interviewed through in-depth qualitative approaches are presented in this paper. According to Anderson, Willman, Sjstrm-Sand and Berglin [11], the changes occurring in health care place nurses under stress and basic care is not secured. Leveraging advanced practice nursing in complex health care systems. There are many reflective models . Nurse students experiences with clinical placement in outpatient unit a qualitative study, https://doi.org/10.1186/s12912-016-0167-1, http://dx.doi.org/10.1787/9789264183896-en, https://www.ssb.no/en/helse/statistikker/speshelse/aar/2015-06-18, https://www.regjeringen.no/globalassets/upload/kd/vedlegg/uh/rammeplaner/helse/rammeplan_sykepleierutdanning_08.pdf, http://www.ssb.no/en/utdanning/statistikker/hugjen/aar/2015-06-26, https://www.advisory.com/sitecore%20modules/web/~/media/ABI/Research/GCNE/Studies/2012/PatientExperience.pdf, https://www.etikkom.no/en/ethical-guidelines-for-research/medical-and-health-research/declaration-of-helsinki/, http://pvo.nsd.no/prosjekt/sok?s=40573&innmeldt_fra=&innmeldt_til=&institusjon=0&side=1, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. The aim of the 17 included studies was to help students and supervisors to fulfil their jobs at the highest possible level, authors wrote. Nursing is the art of caring for the patient during illness. Enriching Higher Education Students Learning through Post-Work Placement Interventions. Reflective writing in undergraduate clinical nursing education: A literature review. According to another research, students require the assistance of the trainer in identifying difficulties that require reflection. This will require high quality, standardised, and reproducible research that includes comparable interventions, outcome measures, and study conditions.. sharing sensitive information, make sure youre on a federal There was also lack of standardisation in how reflection outcomes were classified. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. The study followed the principles of the Declaration of Helsinki and the Norwegian Social Science Data Services [27, 28]. Lfmark A, Thorkildsen K, Rholm M-B, Natvig GK. Hwang B., Choi H., Kim S., Kim S., Ko H., Kim J. 8600 Rockville Pike 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. 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. 2013;3(9):106. An outpatient unit is also quite specific in terms of offering students the possibility of observing and participating in a range of different skills. Concurrent data analysis allowed the generation of meaningful hypotheses through concurrent interviews, thus enabling the production of a complete understanding of the occurrences. AKH and AGG collected the data. During the reflection phase, they also require their trainers advice, direction, and supervision. 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. Concept analyses should be conducted when concepts require further clarification, as is the case with NSCL. The phenomenological data analysis has given rise to the following themes and subthemes as stated in Table 4: The first theme that emerged from analyzing the verbatim of the participating students pointed towards intrinsic drivers for reflection, where students have felt something within them that have triggered them to go back and think more deeply about their clinical experience and learn from it. Accessibility Nursing students perceptions and experiences of reflective practice: A qualitative meta-synthesis. This site needs JavaScript to work properly. All authors read and approved the final manuscript. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. In Norway there has been a 6% reduction in hospital beds from 2010 to 2014 [2]. When I wasnt informed like I was supposed to about how to use the forms, I guess I wasnt able to benefit from them as intended.. A literature review. Terms and Conditions, Reflection and learning in student nurses - PubMed The researchers alternated conducting the interviews to avoid the potential of a moderators domination; Each interview took between 20- and 25-min. Many of the respondents wished to improve their own expertise in order to give better treatment. Generally, students may scrutinize their behaviors and activities within the experiential context in which they engage through reflection, therefore, resolving the inconsistencies in their performance [5]. how should findings and outcomes be reported consistently? I was part of a 60-hour long placement in the hospital and had . The first group consisted of five informants. Because we found such variability across the studies we examined in terms of several factors, this shows that despite being fundamental to policy and practice, the research underpinning reflection is still limited by lack of consistency and comparability which should be addressed.. In addition, Artioli et al. The researchers who interviewed the students were two males and one female, where all three of them had experience in conducting qualitative research. The https:// ensures that you are connecting to the Lillemoen L: Det er bare snn jeg er- : en underskelse om sykepleiestudenters utvikling av moralsk opptreden. Etikan I., Musa S.A., Alkassim R.S. Reflection is a formal process that can help nurses and nursing students develop crucial skills and competencies when undertaking training in clinical practice settings. 2004 Jan;17(1):36-41. doi: 10.1177/0894318403260550. The site is secure. Younger S.J. 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. Halden: Hgskolen i stfold; 2013. An official website of the United States government. In order to obtain rich and meaningful data, probing questions were sometimes asked by both researchers to extend or narrow the field of interest (e.g. [This is how I am - A study of student nurses moral development]. Reflection for the undergraduate on writing in the portfolio: Where are we now and where are we going? Choperena A., Oroviogoicoechea C., Zaragoza Salcedo A., Olza Moreno I., Jones D. Nursing narratives and reflective practice: A theoretical review. 2017 Jul;25:1-4. doi: 10.1016/j.nepr.2017.04.004. Nursing students satisfaction with supervision from preceptors and teachers during clinical practice. This is consistent with Relji et al. The students spent one week at the outpatient unit out of a total of eight weeks in clinical placement. Provided by the Springer Nature SharedIt content-sharing initiative. Forum: Qualitative Social Research 2000, 1(2). The https:// ensures that you are connecting to the According to the findings, instructors should assist students through clinical reflection, with a special focus on their interactions and motivation. In order to learn, students need to feel a sense of belonging [15]. According to the results of the data analysis, a qualified trainer might help students in clinical practice with their reflection process. In the first year of my nursing programme my first placement was in an acute admission ward for older people. This has led to a sustained investment in outpatient treatment facilities and ambulatory care [2]. Four of them undertook clinical placement at the cardiology unit and three of them at the neurology unit. Students may not feel adequately prepared for the multiple challenges, and it can be difficult to know how to approach this. STUDENT NURSE REFLECTION ON LEARNING AND DEVELOPMENT September 14th, 2022 admin Education One of the most important sectors of human life is health. Students take a more active approach to seeking knowledge when given structured learing activities during clinical placement in outpatient unit. Adamson E, Dewar B. Compassionate Care: Student nurses learning through reflection and the use of story. Faculty of Health and Social studies, stfold University College, P.O. Student Focus - Reflection - With experience comes confidence 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. Reid, (1993) describes reflection as a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. As a student enrolled nurse, there were strict practice standards and regulations, especially when medication is involved and supervision from our mentor was required at all times. Cite This Essay. The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board (ECO-R-103). Lawrence C., Mhlaba T., Stewart K.A., Moletsane R., Gaede B., Moshabela M. The hidden curricula of medical education: A scoping review. For the purposes of this analysis, the term 'Nursing Student Clinical Leadership' (NSCL) will be used to describe clinical leadership in nursing students. Reflection has been more prominent in educational facilities over the past years, and it is now recognized as a component in gaining competency. 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. The authors read the interviews right through each by themselves in order to obtain a sense of the whole. One of the most important aspects in the clinical practice reflection process was students willingness to learn more about clinical care. However, the study also identifies opportunities for making the placement in an outpatient unit a positive experience for the students. (2019) who have also indicated the value of reflective practice among student nurses in enhancing their knowledge, skills, and intellectual abilities [21]. In spite of limited numbers of informants in one of the focus group, rich data was provided. Therefore, the researchers who established contact with the students had no influence on them or the participation process and deciding against it, did not affect their assessments. 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. 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. [7] claim that good co-operation between clinical staff and nurse educators is necessary for providing a good learning environment for nursing students. Student Nurse Placement Reflection and Personal Development Plan. They took place at the end of the informants clinical placements. The data will be shared by the authors of this research paper upon request. Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. In an advanced clinical setting with complex technology and treatments, it can be difficult for inexperienced nursing students to actively seek knowledge. Previous literature indicates however that students may not actually comprehend how to effectively prepare for their clinical placement [12, 13], which might also be the issue among some of the students in this study. The key is not to cause harm but to help afterward. April 25, 2023. Another student also shared, I dont want to be unable to take the proper actions when the patients need me or when they need answers on something I feel as a student nurse responsible just like a graduate registered nurse for the patients condition that what makes me want to think more on my level of performance (S12). 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. The students included were enrolled in the full-time study program, and have been practicing reflection throughout their clinical training program through fulfilling a portfolio containing qualitative reflection forms for each clinical task.

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