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The effects of nursing program simulation experience level and type of advanced organizer on clinical judgment performance, satisfaction, self-confidence, and perceived cognitive load of pre-licensure nursing students in simulation based learning
Nursing education programs face many challenges with training students to become professional nurses who will practice safely in an evolving and complex healthcare system. Nurse educators are obliged to prepare students ...
An ethnographic study of pre-graduate precepted nursing student clinical placements in long-term care homes
Long-Term Care (LTC) home recruitment challenges and nursing student disinterest in such clinical placements and careers, underscore this study’s urgent need. This qualitative focused ethnography explored preceptor, faculty advisor, and pre-graduate student beliefs, values, and practices contributing to positive LTC home clinical placements. Upon receiving research ethics board clearance, six participants were recruited through purposive sampling in southern Ontario. Using Spradley’s (1980) method, data were collected and analyzed from January-April, 2015 through: (a) 17 semi-structured interviews; (b) observation field notes; (c) journal entries and (d) document examination. Thematic analysis revealed implicit practices for realization of positive experiences: (a) intentional shaping, (b) getting familiar, (c) transitioning to independence, and (d) showcasing accomplishments. A valued relationship quality was a blend of personal and professional. Document use promoted valued placement preparation. The findings address a gerontological literature gap, providing initial insights about how positive experiences happened and what contributed to them....
Associate and baccalaureate degree nursing students' knowledge of the attitudes toward medication errors and reporting medication errors: Implications for curriculum development
This paper evaluates senior nursing students' knowledge and attitudes of medication errors and reporting errors. This study was conducted to evaluate a need for improvements to nursing education on these two concepts. This mixed method study was conducted using a modified version of the Medication Administration Error Reporting Survey by Wakefield, Uden-Holman, and Wakefield (2005) and focus group sessions at four nursing programs in the Southern United States. Medication errors continue to be a threat to patient safety and underreporting exists due to the stigma surrounding admitting a mistake. Evaluating nursing students' knowledge and attitudes on these concepts is a crucial step in evaluating their readiness to administer medications. This study found that nursing students lack knowledge of the definition of a medication error, types, and causes. This study also found that students do not know how to report medication errors. This study validated the need for a change to nursing education and a culture change encouraging reporting errors....
Clinical nursing faculty perceptions of undergraduate baccalaureate nursing student stress in the clinical environment
High stress levels are experienced by student nurses throughout their professional education, with the chaotic ever-changing clinical environment being a predominant source of stress. Clinical nursing faculty have a critical role to recognize the stress their students experience in the clinical environment and understand its significance.
A qualitative descriptive design was used to provide a rich description of clinical nursing faculty perceptions of undergraduate baccalaureate nursing student clinical stress. A purposive sample of 14 clinical nursing faculty with at least 4 semesters of clinical nursing faculty experience from accredited, generic baccalaureate nursing programs in the Northeast region of the United States participated in open-ended interviews using a semi-structured format. Sample size adequacy was justified when saturation of data was achieved. Interviews were digitally recorded and transcribed, and qualitative content and thematic analysis were used to sort the descriptive data to generate themes.
The first purpose of this study was to describe and understand clinical nursing faculty perceptions of undergraduate baccalaureate nursing student stress in the clinical environment. The four themes that surfaced from the interview data were: feeling overwhelmed when encountering the unknown, which included the sub-themes of facing self-doubt and experiencing insecurity in nursing actions; enduring uncivil clinical interactions, struggling with personal life factors, and contending with nursing faculty interactions. The second purpose of this study was to understand how clinical nursing faculty manage undergraduate baccalaureate nursing student stress in this environment. The theme, promoting an optimal clinical learning environment, and sub-theme of being attentive to student stress in the clinical setting captured the participants’ responses.
Transitions Theory is presented as a theoretical framework supporting the findings of this study, as the undergraduate baccalaureate nursing student transitions into the clinical environment. The application of the five themes and related sub-themes described in this study to Transitions Theory assists in further understanding clinical nursing faculty perceptions of undergraduate baccalaureate nursing student clinical stress.
Implications of this study from the perspective of nursing science and research offer a view of nursing student clinical stress from the clinical nursing faculty educating undergraduate baccalaureate nursing students in the clinical environment to advance the science of nursing education. Implications for nursing education include providing faculty a clearer understanding of the stress phenomenon, so they may better educate a student and evaluate a student’s progress in the clinical environment to decrease nursing student clinical stress. In nursing practice, study findings may aid in the identification of strategies to decrease undergraduate baccalaureate nursing student clinical stress, thus being transferable to new graduate nurses, nursing preceptors working with new graduate nurses, and the onboarding of new nurses. Future research may include intervention studies with clinical faculty to decrease nursing student clinical stress and improve nursing student clinical outcomes....
Single-parent nursing students in associate degree nursing programs: The social supports that buffered their college-related stress and fostered their academic success
The purpose of this exploratory case study was to describe single-parent associate degree nursing students’ reports of the social supports that buffered their college-related stress and fostered their academic success. ...
Nursing students' intention to work with the elderly after graduation: A qualitative study
America’s population is aging. More than one in five Americans will be over 65 by 2030. These numbers are expected to challenge existing healthcare systems. The recruitment and retention of qualified, competent ...
The impact of experiential learning clinical orientation for accelerated baccalaureate nursing learners
This research explored the impact on overall specialty course grades for nursing students who either participated in or did not participate in experiential learning clinical orientations in specialty nursing areas and ...
Student nurses' perception of preceptors' authentic leadership effect on self-efficacy
The study examined the relationship between final year nursing students’ perceptions of preceptor authentic leadership and self-efficacy. Nursing students are required to engage in a preceptorship experience at the ...
Examining the effectiveness of virtual instruction for medication administration skill acquisition in prelicensure nursing students
To better meet student needs, nurse educators must explore alternatives to traditional educational approaches that will accommodate student needs while still providing essential instruction and feedback for students. Virtual ...
The impact of the maternal-child clinical learning environment on undergraduate nursing students' self-efficacy
There are currently many challenges to clinical nursing education. The coronavirus 2019 pandemic compounded these challenges when hospitals and government mandates excluded nursing students from traditional in-person ...