Opinions of nursing students about clinical practice; A qualitative study

Opinions of nursing students about clinical practice; A qualitative study

Aim: This study was conducted to determine the factors affecting clinical education of nursing students and to evaluate their learning processes from their own perspectives. Materials and Methods: This study, in which the phenomenology pattern based on the qualitative design was used, was carried out with fourth-year nursing students studying at a university in eastern Turkey. In the study, sample selection was not made the number of participants was determined according to the data saturation. The data were collected from a total of 30 nursing students who agreed to participate in the study. The thematic analysis method was used to evaluate qualitative data. NVIVO 10 program was used for the transcription and thematic analysis of the interviews held in the virtual classroom environment. Results: The sample of the study was composed of 15 female and 15 male students aged between 21 and 25 years. As a result of thematic analysis, 5 main interrelated themes emerged: (1) Effective and reassuring communication; (2) Adaptation to real working environment; (3) Nurses with high self-confidence; (4) transition to professionalism, and (5) recognizing competencies, strengths, and limitations. Conclusion: The results showed that clinical experiences increased the communication skills of the students, helped them to adapt to the real work environment, gave them self-confidence and practicality, and enable them to gain different experiences. Students’ statements pointed out that clinical practice improves the students in many aspects and is a holistic process.

___

  • 1. Ates N, Gucluel Y, Pirecioglu M, et al. Opinions and recommendatıons of intern nurse, mentor nurse and clinical responsible nurse about intern clinical practice program. Turkish J of Research & Development in Nursing 2017;19:1-11.
  • 2. Shahsavari H, Yekta ZP, Houser ML, et al. Perceived clinical constraints in the nurse student–instructor interactions: A qualitative study. Nurse Educ Pract 2013;13:546-52.
  • 3. Sendir M, Celik S, Dissiz M, et al. A new approach in nursing education and practice: ıntegration of nursing education and practice. J Academic Research ın Nursing Jaren 2018;4:92-9.
  • 4. Jessee MA. Influences of sociocultural factors within the clinical learning environment on students' perceptions of learning: An integrative review. J Prof Nurs 2016;32:463-86.
  • 5. Papp I, Markkanen M, Von Bonsdorff M. Clinical environment as a learning environment: Student nurses’ perceptions concerning clinical learning experiences. Nurse Educ Today 2003;23:262-8.
  • 6. Kragelund L. Student nurses’ learning processes in interaction with psychiatric patients: A qualitative investigation. Nurse Educ Pract 2011;11:260-7.
  • 7. Houghton CE, Casey D, Shaw D, et al. Students’ experiences of implementing clinical skills in the real world of practice. J Clin Nurs 2013;22:1961-9.
  • 8. Gaberson KB, Oermann MH, Shellenbarger T. Clinical teaching strategies in nursing. Translation from 4th Edition. Ankara: Nobel Academic Publishing; 2016;p. 109-10.
  • 9. Bergjan M, Hertel F. Evaluating students' perception of their clinical placements-Testing the clinical learning environment and supervision and nurse teacher scale (CLES+T scale) in Germany. Nurse Educ Today 2013;33:1393-8.
  • 10. Elcigil A, Sari HY. Facilitating factors in clinical education in nursing. Dokuz Eylul University E-Journal of Nursing Faculty 2011;4:67-71.
  • 11. Bayar K, Cadir G, Bayar B. Determination thought and anxiety levels of nursing students ıntended for clinical practice. TAF Prev Med Bull 2009;8:37-42
  • 12. Killam LA, Carter LM. Challenges to the student nurse on clinical placement in the rural setting: A review of the literature. Rural Remote Health 2010;10:1.
  • 13. Bradbury-Jones C, Sambrook S, Irvine F. Empowerment and being valued: a phenomenological study of nursing students' experiences of clinical practice. Nurse Educ Today 2011;31:368-72.
  • 14. Konak SD, Dericiogullari A, Kilinc G. View of the nurses working at Burdur State Hospital about clinical practices of the student nurses and making cooperation with teaching staffs. SDU Medical Faculty J 2008;15:1-5.
  • 15. Elliott KM, Shin D. Student satisfaction: An alternative approach to assessing this important concept. J Higher Education Policy and Management 2002;24:197-209.
  • 16. Ip WY, Chan DSK. Hong Kong nursing students’ perception of the clinical environment: a questionnaire survey. Int J Nurs Stud 2005;42:665-72.
  • 17. Bicer S, Ceyhan YS, Sahin F. Opinions of clinic nurses and nursing students about the guiding to the students in nursing practice. Florence Nightingale J Nurs 2015;23:215-23.
  • 18. Tastekin A, Turkdonmez B, Guler M, et al. Related factors and satisfaction levels of nursing students in clinical settings. Florence Nightingale J Nurs 2016;24: 24-9.
  • 19. Levett-Jones T, Lathlean J, McMillan M, et al. Belongingness: A montage of nursing students’ stories of their clinical placement experiences. Contemp Nurse 2007;24:162-74.
  • 20. Wald HS, Borkan JM, Taylor JS, et al. Fostering and evaluating reflective capacity in medical education: Developing the REFLECT rubric for assessing reflective writing. Acad Med 2012;87:41-50.
  • 21. Levett-Jones T, Fahy K, Parsons K, et al. Enhancing nursing students’ clinical placement experiences: A quality improvement project. Contemp Nurse 2006;23:58-71.
  • 22. Kaya CA, Sarikaya O. The acquirements of the students with their own perspectives during the preclinical primary care experience. Konuralp Medical J 2019;1:163-70.
  • 23. Akyuz A, Tosun N, Yildiz D, et al. Reflection of the nurses on their responsibilities and the students’ working system during clinical teaching. Kor Hek 2007;6:459-64.
  • 24. Erenel AS, Umran D, Kutluturkan S, et al. The views of the fourth year students and nurses about ınternship practices. J Hacettepe University Faculty of Nurs 2008;15:16-25.
  • 25. Peirce AG. Preceptorial students' view of their clinical experience. J Nurs Educ 1991;30:244-50.
  • 26. Orak NS. The nurses' professional values and influential factors in Istanbul city. Ph.D. dissertation, Marmara University, Istanbul, 2005.
  • 27. Hulya K, Burcin I, Senyuva E, et al. H Nursing students’ individual and professional values. J Anatolia Nurs and Health Sciences 2012;15:18-26.
  • 28. Adiguzel O, Tanriverdi H, Ozkan DS. Occupatıonal professıonalısm and the case of nurses as the members of the professıon. J Administrative Sciences 2011;9:235-60.
  • 29. Goris S, Kilic Z, Ceyhan O, et al. Nurses’ professional values and affecting factors. J Psychiatric Nurs 2014;5:137-42.
  • 30. Seyedfatemi N, Tafreshi M, Hagani H. Experienced stressors and coping strategies among Iranian nursing students. BMC Nurs 2007;6:1-10.
  • 31. Andrews GJ, Brodie DA, Andrews JP, et al. Professional roles and communications in clinical placements: A qualitative study of nursing students’ perceptions and some models for practice. Int J Nurs Stud 2006;43:861-74.
  • 32. Gorostidi XZ, Egilegor XH, Erice MJA, et al. Stress sources in nursing practice. Evolution during nursing training. Nurse Educ Today 2007;27:777-87.
  • 33. Altiok HO, Ustun B. The stress sources of nursing students. Educational Sciences: Theory & Practice 2013;13:747- 66.
  • 34. Suikkala A, Leino-Kilpi H. Nursing student–patient relationship: A review of the literature from 1984 to 1998. J Adv Nurs 2001;33:42-50.
  • 35. Pearcey P, Draper P. Exploring clinical nursing experiences: Listening to student nurses. Nurse Educ Today 2008;28:595-601.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi