Students' experiences of implementing clinical skills in the real world of practice

Houghton, Catherine E. and Casey, Dympna and Shaw, David and Murphy, Kathy (2013) Students' experiences of implementing clinical skills in the real world of practice. Journal of Clinical Nursing, 22 (13/14). pp. 1961-1969. ISSN 09621067

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Aims and objectives To examine the factors that impact on students' implementation of clinical skills in the practice setting. This was a part of a larger exploration into the role of the Clinical Skills Laboratory in preparing student nurses for clinical practice. Background It is already known that students can experience reality shock on clinical placement and that staff support is crucial for their adaptation to the environment. This process is similar to socialisation theory whereby the newcomer adapts to the workplace. Design A multiple case study design ( n = 5) was used. Methods Data were collected using semi-structured interviews ( n = 43) and non-participant observation of students implementing skills in clinical practice. Results Findings revealed the factors that could facilitate students' implementation of clinical skills were as follows: provision of learning opportunities, staff support and supervision, and students' confidence. Factors that hindered students were reality shock, 'the gap' in how skills were taught in the higher education institutions and the clinical setting, and missed learning opportunities. Support from peers in the clinical area and having previous experience of working as a health care assistant, or similar, were the factors that could either positively or negatively impact on students. Conclusions Students need to be adequately prepared for the real-life clinical environment. Understanding, through socialisation theory, how students adapt to the workplace can facilitate this process. Facilitating students' learning includes supporting them, developing their confidence and ensuring that they have prior exposure to undertaking clinical skills. Relevance to practice Staff working with students in clinical practice can help facilitate students' learning and implementing of clinical skills through an understanding of how students adapt and 'fit in' to their working environment. [ABSTRACT FROM AUTHOR]; Copyright of Journal of Clinical Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Item Type: Article
Additional Information: Houghton, Catherine E 1 Casey, Dympna 1 Shaw, David 2 Murphy, Kathy 1; Affiliation: 1: School of Nursing and Midwifery Studies National University of Ireland 2: Open University; Source Info: Jul2013, Vol. 22 Issue 13/14, p1961; Subject Term: CLINICAL competence; Subject Term: CLINICAL medicine; Subject Term: CONFIDENCE; Subject Term: INTERVIEWING; Subject Term: LEARNING; Subject Term: RESEARCH -- Methodology; Subject Term: CASE study (Research); Subject Term: NURSES -- Attitudes; Subject Term: NURSING; Subject Term: NURSING -- Study & teaching; Subject Term: NURSING students; Subject Term: OBSERVATION (Scientific method); Subject Term: SCHOOL environment; Subject Term: STUDENTS -- Attitudes; Subject Term: SUPERVISION of employees; Subject Term: JUDGMENT sampling; Subject Term: UNOBTRUSIVE measures; Subject Term: THEMATIC analysis; Subject Term: RESEARCH bias; Subject Term: RESEARCH subjects (Persons); Subject Term: STUDY & teaching; Subject Term: IRELAND; Author-Supplied Keyword: clinical learning environment; Author-Supplied Keyword: clinical placement; Author-Supplied Keyword: clinical skills; Author-Supplied Keyword: nurse education; Author-Supplied Keyword: nursing students; Author-Supplied Keyword: student socialisation; Number of Pages: 9p; Document Type: Article
Uncontrolled Keywords: CLINICAL competence; CLINICAL medicine; CONFIDENCE; INTERVIEWING; LEARNING; RESEARCH -- Methodology; CASE study (Research); NURSES -- Attitudes; NURSING; NURSING -- Study & teaching; NURSING students; OBSERVATION (Scientific method); SCHOOL environment; STUDENTS -- Attitudes; SUPERVISION of employees; JUDGMENT sampling; UNOBTRUSIVE measures; THEMATIC analysis; RESEARCH bias; RESEARCH subjects (Persons); STUDY & teaching; IRELAND; clinical learning environment; clinical placement; clinical skills; nurse education; student socialisation
Depositing User: National Forum
Date Deposited: 03 Dec 2015 19:04
Last Modified: 03 Dec 2015 19:08

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