Percepción de los estudiantes de enfermería sobre la supervisión y entorno de aprendizaje clínicoUn estudio de investigación fenomenológico

  1. M. Flores Vizcaya-Moreno 1
  2. Rosa M. Pérez-Cañaveras 1
  3. Ismael Jiménez-Ruiz 1
  4. Joaquín de Juan 1
  1. 1 Universidad de Alicante, España
Journal:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Year of publication: 2018

Volume: 17

Issue: 3

Pages: 306-318

Type: Article

DOI: 10.6018/EGLOBAL.17.3.276101 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Enfermería global: revista electrónica trimestral de enfermería

Abstract

Aim: To analyse nursing students' perceptions of the supervision relationship and the clinical learning environment during their clinical practice placements. Methods: A qualitative design was used to conduct this phenomenological study. Data were collected through semi-structured focus group interviews. The purposive sample consisted of 48 nursing students of the University of Alicante (Spain). Semi-structured focus group interviews were transcribed verbatim and then analysed using the stage by stage method. A tree structure with four categories arose: individualization, innovation in clinical teaching, student participation, and nurse tutor-student nurse relationship individual training. Results: This study shows that no individualization is involved in the clinical learning process. Student participation in ward activities depends on the student's experience, the characteristics of the ward, the nursing team and the nurse tutor. Students feel that the role of the nurse tutor is not clearly defined. Anxiety, vulnerability and feelings of being "temporary workers" are common in nursing students. Conclusion: These results should prompt to deeper reflections on the studied elements of the supervisory process and the clinical learning environment. More specifically on aspects of individualizatio

Bibliographic References

  • 1. Galbraith MW. Attributes and Skills of an Adult Educator. In: Galbraith MW, editors. Adult Learning Methods. Robert E. Malabar: Krieger Publishing Company; 1990.
  • 2. Hiemstra R, Sisco B. Individualizing Instruction: Making Learning Personal, Empowering and Successful. San Francisco: Jossey-Bass; 1990.
  • 3. Pappas JP. Environmental Psychology of the Learning Sanctuary. In: Simpson, EG, Kasworm CE, editors. Revitalizing the Residential Conference Centre Environment. New Directions for Adult and Continuing Education. San Francisco: Jossey-Bass; 1990.
  • 4. Fraser BJ. Science Learning Environments: Assessment, Effects and Determinants. In: Fraser BJ, Tobin KG, editors. International Handbook of Science Education. London: Klumer Academic Publishers; 1998. p. 527-564.
  • 5. Hiemstra R. Creating Environments For Effective Adult Learning. San Francisco: Jossey-Bass Inc; 1991
  • 6. Knowles M. The Adult Learner: A Neglected Species. 4nd ed. Houston Gulf Publishing; 1990.
  • 7. Cleveland B, Fisher K. The evaluation of physical learning environments: A critical review of the literature. Learning Environment Research; 2014;17:1-28. doi:10.1007/s10984-013-9149-3.
  • 8. Roxburgh M., Watson R., Holland K., Johnson M., Lauder W, Topping K. A review of curriculum evaluation in United Kingdom nursing education. Nurse Educ Today; 2008;28(7):881-889. doi:10.1016/j.nedt.2008.03.003.
  • 9. Kaphagawani NC, Useh U. Analysis of Nursing Students Learning Experiences in Clinical Practice: Literature Review. Studies on Ethno-Medicine; 2013;7(3): 181-185.
  • 10. Houghton CE. “Newcomer adaptation”: a lens through which to understand how nursing students fit in with the real world of practice; J Clin Nurs. 2014;23(15- 16):2367-2375. doi.10.1111/jocn.12451.
  • 11. The European Higher Education Area. Declaration Bologna. Joint declaration of the European Ministers of Education; 1999
  • 12. Zabalegui A, Cabrera E. New nursing education structure in Spain. Nurse Educ Today; 2009;29(5):500-504. doi:10.1016/j.nedt.2008.11.008.
  • 13. Dunn SV, Hansford B. Undergraduate nursing students’ perception of their clinical learning environment. J Adv Nurs; 1997;25(6):1299-1306. doi:10.1046/j.1365-2648.1997.19970251299.x.
  • 14. Chan DSK. Assessing nursing students’ perceptions of hospital learning environment. [PhD-thesis]. Shatin: University of Hong Kong; 1999.
  • 15. Thorell-Ekstrand I, Bjorvell H. Nursing Students’ experience of care planning activities in clinical education. Nurse Educ Today; 1995;15(3):196-203. doi:10.1016/S0260-6917(95)80106-5.
  • 16. Flott EA, Linden L. The clinical learning environment in nursing education: a concept analysis; J Adv Nurs; 2016;72(3):501-513. doi:10.1111/jan.12861.
  • 17. Lee CH, French P. Education in the practicum: a study of the ward learning climate in Hong Kong; J Adv Nurs; 1997;26(3):445-462.
  • 18. Saarikoski M. Clinical Learning Environment and Supervision. Development and validation of the CLES evaluation scale. [PhD-thesis] Turku: University of Turku; 2002
  • 19. Suhonen R, Saarikoski M, Leino-Kilpi H. Cross-cultural research: a discussion paper; Int J Nurs Stud; 2009;45:(6):204-212.
  • 20. Koskinen L, Taylor-Kelly H, Bergknut E, Lundberg P, Muir N. Olt H, Richardson E, Sairanen R, De Vlieger L. European Higher Health Care Education Curriculum: Development of a Cultural Framework. J Transcult Nurs; 2012;23(3):313-319. doi:10.1177/1043659612441020.
  • 21. Saarikoski M, Ekaterini PK, Pérez R, Tichelaar E, Tomietto M, Warne T. Students' experiences of cooperation with nurse teacher during their clinical placements: An empirical study in a Western European context. Nurse Educ Pract; 2013;13(2):78-82. doi:10.1016/j.nepr.2012.07.013.
  • 22. Kajander-Unkuri S, Salminen L, Saarikoski M, Suhonen R, Leino-Kilpi H. Competence areas of nursing students in Europe. Nurse Educ Today; 2013;33(6):625-632. doi:10.1016/j.nedt.2013.01.017.
  • 23. Espitia, E. La fenomenología interpretativa como alternativa apropiada para estudiar los fenómenos humanos. Investigación y educación en enfermería; 2013 18(1), 27-35
  • 24. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care; 2007;19(6):349-357. doi:http://dx.doi.org/10.1093/intqhc/mzm042.
  • 25. Vizcaya Moreno MF, Perez Cañaveras RM, De Juan Herrero J. El clima social: valoración del entorno de aprendizaje clínico desde la perspectiva de los estudiantes de enfermería. In: CIDE, Ministerio de Educación y Ciencia, Secretaría General de Educación editors. Premios Nacionales de Investigación Educativa 2004; 2005:291-310.
  • 26. Vizcaya Moreno MF. Valoración del entorno de aprendizaje clínico hospitalario desde la perspectiva de los estudiantes de enfermería. [PhD-thesis] Alicante: University of Alicante; 2005. Available at: http://hdl.handle.net/10045/13280
  • 27. Cormark DFS. The Research Process in Nursing. 3nd ed. London Blackwell Science; 1996
  • 28. Burnard P. A method of analysing interview transcripts in qualitative research. Nurse Educ Today; 1991;11(6):461-466. doi:10.1016/0260-6917(91)90009-Y.
  • 29. Saarikoski M, Warne T, Kaila P, Leino-Kipi H. The role of the nurse teacher in clinical practice: an empirical study of Finnish student nurse experiences. Nurse Educ Today; 2009;29(6):595-600. doi:10.1016/j.nedt.2009.01.005.
  • 30. Henderson A, Twentyman M, Heel A, Lloyd B. Students’ perception of the psycho-social clinical learning environment: an evaluation of placement models. Nurse Educ Today; 2006;26(7):564-571. doi:http://dx.doi.org/10.1016/j.nedt.2006.01.012.
  • 31. Hoel H, Giga SI, Davidson MJ. Expectations and realities of student nurses' experiences of negative behaviour and bullying in clinical placement and the influences of socialization processes. Health Services Management Research; 2007;20(4):270-278.
  • 32. Pearcey P, Draper P. Exploring clinical nursing experiences: listening to student nurses. Nurse Educ Today; 2008;28(5):595-601. doi:10.1016/j.nedt.2007.09.007.
  • 33. Chuan OL, Barnett T. Students, tutor and staff nurse perceptions of the clinical learning environment. Nurse Educ in Practice; 2012;12(4):192-197. doi:10.1016/j.nepr.2012.01.003.
  • 34. Seibel M. For us or against us? Perceptions of faculty bullying of students during undergraduate nursing education clinical experiences; Nurse Educ Pract; 2014;14(3):271-274. doi:10.1016/j.nepr.2013.08.013.
  • 35. Sun FK, Long A, Tseng YS; Huang HM, You JH; Chiang CY. Undergraduate student nurses' lived experiences of anxiety during their first clinical practicum: A phenomenological study; Nurse Educ Today; 2016;37:21-26. doi:10.1016/j.nedt.2015.11.001.
  • 36. Clarke CM, Kane DJ, Rajacich DL; Lafreniere KD. Bullying in undergraduate clinical nursing education; Journal of Nurse Education; 2012;51(5):269-76. doi:10.3928/01484834-20120409-01.
  • 37. Ewertsson M, Allvin R, Holmström IK, Blomberg K. Walking the bridge: Nursing students' learning in clinical skill; Nurse Educ in Pract; 2015;15(4):277-283. doi:10.1016/j.nepr.2015.03.006.
  • 38. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice; BMC Nurs; 2005;4,6. doi:10.1186/1472-6955-4-6.
  • 39. Ehrenberg AC, Haggblom M. Problem-based learning in clinical nursing education: Integrating theory and practice; Nurse Educ in Pract; 2007;7(2):491- 498.
  • 40. McKenna L, Wray N, McCall L. Exploring continuous clinical placement for undergraduate students; Adv Health Sci Educ Theory Pract; 2009;14(3): 327- 335. doi:10.1007/s10459-008-9116-4.
  • 41. Warne T, Johansson UB, Papastavrou E, Tichelaar E, Tomietto M, Bossche KVD, Vizcaya Moreno MF, Saarikoski M. An exploration of the clinical learning experience of nursing students in nine European countries. Nurse Educn Today; 2010;30(8):809-815. doi:10.1016/j.nedt.2010.03.003.
  • 42. Dimitriadou M, Papastavrou E, Efstathiou G; Theodorou M. Baccalaureate nursing students’ perceptionns of learning and supervision in the clinical environment. Nurs Health Sci; 2015;17:236-242. doi:10.1111/nhs.12174.
  • 43. Sandvik AH, Eriksson K, Hili Y. Understanding and becoming-the heart of the matter in nurse education. Scand J Caring Sci; 2015;29: 62-72. doi: 10.1111/scs.12128
  • 44. Paton B. The Professional Practice Knowledge of Nurse Preceptors. J Nurs Educ; 2010;49(3):143-149. doi:10.3928/01484834-20091118-02.
  • 45. Koontz AM, Mallory JL, Burns JL, Chapman S. Staff nurses and students: the good, the bad and the ugly. MEDSURG Nursing 2010;19(4):240-246.
  • 46. Melia K. Learning and Working: The Occupational Socialisation of Nurses. London: Tavistock, 1987
  • 47. Ashworth P, Morrison P Some ambiguities of the students’ role in undergraduation nurse training. J Adv Nurs 1989;14(12):1009-1015. doi: 10.1111/j.1365-2648.1989.tb01511.x.
  • 48. Hamshire C, Willgoss TG, Wibberley C. The placement was probably the tipping point’ -The narratives of recently discontinued students. Nurse Educ Pract; 2012;12(4):182-186. doi:10.1016/j.nepr.2011.11.004.
Data source: Dialnet