In all of the included studies, it was possible to categorise the level of reflection attained as low, middle, or high, however, comparison between studies was challenging. As the sample is small no data will be shared due to confidentiality. I wish I could have spent more time at the ward, so at least I knew some of the terminology.. The forms directed the students attention towards the patient and their experiences and the relationships between the nurses and the patient. 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. [The Nursing education curriculum 25. Reflective writing is the purposeful and recursive contemplation of thoughts, feelings, and happenings that pertain to significant practice experiences (Kennison, 2012). 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 . Lewallen LP, Debrew JK. When planning rotation between the regular ward and the outpatient unit, the timing of placement in the outpatient unit should be in the middle or end of the overall clinical placement period. An outpatient unit is also quite specific in terms of offering students the possibility of observing and participating in a range of different skills. Written permission was obtained from the head of the hospital nursing department and the head of the outpatient department before the study was conducted. 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.. Nowadays, nurses work in a system that is extremely complicated, active, and ever-changing while providing a diverse array of healthcare functions. However, the study also identifies opportunities for making the placement in an outpatient unit a positive experience for the students. Privacy Uniped. Cookies policy. As per several pieces of research, reflection improves student-instructor interactions, bridges the theory-practice gap, deepens learning, and strengthens meta-cognitive abilities [11,12,13]. The foundation of learning through experiencing is reflection, which involves the combination of both knowledge and practice. There are waiting periods between most procedures at outpatient units. In order to learn, students need to feel a sense of belonging [15]. Etikan I., Musa S.A., Alkassim R.S. 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. 2012;3(01):2234. Students attempt to obtain information that may be applied in a variety of clinical contexts by reflecting on clinical training [23]. official website and that any information you provide is encrypted BMC Nursing The forms seemed to give the students more confidence as they had something meaningful to do between procedures. Students may not feel adequately prepared for the multiple challenges, and it can be difficult to know how to approach this. I had been working two shifts at the ward, so there was a lot going on in my head already, so I was maybe a little stressed because I knew absolutely nothing when I came there, so I thought that was a little senseless. Another student also had a similar experience, one time I was assigned to care for a child who had a very serious condition it made me think a lot about the importance of each step of care I was giving I have never seen such a case at such a small age when I went back home and had to prepare a care plan assignment about her case, I found myself thinking a lot about everything we did for her (S10). The nursing education sector has had to rethink the knowledge and skills it provides and how it teaches patient interaction to its students [9]. Some of the findings agree with other studies that have found that using outpatient units as clinical placements in nursing studies has several challenges [17]. AKH, AGG and AKR drafted the manuscript and contributed to the interpretation of the results and critical review of the manuscript. Box 300, 1714, Grlum, Norway, You can also search for this author in Data revealed the challenges of being a student in a highly technological world. To pass or to fail? It also provides insight for those in smaller organisations addressing their particular challenges in identifying learning and development needs. This study shows that it could be hard for students to leave the ward with which they have barely had time to familiarize themselves, and readjust to a new field. Instead of just observing, the forms helped the students take a more vigorous approach in seeking knowledge. Our findings indicate that, when given a form with questions to answer and settings to reflect upon, students take a more active approach to seeking knowledge. PubMedGoogle Scholar. It has something to do with information failure. Hsieh HF. Three researchers completed their own assessment, after which the researchers convened and discussed their results until they reached an agreement on the emerging themes, all while avoiding bringing their own opinions into the discussion. When confronted with unfamiliar circumstances, learners started to ponder on clinical experiences and seek knowledge from various resources in order to minimize information gaps. The study was approved by the Norwegian Social Science Data Services (reference number 40573) [28]. Many teaching programs require students to keep a reflective journal, and the writings are frequently used for evaluation, thus highlighting the students weaknesses and encouraging students to improve [10]. Chambers, Thiektter and Chambers [24] claim that nursing education needs to adopt pedagogical approaches that stimulate the learning process, so that students have the necessary ballast to meet the continuous changes taking place in health care. Qual Health Res. The scoping review included 17 studies from around the world, conducted between 2007-2020 . 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 data was analyzed using a standard qualitative content analysis technique. Kindly elaborate on one of your clinical encounters that has prompted you to ponder and reflect more? 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. Manage cookies/Do not sell my data we use in the preference centre. 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. Accessibility and M.F. As an education provider, a trainer should push students to gain more from other sources and patients who are similar to them [27]. Nurse students experiences with clinical placement in outpatient unit a qualitative study. Lawrence C., Mhlaba T., Stewart K.A., Moletsane R., Gaede B., Moshabela M. The hidden curricula of medical education: A scoping review. Contreras J.A., Edwards-Maddox S., Hall A., Lee M.A. Witnessing change with aspiring nurses: a human becoming teaching-learning process in nursing education. Disclaimer. It is a matter of fact that nursing students gradually advance from understanding the general aspects to the more complex areas of nursing [12, 22]. Immediately after the interviews, notes were made by author1 to capture the setting and reflections in respect of the informants emotional responses. What outcomes are measured in the studies where reflection has been used for nursing education by nursing trainees and educators in clinical settings. https://creativecommons.org/licenses/by/4.0/. 2012;51(7):38995. 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. The current study was undertaken to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. The students were approached by the researchers who were not affiliated with their university, and did not teach them any classes. The https:// ensures that you are connecting to the The researchers alternated conducting the interviews to avoid the potential of a moderators domination; Each interview took between 20- and 25-min. Participants willingness to learn more and thus reflect on their experiences was certainly strong. Solvoll B-A, Opsahl G, Granum V. Hvordan bidrar rammeplanen for norsk sykepleierutdanning til akademisk profesjonskompetanse? The key is not to cause harm but to help afterward. This method entails a critical examination of prior experiences in order to induce change in behavior and improve personal and professional capabilities in the future [4]. 8600 Rockville Pike This may agree with what Coyne and Needham [12] refer to as customizing learning needs. Findings also revealed that the forms guided the students attention from the technological devices towards the patients and their experiences, and also to the relationship between nurse and patient. Reflective writing in undergraduate clinical nursing education: A literature review. Box 700, NO, 1757, Halden, Norway, Ann Karin Helgesen&Anne Grethe Gregersen, Nursing Department, stfold Trust Hospital, P.O. FOIA A suitable schedule for the interviews was agreed upon with each participant, especially considering their hectic academic schedules, in order for them to be approachable and provide accurate descriptions of their encounters. In order to meet these challenges, structured learning activities with special forms were developed by nursing educators and nurses at outpatient units. Reflection for the undergraduate on writing in the portfolio: Where are we now and where are we going? This has led to a sustained investment in outpatient treatment facilities and ambulatory care [2]. When confronted with difficult conditions, there is a lack of contact and the creation of a sense of need [29]. (2018) on nursing staff, there was a link between reflection, intellectual growth, and career development; additionally, it was discovered that reflection improves mental wellbeing. The students shared that the more the case challenged them, the further they felt that they need to reflect on how they performed and see what they would do differently, especially regarding carrying out related research. Contreras et al. Medical trainers must encourage reflection by assessing students reflective work and identifying educational obstacles in medical curricula while utilizing handwritten or web-based portfolios. National Library of Medicine Short-term placement has been shown to offer students less opportunity to participate in the social interactions that go into making them future professionals [15]. Colaizzi P. Psychological Research as the Phenomenologist Views it. The study was conducted in a hospital in the eastern part of Norway. Nursing students satisfaction with supervision from preceptors and teachers during clinical practice. It also enables you to learn more deeply about a variety of situations and events, not just . Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Data were collected by means of focus group interviews during spring 2015. 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. . 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).
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