Nursing Students’ Expectations of their Clinical Instructors: Practical Implications in Nursing Education
Keywords:Nursing, nursing education, nursing students, clinical instructors, related learning experience
AbstractNursing students learn under the responsibility of clinical instructors during their related learning experience (RLE). Generally, nursing students regard their clinical instructors as pivotal sources of foundational knowledge, skills, and values to develop themselves into competent and compassionate nurses. It is usual for them to leverage their expectations of their clinical instructors. The study aimed to uncover and learn from the nursing students’ expectations of their clinical instructors in terms of inductive codes such as teaching strategies, assessment of student learning outcomes, monitoring and evaluating learning progress, recognizing student efforts, professional mastery, and descriptions of ideal clinical instructors. This descriptive qualitative study employed thematic analysis to structured interview transcripts from conveniently sampled nursing students in a private university in the Philippines. During their RLE, the nursing students viewed that i.) clinical instructors utilize various teaching strategies; ii.) variety of assessment techniques are used revealing innate teacher values and some students' undesirable feelings towards their clinical instructors; iii.) limited techniques in monitoring and evaluating students' progress are employed; iv.) students have feelings of being denied of recognition; v.) teacher-student likeness, and some unwanted perceptions on professional mastery are essential; and vi.) caring attributes, cognitive, and clinical competence make up the ideal clinical instructors. The quality of nursing students is as good as the quality of their clinical instructors. Their clinical instructors primarily influence their level of confidence during the RLE. Findings suggest that clinical instructors need to rethink about their practices in ensuring quality instruction and supervision during RLE.
Bagheri, M., Taleghani, F., Abazari, P., & Yousefy, A. (2019). Triggers for reflection in undergraduate clinical nursing education: A qualitative descriptive study. Nurse Education Today, 75, 35-40. https://doi.org/10.1016/j.nedt.2018.12.013
Bazrafkan, L., & Najafi Kalyani, M. (2018). Nursing Students' Experiences of Clinical Education: A Qualitative Study. Investigacion y Educacion en Enfermeria, 36(3). https://doi.org/10.17533/udea.iee.v36n3a04
Curl, E. D., Smith, S., Chisholm, L. A., McGee, L. A., & Das, K. (2016). Effectiveness of integrated simulation and clinical experiences compared to traditional clinical experiences for nursing students. Nursing Education Perspectives, 37(2), 72-77. PMID: 27209864. URL: https://pubmed.ncbi.nlm.nih.gov/27209864/
Dinmohammadi, M., Jalali, A., & Peyrovi, H. (2016). Clinical learning experiences of Iranian student nurses: A qualitative study. Nursing Practice Today, 3(1), 31-39. URL: https://npt.tums.ac.ir/index.php/npt/article/view/132
George, T. P., DeCristofaro, C., & Murphy, P. F. (2020). Self-efficacy and concerns of nursing students regarding clinical experiences. Nurse Education Today, 104401. https://doi.org/10.1016/j.nedt.2020.104401
Ghorbanzadeh, K., Hosseini, M., Dalvandi, A., & Sadeghi, H. (2018). Exploring perceptions of students’ academic motivation by university professors - A qualitative study. Educational Research in Medical Sciences, 7(2). https://doi.org/10.5812/erms.69363
Guba, E. G., & Lincoln, Y. S. (1989). Fourth generation evaluation. Sage Publications, Inc. URL: https://us.sagepub.com/en-us/nam/fourth-generation-evaluation/book2748
Immonen, K., Oikarainen, A., Tomietto, M., Kääriäinen, M., Tuomikoski, A. M., Kaučič, B. M., Filej, B., Riklikiene, O., Vizcaya-Moreno, M.F., Reyes-Caneva, R.M., De Raeve, P., & Mikkonen, K. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414. https://doi.org/10.1016/j.ijnurstu.2019.103414
Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi Kalyani, M. (2016). The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal, 2016. https://doi.org/10.1155/2016/1846178
Jarosinski, J. M., Seldomridge, L. A., Reid, T. P., & Hinderer, K. A. (2020). “Learning how to teach” in nursing: perspectives of clinicians after a formal academy. Nurse Educator, 45(1), 51-55. https://doi.org/10.1097/NNE.0000000000000662
Kaphagawani, N. C., & Useh, U. (2018). Clinical supervision and support: exploring pre-registration nursing students’ clinical practice in Malawi. Annals of Global Health, 84(1), 100. https://doi.org/10.29024/aogh.16
Labrague, L. J., McEnroe‐Petitte, D. M., D'Souza, M. S., Hammad, K. S., & Hayudini, J. N. A. (2020). Nursing faculty teaching characteristics as perceived by nursing students: an integrative review. Scandinavian Journal of Caring Sciences, 34(1), 23-33. https://doi.org/10.1111/scs.12711
Labrague, L. J., McEnroe-Petitte, D. M., Gloe, D., Thomas, L., Papathanasiou, I. V., & Tsaras, K. (2017). A literature review on stress and coping strategies in nursing students. Journal of Mental Health, 26(5), 471-480. https://doi.org/10.1080/09638237.2016.1244721
Labrague, L. J., McEnroe-Petitte, D. M., Papathanasiou, I. V., Edet, O. B., Tsaras, K., Leocadio, M. C., ... & Vera Santos-Lucas, K. (2018). Stress and coping strategies among nursing students: an international study. Journal of Mental Health, 27(5), 402-408. https://doi.org/10.1080/09638237.2017.1417552
Liu, Y., Xue, L., Xue, H., & Hou, P. (2019). Effectiveness of education courses in enhancing clinical educators' teaching ability. The Journal of Continuing Education in Nursing, 50(8), 367-373. https://doi.org/10.3928/00220124-20190717-08
Lloyd-Penza, M., Rose, A., & Roach, A. (2019). Using feedback to improve clinical education of nursing students in an academic-practice partnership. Teaching and Learning in Nursing, 14(2), 125-127. https://doi.org/10.1016/j.teln.2018.12.007
Lopez, V. (2015). Implementing evidence-based practice to develop nursing curriculum. Nursing Practice Today, 2(3), 85-87. URL: https://npt.tums.ac.ir/index.php/npt/article/view/89
Ludin, S. M., & Fathullah, N. M. N. (2016). Undergraduate nursing students' perceptions of the effectiveness of clinical teaching behaviours in Malaysia: A cross-sectional, correlational survey. Nurse Education Today, 44, 79-85. https://doi.org/10.1016/j.nedt.2016.05.007
Maher, C., Hadfield, M., Hutchings, M., & de Eyto, A. (2018). Ensuring rigor in qualitative data analysis: A design research approach to coding combining NVivo with traditional material methods. International Journal of Qualitative Methods, 17(1), https://doi.org/10.1177/1609406918786362
McPherson, S., & Candela, L. (2019). A Delphi study to understand clinical nursing faculty preparation and support needs. Journal of Nursing Education, 58(10), 583-590. https://doi.org/10.3928/01484834-20190923-05
Sadeghi, A., Oshvandi, K., & Moradi, Y. (2019). Explaining the inhibitory characteristics of clinical instructors in the process of developing clinical competence of nursing students: A qualitative study. Journal of Family Medicine and Primary Care, 8(5), 1664. https://doi.org/10.4103/jfmpc.jfmpc_34_19
Niederriter, J. E., Eyth, D., & Thoman, J. (2017). Nursing students’ perceptions on characteristics of an effective clinical instructor. SAGE Open Nursing, 3, https://doi.org/10.1177/2377960816685571
Polit, D. F., & Beck, C. T. (2009). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins. URL: https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=19.%09Polit%2C+D.+F.%2C+%26+Beck%2C+C.+T.+%282009%29.+Essentials+of+nursing+research%3A+Appraising+evidence+for+nursing+practice.+Lippincott+Williams+%26+Wilkins.+&btnG=
Pramila‐Savukoski, S., Juntunen, J., Tuomikoski, A. M., Kääriäinen, M., Tomietto, M., Kaučič, B. M., ... & De Raeve, P. (2020). Mentors' self‐assessed competence in mentoring nursing students in clinical practice: A systematic review of quantitative studies. Journal of Clinical Nursing, 29(5-6), 684-705. https://doi.org/10.1111/jocn.15127
Saeedi, M., & Parvizy, S. (2019). Strategies to promote academic motivation in nursing students: A qualitative study. Journal of Education and Health Promotion, 8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6512221/
Shahoei, R., Fathi, M., & Valiee, S. (2019). Clinical instructors’ experience of managing students’ errors: A qualitative study. Nursing Education Perspectives, 40(4), 231-233. https://doi.org/10.1097/01.NEP.0000000000000413
Shinners, J., & Graebe, J. (2020). Continuing education as a core component of nursing professional development. The Journal of Continuing Education in Nursing, 51(1), 6-8. https://doi.org/10.3928/00220124-20191217-02
Valiee, S., Moridi, G., Khaledi, S., & Garibi, F. (2016). Nursing students' perspectives on clinical instructors' effective teaching strategies: A descriptive study. Nurse Education in Practice, 16(1), 258-262. https://doi.org/10.1016/j.nepr.2015.09.009
Wang, A. H., Lee, C. T., & Espin, S. (2019). Undergraduate nursing students' experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse Education Today, 76, 103-108. https://doi.org/10.1016/j.nedt.2019.01.016
Wu, C., Palmer, M. H., & Sha, K. (2020). Professional identity and its influencing factors of first-year post-associate degree baccalaureate nursing students: A cross-sectional study. Nurse Education Today, 84, 104227. https://doi.org/10.1016/j.nedt.2019.104227
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