NURSING STUDENTS' PERCEPTION ON CLINICAL TEACHING AND LEARNING AT KENYA METHODIST UNIVERSITY, KENYA
DOI:
https://doi.org/10.47604/jhmn.1655Keywords:
Clinical training, Placements, Mentorship, SupervisionAbstract
Purpose: To explore RN-BSN students' perception on clinical placements, mentorship and supervision in clinical teaching and learning.
Methodology: The study adopted a descriptive cross-sectional survey design among RN-BSN students studying at Kenya Methodist University. The sample size was determined by Fisher et al., formula and the participants were selected through simple random sampling, those who met the eligibility criteria were included in the study. Data was collected through a self-administered questionnaire and data was analysed by use of SPSS version 26, where descriptive data was presented by the use of tables and figures.
Findings: This study revealed that 61.7% of the students were satisfied with the clinical placements as it provided a positive learning environment, while 84% reported they had the opportunity to transfer theory into practice. In addition, 59.1% were satisfied with the hands-on experience they had in the clinical area however, 58.3% were dissatisfied with the use of Evidence-based practice and 54.8% were dissatisfied with the involvement of lecturers in clinical training.
Unique Contribution to Theory, Practice and Policy: This study tested the Kolb Experiential model where for learning to take place the students need to go through concrete experience, reflective observation, abstract conceptualization and active experimentation. This study is in support of this model that for effective learning to take place the student has to undergo all the learning cycle. In policy, this study recommends the need to equip health facilities and employ more nurses in the hospitals who will also act as mentors to students and improve these facilities into teaching and referral centres. In practice, hospitals should identify clinical mentors who will oversee the implementation of Evidence-Based Practice and critical thinking into the nursing practice, while, institutions should employ more clinical instructors, and identify clinical mentors and preceptors in the clinical learning environments.
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References
Allari R., & Farag M., (2017). Nursing Students; Expectations Regarding Clinical Training: A Qualitative Study. International Journal of Nursing Science, 7:3(63 - 70). doi: https://dx.doi.org/10.5923/j.nursing.20170703.02.
Allari R., & Farag M., (2017). Nursing Students; Expectations Regarding Clinical Training: A Qualitative Study. International Journal of Nursing Science, 7:3(63 - 70). doi: https://dx.doi.org/10.5923/j.nursing.20170703.02.
Alshahrani Y., Cusack A., & Rasmussen P., (2018). Undergraduate nursing students' strategies for coping with their first clinical placement: Descriptive survey study. Nurse Education Today, 69: (104-108).
Atakro C., Armah E., Menlah A., Garti I., Addo S., Adatara P., & Boni G., (2019). Clinical placement experiences by undergraduate nursing students in selected teaching hospitals in Ghana. BMC Nursing, 18:1 https://doi.org/10.1186/s12912-018-0325-8
Baraz S., Memarian R., & Vanaki Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion, 4(52):1-5. https://dx.doi.org/10.4103/2277-9531.162345
Baraz S., Memarian R., & Vanaki Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion, 4(52):1-5. https://dx.doi.org/10.4103/2277-9531.162345
Beiranvand, S., Khan Kermanshahi, S. M., & Memarian, R. (2021). Nursing instructors' clinical education competencies: An integrated review. JPMA. The Journal of the Pakistan Medical Association, 71(5), 1458-1466. https://doi.org/10.47391/JPMA.089
Benner, P. (1982). From Novice to Expert. American Journal of Nursing, 82, 402-407
Bisholt, B., Ohlsson, U., Engström, K., Johansson, S., & Gustafsson, M. (2014). Nursing students' assessment of the learning environment in different clinical settings. Nurse Education in Practice, 14(3), 304-310. https://doi.org/10.1016/j.nepr.2013.11.005
Bjork I., Berntsen K., Brynildsen G., & Hestetun M., (2014). Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings. The Journal of Clinical Nursing. 23: 2958-2967. https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.12532
Blackman, I. R., & Giles, T. M. (2017). Can Nursing Students Practice What Is Preached? Factors Impacting Graduating Nurses' Abilities and Achievement to Apply Evidence-Based Practices. Worldviews on Evidence-Based Nursing, 14(2), 108-117. https://doi.org/10.1111/WVN.12205
Brynildsen G., Bjork T., Berntsen K., & Hestetun M. (2014). Improving the quality of nursing students' clinical placements in nursing homes: An evaluation study. Nurse Education in Practice, 14(6): 722-728. https://doi.org/10.1016/j.nepr.2014.09.004
Cheng-Joo E. & Hsiang -ChuPai, (2014). Determinants of nursing competence of nursing students in Taiwan: The role of self-reflection and insight. Nursing Education Today, 35(3): 450 - 455
Cooper, S., Cant, R., Waters, D., Luders, E., Henderson, A., Willetts, G., Tower, M., Reid-Searl, K., Ryan, C., & Hood, K. (2020). Measuring the quality of nursing clinical placements and the development of the Placement Evaluation Tool (PET) in a mixed methods co-design project. BMC Nursing, 19(1), 1-10. https://doi.org/10.1186/S12912-020-00491-1/TABLES/5
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practice. Journal of clinical nursing, 26(5-6), 862-872. doi:10.1111/jocn.13586
Donough G, Van der Heever M. (2018). Undergraduate nursing students' experience of clinical supervision. Curationis. 41(1): e1-e8. PMID: 30456982
Ekstedt, M., Lindblad, M., & Löfmark, A. (2019). Nursing students' perception of the clinical learning environment and supervision in relation to two different supervision models - a comparative cross-sectional study. BMC nursing, 18, 49. https://doi.org/10.1186/s12912-019-0375-6
Eslamian J., Moeini M., & Soleimani M., (2015). Challenges in nursing continuing education: A qualitative study. Iran Journal of Nursing and Midwifery Research. 20(3):378-386.
Eslamian J., Moeini M., & Soleimani M., (2015). Challenges in nursing continuing education: A qualitative study. Iran Journal of Nursing and Midwifery Research. 20(3):378-386.
Farzi, S., & Shahriari, M. (2018). Exploring the challenges of clinical education in nursing and strategies to improve it: A qualitative study. Journal of education and health promotion, 7(115). https://dx.doi.org/10.4103/jehp.jehp16917
Fiset, V. J., Graham, I. D., & Davies, B. L. (2017). Evidence-based practice in clinical nursing education: A scoping review. Journal of Nursing Education, 56(9), 534-541. https://doi.org/10.3928/01484834-20170817-04
Ford, K., Courtney-Pratt, H., Marlow, A., Cooper, J., Williams, D., & Mason, R. (2016). Quality clinical placements: The perspectives of undergraduate nursing students and their supervising nurses. Nurse Education Today, 37, 97-102. https://doi.org/10.1016/J.NEDT.2015.11.013
Foster H., Ooms A., & Marks-Maran D. (2014). Nursing students' expectations and experiences of mentorship. Journal of Nursing Education Today, 18(1): 18-24. https://doi.org/10.1016/j.nedt.2014.04.019
Gemuhay, H. M., Kalolo, A., Mirisho, R., Chipwaza, B., & Nyangena, E. (2019). Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania. Nursing Research and Practice, 2019, 1-9. https://doi.org/10.1155/2019/3453085
Gidman J., Mclntosh A., Melling K., & Smith D., (2011). Student perceptions of support in practice. Nurse Education in Practice, 11(6): 351-355. https://doi.org/10.1016/j.nepr.2011.03.005
Greenway, Kathleen. (2018). What is a Theory-Practice Gap? An exploration of the concept.. Nurse Education in Practice. 34. 10.1016/j.nepr.2018.10.005.
Hardavella, G., Aamli-Gaagnat, A., Saad, N., Rousalova, I., & Sreter, K. B. (2017). How to give and receive feedback effectively. Breathe (Sheffield, England), 13(4), 327-333. https://doi.org/10.1183/20734735.009917
Health Careers (2017). Clinical Placements for Nursing Students. https://www.healthcareers.nhs.uk/explore-roles/doctors/medical-school/clinical-placementsmedical-students
Helminen K., Coco K., Johnson M., Turunen H., Tossavainen K. (2016). Summative assessment of clinical practice of student nurses: A review of the literature. International Journal of Nursing Studies, 53 (308-319). DOI: 10.1016/j.ijnurstu.2015.09.014
Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: A thematic literature review. BMC Medical Education, 18(1), 1-11. https://doi.org/10.1186/S12909-018-1278-Z/TABLES/3
Kabanya N., Karani K., & Mirie W. (2017). Socio-Demographic Determinants of Satisfaction with Training Process among Final Year Nursing Students at Kenya Medical Training College. Advance Practice Nursing 2, 128. https://doi.org/10.4172/2573-0347.1000128
Kaggikah D. (2017). Nairobi County. https://www.kenyacountyguide.co.ke/author/kcg/
Kalyani, M., Jamshidi, N., Molazem, Z., Torabizadeh, C., & Sharif, F. (2019). How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ open, 9(7), e028052. https://doi.org/10.1136/bmjopen-2018-028052
Kamphinda, S., & Chilemba, E.B. (2019). Clinical supervision and support: Perspectives of undergraduate nursing students on their clinical learning environment in Malawi. Curationis, 42.
Kaphagawani, N. C., & Useh, U. (2013). Analysis of nursing students learning experiences in clinical practice: Literature review. Studies on Ethno-Medicine, 7(3), 181-185. https://doi.org/10.1080/09735070.2013.11886459
King, C., Edlington, T., & Williams, B. (2020). The "Ideal" Clinical Supervision Environment in Nursing and Allied Health. Journal of multidisciplinary healthcare, 13, 187-196. https://doi.org/10.2147/JMDH.S239559
Koontz, A., Mallory, J., Burns, J., & Chapman, S. (2010). Staff Nurses and Students: The Good, the Bad, and the Ugly. Medical Surgical Nursing, 19(4), 240-246.
Lamont, S., Brunero, S., & Woods, K. P. (2015). Satisfaction with clinical placement--The perspective of nursing students from multiple universities. Collegian (Royal College of Nursing, Australia), 22(1), 125-133. https://doi.org/10.1016/J.COLEGN.2013.12.005
Mahasneh, D., Shoqirat, N., Alsaraireh, A., Singh, C., & Thorpe, L. (2021). From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan. SAGE open nursing, 7, 23779608211004298. https://doi.org/10.1177/23779608211004298
Mbakaya, B. C., Kalembo, F. W., Zgambo, M., Konyani, A., Lungu, F., Tveit, B., Kaasen, A., Simango, M., & Bvumbwe, T. (2020). Nursing and midwifery students' experiences and perception of their clinical learning environment in Malawi: a mixed-method study. BMC Nursing, 19(1). https://doi.org/10.1186/S12912-020-00480-4
McCutcheon, K., & O'Halloran P., & Lohan, M. (2018). Online learning versus blended learning of clinical supervisee skills with pre-registration nursing students: A randomised controlled trial. International Journal of Nursing Studies. 82. 10.1016/j.ijnurstu.2018.02.005.
Muthathi, I., Thurling, C. & Armstrong, S., 2017, "˜Through the eyes of the student: Best practices in clinical facilitation', Curationis 40(1), 8. https://doi.org/10.4102/ curationis.v40i1.1787
Nahid J., Zahra M., Farkhondeh S., Camellia T., & Majid N. (2016). The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. The Scientific World Journal, vol. 2016, Article ID 1846178, 7 pages. https://doi.org/10.1155/2016/1846178
Nakagawa, H., & Sasai, H. (2021). Nursing Students’ Practicums during the COVID-19 Crisis and the Effect on Infection-Prevention Behavior in Students: A Mixed-Method Approach. Medicina 2021, Vol. 57, Page 1354, 57(12), 1354. https://doi.org/10.3390/MEDICINA57121354
Nyangena E., Mutema A., & Karani A. (2011). Evaluation of Clinical Training in Nursing in Kenya. Baraton Interdisciplinary Research Journal. 1(2): 22-30
Okanga A. (2017). Investigation of Bachelor of Science Nursing Student Performance in the Nursing Council of Kenya Licensure Examinations in Kenya. MMUST Digital Repository. http://ir-library.mmust.ac.ke
Olsen, N. R., Bradley, P., Lomborg, K., & Nortvedt, M. W. (2013). Evidence based practice in clinical physiotherapy education: A qualitative interpretive description. BMC Medical Education, 13(1), 1-14. https://doi.org/10.1186/1472-6920-13-52/FIGURES/1
Rafiee, G., Moattari, M., Nikbakht, A. N., Kojuri, J., & Mousavinasab, M. (2014). Problems and challenges of nursing students' clinical evaluation: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 19(1), 41-49. PMID: 24554959
Rafiee, G., Moattari, M., Nikbakht, A. N., Kojuri, J., & Mousavinasab, M. (2014). Problems and challenges of nursing students' clinical evaluation: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 19(1), 41-49. PMID: 24554959
Ramsbotham, J., Dinh, H., Truong, H., Huong, N., Dang, T., Nguyen, C., Tran, D., & Bonner, A. (2019). Evaluating the learning environment of nursing students: A multisite cross-sectional study. Nurse Education Today, 79, 80-85. https://doi.org/10.1016/J.NEDT.2019.05.016
Reising, D. L., James, B., & Morse, B. (2018). Student Perceptions of Clinical Instructor Characteristics Affecting Clinical Experiences. Nursing education perspectives, 39(1), 4-9. https://doi.org/10.1097/01.NEP.0000000000000241
Sezer H., (2018). How should clinical education be in nursing education? Journal of Nursing Research and Practice. 2(1),15
Spence D., Zambas S., Mannix J., Jackson D., & Neville S. (2019) Challenges to the provision of clinical education in nursing, Contemporary Nurse, 55:4-5, 458-467, DOI: 10.1080/10376178.2019.1606722
Stevenson K., Randle J., & Grayling I. (2010). Inter-group conflict in health care: UK students' experiences of bullying and the need for organizational solutions. The Online Journal of Issues in Nursing, 11(2).
Stronge, M., & Cahill, M. (2012). Self-reported knowledge, attitudes and behaviour towards evidence-based practice of occupational therapy students in Ireland. Occup Ther Int, 19(1), 7-16. https://doi.org/10.1002/oti.328
Struksnes, S., & Engelien, R. I. (2016). Nursing students' conception of clinical skills training before and after their first clinical placement: A quantitative, evaluative study. Nurse Education in Practice, 16(1), 125-132. https://doi.org/10.1016/j.nepr.2015.10.009
Sweet, L., & Broadbent, J. (2017). Nursing students' perceptions of the qualities of a clinical facilitator that enhance learning. Nurse Education in Practice, 22, 30-36. https://doi.org/10.1016/J.NEPR.2016.11.007
Ulenaers, D., Grosemans, J., Schrooten, W., & Bergs, J. (2021). Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Education Today, 99, 104746. https://doi.org/10.1016/J.NEDT.2021.104746
Valizadeh S, Abedi A, Zamanzadeh V, & Fathi E. (2008). Challenges of nursing students during their study: A qualitative study. Iranian Journal of Medical Education, 7(2), 397-407. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/35/35
Wan L. & Gim S., (2014). Perceptions of clinical placement experience among diploma nursing students. The Malaysian Journal of Nursing. 5(2). www.mjn.com.my/issues/24b7e3f8-cd79-44c7-ac75-9cdd59d45f31.pdf
Wongtongkam, N., & Brewster, L. (2017). Effects of clinical placements on paramedic students' learning outcomes | Asia Pacific Journal of Health Management. Asia Pacific Journal of Health Management, 12(3), 24-31. https://search.informit.org/doi/epdf/10.3316/informit.348410687592544
World Health Organization. (2002). Quality of care: patient safety. Fifty-Fifth World Health Assembly, May, 1-2.
World Health Organization. (2017). Patient Safety: Making Health Care Safer. In World Health Organization. http://apps.who.int/bookorders.
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Copyright (c) 2022 Doris Tuitoek, Dr. Agnes Mutinda, Ms. Phidelis Kubende
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