student nurse reflection on learning and development

This study aims at exploring nursing students' perspectives on the facilitators of reflective practices in the clinical setting. 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. The sections of the interviews that dealt with the participants encounters with the reflection-facilitators were selected. Time management in nursing. Previous research also suggests that learning is stimulated when students conceptualize their experiences and are led into reflecting upon specific situations [26]. MeSH 1Emergency Department, Al-Amal Psychiatric Hospital, Qassim, Buraydah 52326, Saudi Arabia; as.vog.hom@hamalaslasy, 2Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail 55476, Saudi Arabia; as.ude.hou@iwagabla.b, 3College of Nursing, King AbdulAziz University, Jeddah 22252, Saudi Arabia; as.ude.uak@riakbabl, 4Department of Nursing, Qassim University, BSN, RN, Riyadh 52571, Saudi Arabia; as.ude.uq@hamalasla.f, 5Faculty of Health Sciences, Beirut Arab University, Beirut 11-5020, Lebanon; bl.ude.uab@inati.dammahom (M.S.I. The students expressed their urge to enhance their critical thinking, decision making and practical skills so that they evolve into highly competitive nurses in the labor market. Understanding the factors considered by faculty in the clinical evaluation of nursing students. Google Scholar. Nurse Education in Practice, 15 (3) (2015), pp. 2002 Aug;25(3):35-42. doi: 10.4102/curationis.v25i3.784. Data revealed the challenges of being a student in a highly technological world. This essay is a reflection of my placement which I recently took at the Princess Royal University Hospital which is under the able guidance of King's College Hospital. What are your impressions on the importance of reflection in clinical practice? Two categories and 6 subcategories, describing students experiences of using forms for unit-specific learning outcomes and targeted reflection in outpatient units, were identified (Table 1). Benner P. From Novice to Expert Excellence and power in clinical nursing practice. Levett-Jones T, Lathlean J, Higgins I, McMillan M. The Duration of Clinical Placements: A Key Influence on Nursing Students Experience of Belongingness. Nursing students receive a sense of efficacy and value when they identify a reflection occasion and succeed in their job in a stressful clinical learning setting. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. Description. Provided by the Springer Nature SharedIt content-sharing initiative. 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. 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/. Unauthorized use of these marks is strictly prohibited. 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.. An interesting finding was that, although both written and oral information was given by the nurse educators, some of the students were almost unaware of being part of a project, of the concepts being used and how to use and to fill out the forms. Influenced by an ongoing project at Bethesda North called the Off ward shadowing experience [18] a project team consisting of nurse educators from HI and nurses working at S outpatient units developed forms with unit-specific learning outcomes and targeted reflection for eight technologically advanced procedures in cardiology and neurology outpatient units. 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]. Another student also shared a similar testimonial, the clinical instructor motivates us to be not only skillful but also knowledgeable and have critical thinking skills to integrate theory and practice and he demonstrates this through his work with us and with his patients and colleagues this alone makes me think that I want to be this skillful and professional thus I reflect on my practice skills and knowledge I use in caring for my patients so that I can advance myself (S16). Bethesda, MD 20894, Web Policies Download. Reflection has been shown to provide valuable professional development. What causes you to reflect on these scenarios? Nurse students experiences with clinical placement in outpatient unit a qualitative study. The review recommended that authors be explicit in their definitions of these categories according to standardised criteria. 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). Three Approaches to Qualitative Content Analysis. Given these conditions, HI teamed up with S in 2014 for a new project. The retrieved themes were given to peers for external review, and their suitability was checked and confirmed, and agreement was reached. The evaluation of the programme showed that some outpatient units were unsuitable for providing sufficient relevant learning situations for nursing students [17]. [The Nursing education curriculum 25. Some students described how the effect of a structured learning process enhanced their placement at the outpatient unit. Thereafter the interviews were read word by word. Google Scholar. Publishers Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. This is consistent with findings in Lewallen and DeBrews studies [13, 21]. Griggs V., Holden R., Lawless A., Rae J. Moon 2013-09-05 Reflection is a technique for aiding and reinforcing learning, used in education and This piece of reflect will incorporate Borton model of reflection throughout. Nursing students satisfaction with supervision from preceptors and teachers during clinical practice. Ruffinelli A., de la Hoz S., lvarez C. Practicum tutorials in initial teacher training: Conditions, strategies, and effects of reflective practice. The https:// ensures that you are connecting to the volume15, Articlenumber:49 (2016) ; project administration, M.F. In spite of limited numbers of informants in one of the focus group, rich data was provided. This shows that new concepts and the use of new forms must be explained in detail, since an understanding of what to do is an important part of being prepared. When confronted with difficult conditions, there is a lack of contact and the creation of a sense of need [29]. Overall, the review found interventions, tools, approaches and the measurement of nurses reflection in clinical practice settings are highly varied. The paper was designed and written according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) reporting guidelines [16]. An official website of the United States government. The other main theme that was prevalent among the students who took part in this study related to the extrinsic drivers of reflection. Purpose Statement 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 study sample was made up of 21 male nursing students from one nursing school at a major university at Saudi Arabia, where 3 (14.28%) where in the second semester of their first year, 4 (19.04%) where in the first semester of their second year, 5 (23.80%) from the second semester of the second year and another 5 (23.80%) from the first semester of their third year. https://creativecommons.org/licenses/by/4.0/. official website and that any information you provide is encrypted 2009;26(2):816. J Adv Nurs. Contemp Nurse. Aust J Adv Nurs. The forms directed the students attention towards the patient and their experiences and the relationships between the nurses and the patient. Communication with patients is one of a nurse's most important tasks. and M.F. 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. Ultimately, the authors concluded that while reflection is a core component of nursing education and RN standards for practice, there is little agreement among the research community on how best to assess the measurement and quality of reflection. Another important part of being prepared was linked to being in the right place at the right time. Purposeful reflection is a tool that helps nurses gain self-knowledge and insight (Palmer, 2007). 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. Other investigators have noted that reflection occurs as a consequence of being conscious of a need and the normal complexity of that need. California Privacy Statement, Accessibility This assignment is a critical analysis and reflection of my continuing personal and professional development (CPPD) needs in practice. According to the findings, the drivers of reflection ranged from personal and extrinsic levels. They took place at the end of the informants clinical placements. An assessment form for clinical nursing education: A Delphi study. Following introduction, the researchers asked study subjects to participate in hour-long semi-structured interviews using Microsoft teams. Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D. Financial crisis, austerity, and health in Europe. 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. This study showed that the students think that reflecting on clinical training progress and development is facilitated by their desire to obtain practical knowledge, responsibility to patients, and students inclination to be influenced by their values. 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. As a library, NLM provides access to scientific literature. In our study, the existence of a form to guide the students as to what aspects of nursing are important seems to have had a positive impact on their ability to acknowledge the patient. There was also lack of standardisation in how reflection outcomes were classified. Data were analyzed by means of content analyses. The authors are grateful to the participants in the study. According to the results of the data analysis, a qualified trainer might help students in clinical practice with their reflection process. Nilsen SR. Nr samhandling kreves : et helsevesen i endring krever ny kompetanse. 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. Reflection is a formal process that can help nurses and nursing students develop crucial skills and competencies when undertaking training in clinical practice settings. Existential Phenomenological Alternatives for Psychology. When nurses reflect, they purposefully "bend back" their attention in a focused attempt to discover personal . Before The interviews were conducted by three of the researchers who were PhD holders and lecturing professors. 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. The number of nursing students rose by 14% between 2010 to 2014, from 3,179 to 3,630 [5]. 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. 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. This led to frustration and distress. Nursing Student Reflection Paper Pdf Pdf is available in our digital library an online access to . Hsieh HF. 2015;15(3):15561. The introduction of the Coordination Reform [3] in 2012 saw a restructuring of acute care and an increased focus on outpatient treatment. 2012;3(01):2234. The reforms have also required nursing education to consider different areas for clinical placements for its students, and outpatient units in hospital have been increasingly formalized as clinical learning environments [10]. Motivational parameters were reported by the students to be key in promoting their reflection on clinical skills on an individual basis. Epub 2017 Apr 7. The encounter will be analysed and conclusions on the need for nursing professional conduct will be drawn. The scoping review included 17 studies from around the world, conducted between 2007-2020, which aimed to report participants competencies in using reflective tools or approaches, such as workshops, journals/diaries, or coaching. [7] claim that good co-operation between clinical staff and nurse educators is necessary for providing a good learning environment for nursing students. The members checking was used to compare the consistency of concepts obtained from data and respondents views. One of the most important aspects in the clinical practice reflection process was students willingness to learn more about clinical care. 2023 BioMed Central Ltd unless otherwise stated. Ann Karin Helgesen. J Nurs Educ Prac. Many scholars think that providing a sufficient degree of complicated and demanding scenarios as part of a students learning process promotes the formation of reflection and cognitive and metacognitive abilities [28]. Author, Professor Linda Schumann Scheel, from the University of Aalborg, Denmark said: This review has shown that the use of reflection nurse training and education is widespread, but that further testing and validation is necessary. 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. [Adapting to the future specialist healthcare. Several quotes were utilized to describe the research results, providing the research subjects a real voice [19]. The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board (ECO-R-103). Lfmark A, Thorell-Ekstrand I. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Lautebach and Becher (1996) relate self-reflection to caring for the self. This site needs JavaScript to work properly. The current study was undertaken to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. The art of caring should therefore be emphasized both in theory and in clinical practice. Reflection for the undergraduate on writing in the portfolio: Where are we now and where are we going? Only 4 (19.04%) were in the second semester of the third year. Conventional content analysis following Hsieh and Shannon [19], also described as inductive category development [20], was used. 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. The site is secure. Colet P.C., Cruz J.P., Cruz C.P., Al-Otaibi J., Qubeilat H., Alquwez N. Patient safety competence of nursing students in Saudi Arabia: A self-reported survey. This paper has important evidence and implications for nurses, nursing educators, researchers, and regulatory bodies because reflection and reflective practice are so central to education, training, clinical practice, and registration standards and requirements both in Australia and around the world, Dr Peters said. Box 300, 1714, Grlum, Norway, You can also search for this author in It is therefore vital that students learn to be truly present in order to care for their patients. The authors declare no conflict of interest. Consequently, if Dewey once defined learning as a pathway that consists of a mixture of encounters and reflection, one should now define learning as a procedure that consists of a mixture of experience, reflective thinking on encounter, and application of the findings in other scenarios [24]. For instance, one of the students said, at many instances in my clinical rotation I feel that I lack deep knowledge about clinical decision making and expertise this pushes me to make the best out of each clinical encounter by stopping and thinking more about what has been done for this patient or that patient so that I can add that into my clinical experience (S18). Would you like email updates of new search results? ; validation, Y.A. The first group consisted of five informants. In: Valle R.S., King M., editors. 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. National Library of Medicine Another student has addressed the knowledge of the patient saying, one time I had a patient who has been chronically ill and also works in the healthcare fieldthat moment made me feel that I had to be very knowledgeable to be able to care for this patient as I cant have less information about the patient case than the patient themselves this had me doing a lot of research every time I handle a case (S14). To pass or to fail? Krueger and Casey (2015)s interview guide (Table 2) was used in order to conduct the interviews as follows: The components of each interview were transcribed and typed shortly thereafter. 2013;3(9):106. I was placed in a private ward during clinical placement as a student nurse. FOIA My week at the outpatient unit, was in my second week of clinicals. Jaiswal A., Lyon J.A., Zhang Y., Magana A.J. Supporting student reflective practices through modelling-based learning as-signments. 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.. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. The outcomes of the study can be used to develop a clinical education program that bridges the gap between theory and practice. Students also viewed Spinal Cord and Nerves Anatomy week 2 Week2 notes for 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. An official website of the United States government. and transmitted securely. California: Addison-Wesley Publishing Company Nursing Division Melno Park; 1984. 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. In order to learn, students need to feel a sense of belonging [15]. The authors want to acknowledge the efforts of the research assistant who helped in the data collection and publishing of this paper as well as the participants who were involved in the study. Data showed that the forms guided the students through their placements in the outpatient unit. The study followed the principles of the Declaration of Helsinki and the Norwegian Social Science Data Services [27, 28]. Reflection is more than being contemplative; it relates to a mechanism that may help people learn from their experiences. Methods: Semi-structured interviews were conducted among 21 Saudi nursing students at one major university in Saudi Arabia. and M.F; investigation, F.A., M.S.I. 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. Privacy This factsheet introduces methods to identifying L&D needs, including how to carry out a capability analysis and suggests how to collect and make use of data. the contents by NLM or the National Institutes of Health. Our findings show that, through reflection, students were able to focus less on technology and more on the patient. 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. Federal government websites often end in .gov or .mil. Solvoll B-A, Opsahl G, Granum V. Hvordan bidrar rammeplanen for norsk sykepleierutdanning til akademisk profesjonskompetanse? Cite This Essay. Please enable it to take advantage of the complete set of features! The category being guided which incorporated the subcategories from uncertainty to more confidence, from observer to seeking knowledge and from focusing on technology to seeing the person showed that the forms guided the students through the placement in the outpatient unit. 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. There were several limitations to this research that should be noted. A substantial number of students have expressed that their sense of responsibility towards providing patients with their needs and answering their inquiries is a major driver for reflection. Integrate themes into a thorough description, Determine the underlying basis of the phenomenon, Contact respondents for additional information. Comparison of convenience sampling and purposive sampling. Lewallen LP, Debrew JK. Another student also said, it is always very interesting to handle the complicated and heavy cases as you feel the sense of responsibility and achievement that makes you want to reflect on your performance and make it better this proves to me the worth of the work we are doing (S19). Successful reflection is difficult without factors such as practice autonomy, suitable supporting framework, adequate evaluation, activity significance, and reasonable challenging scenarios [25]. All authors have read and agreed to the published version of the manuscript. Box 700, NO, 1757, Halden, Norway, Ann Karin Helgesen&Anne Grethe Gregersen, Nursing Department, stfold Trust Hospital, P.O. Assistance with this reflection is often found in student handbooks, as part of induction days, by allowing access to past students' successful reflective work and through stated sessions containing learning theories and styles, meta-cognition, self-analysis of strengths and weaknesses and the writing of personal statements (Helyer and Price . Efforts were made to establish an audit trail throughout the entire study. Four of them undertook clinical placement at the cardiology unit and three of them at the neurology unit. Self-reflection looks inward and listens to the whispers. ; supervision, Y.A. It was often like you could just sit down in a nook and answer the questions because it wasnt really busy.. At the very end of the interviews, which were each 50min long, a verbal summary of the content was presented to the informants to ensure that their experiences had been correctly understood. 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.

Pcssd Salary Schedule 2020 2021, Articles S