Nursing students' evaluation of clinical learning environment and supervision in a Norwegian hospital placement - A questionnaire survey using CLES+T scale

Dental professionals as clinical educators: A transcendental inquiry into training needs

PURPOSE

Clinical instructors are responsible for educating dental hygiene students in the patient care environment. While these instructors have experience in the dental field, they often do not have pedagogical training, or a background, related to education. The purpose of this qualitative, phenomenological study was to explore the experiences of dental professionals who transitioned from clinical practitioners to clinical instructors at one US dental hygiene program in 2022. As the theoretical underpinning for this study, andragogy offered a lens through which to tailor the creation of training opportunities distinctive to the needs of adult learners. The central research question for this study was, "What are the experiences of dentists and dental hygienists who have transitioned from clinical practice to the role of clinical instructors?" The subquestions guiding this study were "What forms of education, professional development, or support are necessary to help guide the transition from healthcare professional to clinical instructor?" and "How can this education, professional development, or support be delivered to clinical instructors in a way that meets their needs as adult learners?"

METHODS

A transcendental phenomenological approach enabled a deeper understanding of participants' experiences and their thought processes as they transitioned from clinical practitioners to their roles as clinical instructors. Purposeful sampling was used to recruit dentists and dental hygienists who served as clinical instructors in a dental hygiene program at a midwestern public university. Data collection was triangulated using individual interviews, photograph journals, and a virtual focus group. Data analysis was conducted using epoché, phenomenological reduction, imaginative variance, and synthesis of the structural and textural descriptions gathered during data collection.

RESULTS

A total of 13 clinical faculty members participated in all three parts of the study. Five themes were derived from the data collection: life responsibilities, challenges faced, training received, training needed, and training delivery preferences. These themes helped to create an understanding of the phenomena of transitioning from clinical practitioner to clinical instructor as the participants experienced it in addition to training delivery preferences.

CONCLUSION

The study's findings highlighted the importance of training dentists and dental hygienists to become clinical instructors while using andragogical principles. IRB approval: This project received Institutional Review Board (IRB) exemption from Liberty University (IRB-FY22-23-285).

Healthcare Students' Perceptions of the Quality of the Clinical Learning Environment in Morocco: A Cross-Sectional Study

Background

The clinical learning environment (CLE) is critical for developing the practical skills needed in healthcare professions. This study aimed to evaluate healthcare students' perceptions of the quality of the CLE using the Arabic version of the Clinical Learning Environment, Supervision and Nurse Teacher (ar. CLES + T) scale. The study also aimed to evaluate the tool's measurement invariance and compare perceptions among student groups.

Methods

This cross-sectional study was carried out at two health education institutes in Morocco throughout the academic year 2018-2019 among 1550 undergraduate students who had just finished a clinical practicum in a hospital or primary healthcare facility. Data were gathered using the ar. CLES + T scale. Confirmatory factor analysis (CFA) and multigroup CFA were performed. The measurement invariance of the ar. CLES + T scale was assessed across gender, study year, and clinical practicum duration, using configural invariance, metric invariance, scalar invariance, and strict invariance. The t-test and analysis of variance were used to compare the mean scores of the student groups.

Results

Students expressed positive perceptions toward the CLE. The "Pedagogical atmosphere on the ward" dimension scored the highest, while the "Role of the nurse teacher" dimension received the lowest scores. The measurement invariance of the ar. CLES + T scale by gender, study year, and clinical practicum duration was established. First-year students and those with an extended practicum period were the most satisfied.

Conclusion

To promote effective learning in the clinical environment, nurse teachers might use innovative teaching approaches tailored to their evolving role in these settings. Moreover, extending the duration of clinical practicum can further enhance student learning outcomes.

Using a Behavioral Health Integration Model in a Family Nurse Practitioner Residency

BACKGROUND

Primary care serves as an entry point for many patients to access health care services, especially those who reside in medically underserved areas. Because an initiative exists for family nurse practitioners (FNPs) to fill primary care gaps in medically underserved areas, they must be included in educational strategies to provide quality behavioral health care within their scope of practice.

METHOD

An academic-practice partnership was used to provide FNP residents the opportunity to learn to work within their scope of practice in a behavioral health integration model.

RESULTS

The residents noted satisfaction with the learning environment, supervisory relationship, and role of the faculty.

CONCLUSION

Innovative continuing education activities are needed to prepare novice FNPs to safely practice and enter into a health care workforce pipeline focused on reducing disparities in medically underserved areas. [J Contin Educ Nurs. 2024;55(4):203-208.].

Second-year undergraduate nursing students' experiences with clinical simulation training in mental health clinical practice: A focus group study

AIM

The aim of this focus group study was to investigate second-year undergraduate nursing students' experiences with clinical simulation training as part of their clinical practice in acute mental health care.

BACKGROUND

The quality of bachelor programmes in nursing has been criticised for lacking theoretical and experiential learning in the mental health modules. Novice nurses feel unprepared to care for patients with mental health challenges and graduate nurses are reported to lack the necessary knowledge and skills to manage patients with mental health issues confidently and competently. Clinical simulation training can facilitate the teaching of clinical and non-clinical skills simultaneously and is a highly suitable method within mental health care for addressing gaps in knowledge and skills in communicating with patients. Clinical simulation training may enhance nursing students' competence and thereby reduce the risk of adverse events and increase safety. However, we know little about undergraduate nursing students' experiences with clinical simulation training as an integrated part of nursing students' clinical practice in acute mental health wards.

DESIGN

Explorative qualitative focus group study.

METHOD

Three focus group interviews were conducted using a semi-structured interview guide with second-year undergraduate nursing students from a university in Norway during spring 2020. In total, 14 students who had experienced clinical simulation training as part of their mental health clinical practice participated in the study. The collected data were analysed using systematic text condensation.

RESULTS

Clinical simulation training as part of the clinical practice increased the students' preparedness, coping and self-awareness. Most of the participants had positive perceptions of the use of high-fidelity simulation-based learning. Furthermore, they highlighted three elements that increased the value of the training. First, the simulation felt authentic and increased their professional skills. Second, the standardised patient had clinical qualifications, which made the simulation feel authentic and close to realistic situations. Third, not having a former relationship with the person acting as the standardised patient enhanced authenticity.

CONCLUSION

Clinical simulation training as part of clinical practice contributed to increasing the students' self-awareness and in-depth reflection and to broadening their nursing competence. The present study lays the groundwork for future studies on clinical simulation training in mental health clinical practice for nursing students.

Number of students in clinical placement and the quality of the clinical learning environment: A cross-sectional study of nursing and midwifery students

BACKGROUND

Clinical placement is an important component of nursing and midwifery education. It exposes students to the real-world healthcare environment, where theoretical knowledge is put into practice. However, the quality of the clinical learning environment in sub-Sahara Africa has not been well explored.

OBJECTIVE

The objectives of this study were to assess trainees' perceptions of the number of students on the ward or clinical unit, and the quality of the clinical learning environment.

DESIGN

Cross-sectional survey.

SETTING

Nursing and midwifery students were recruited from three public hospitals in the Upper East Region, Ghana, between July and August 2019.

PARTICIPANTS

254 nursing and midwifery students were recruited using the convenience sampling technique.

METHODS

Data were collected with the Clinical Learning Environment and Supervision + Nurse Teacher questionnaire. Data were analysed using univariate, bivariate and multivariable analyses.

RESULTS

It was found that the participants rated supervisory relationship; pedagogical atmosphere; role of nurse teacher; leadership style of ward managers; and premises of care on the ward as average. Students' perceptions of the quality of the clinical learning environment were predicted by supervisory relationship (β = 0.219, 95% CI: 0.016-0.070), leadership style (β = 0.199, 95% CI: 0.011-0.133) and perception of number of students in clinical placement (β = 0.224, 95%CI: 0.022-0.093). The trainees indicated that the number of students on the ward did not correspond with the amount of medical equipment and supervisors.

CONCLUSION

The quality of the clinical learning environment was perceived to be suboptimal. Leadership style, supervisory relationship and perception of the number of students on the ward were the salient factors that influenced students' perceptions of the quality of the clinical learning environment. Leaders of nursing and midwifery training institutions must liaise with stakeholders to enhance the quality of the clinical learning environment.