<p>This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape&nbsp / who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008&nbsp / semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and&nbsp / convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven&nbsp / (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus&nbsp / f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded&nbsp / nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch&rsquo / s (1990) method, as cited in Creswell (2003). Saturation was tested&nbsp / after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the&nbsp / self-reported lived experiences of the third year community&nbsp / ealth nursing students while conducting the family health assessment learning task.&nbsp / </p>

Nursing has come a long way to become a subject of university study. Clinical placement is a vital part of the study in preparing students for future nursing roles as providers of care to patients. The placement within nursing homes is a compulsory part of the clinical studies. Major actors in the clinical placement are supervisors. Their actions and support are determinant for the nursing student’s experiences, in learning and development of their clinical skills.

Magister Curationis - MCur (Dept. of Nursing) / This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008 semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch’s (1990) method, as cited in Creswell (2003). Saturation was tested after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the self-reported lived experiences of the third year community ealth nursing students while conducting the family health assessment learning task. / South Africa

Bakgrund Handledning av sjuksköterskestudenter finns väl beskriven i litteraturen men erfarenheter av att handleda i kontexten studentsal har endast i ringa omfattning fokuserats i tidigare studier. Syftet med denna studie var att beskriva handledning i studentsal utifrån handledande sjuksköterskors erfarenheter. Metod Studiens ansats var kvalitativ och datainsamling genomfördes genom åtta semistrukturerade intervjuer. Intervjuerna utfördes med respondenter från två sjukhus i en svensk storstad. Data har bearbetats genom innehållsanalys. Resultatet Analysen resulterade i fem kategorier. Ur dessa framträdde två teman, Förändrade förutsättningar i lärandemiljön och en utmanande pedagogik. Respondenterna beskrev både utmaningar, vinster och brister i handledningssituationen som skedde mer på distans på studentsalen. Kommunikation, bekräftelse och ärlighet beskrevs som en grundförutsättning för en välfungerande handledning. Därtill hör också organisatoriska förutsättningar, kollegialt stöd, egen kompetens och engagemang från både lärosäte och verksamhet. Den stora vinsten framställdes som professionell utveckling hos handledande sjuksköterskor, mer självständiga studenter samt bättre handledningsklimat. Svårigheterna låg i att handleda en grupp med studenter med olika kunskapsnivåer samt att få tiden att räcka för både patient och student. Resultatet har efter sammanställning diskuterats utifrån Katie Erikssons teoretiska begrepp om ansa, leka och lära. Slutsats Handledning av studenter i studentsal accentuerade vinster respektive svårigheter i handledning. Detta berodde på att handledningen skedde i grupp vilket ofta upplevdes som en svårighet. Välfungerande studentsalshanledning kunde å andra sidan tillföra ökad möjlighet till professionell utveckling. Klinisk betydelse Med kunskap om handledning i studentsal genereras förutsättning för handledning i tiden, vilket i sig skapar möjligheter att möta framtidens behov av välutbildad personal och därigenom bibehållen patientcentrerad omvårdnad. / Background Nursing students preception is well described in previous literature but studies about registered nurses´ experiences of precepting in student-dedicated treatment rooms have been done in very little extent. Aim of present study was to describe precepting in student-dedicated treatment rooms according to experiences of precepting nurses. Method for this study has been through qualitative approach, collection of data has been executed through eight semi-structured interviews with respondents from two hospitals in a Swedish downtown area. Data was analysed through structured content analysis. Result is presented in five categories and two themes: Changed prerequisites in the teaching environment and pedagogic challenges. Precepting nurses described challenges, benefits and limitations with hands-off precepting. Communication, acknowledgement and honesty were described as fundamental to achieve effective precepting as well as organisational prerequisites, support from colleagues, individual nursing competence and commitment from both universities and clinic. The major benefits were professional growth for precepting nurses, more independent students along with improved climate on the ward amongst the preceptors. The difficulties were related to precepting groups of students and to find enough time to care for both student as well as patient. The result of this study has been discussed from the perspective of Katie Eriksson’s healthcare theory. Conclusion Precepting in student-dedicated treatment rooms accentuates the benefits and limitations within the core of student precepting in general. Group precepting per se is experienced as more difficult than traditional supervision. At the same time precepting in student-dedicated treatment rooms can be even more rewarding than traditional precepting and lead to a higher amount of professional development. Clinical contribution Precepting nursing students rightly is essential for a modern precepting that meet the demands of the future and renders well educated health personnel and thereby maintains patient-centred care.

Magister Curationis / Background: Globally, nurses and midwives are the most important healthcare providers. In most countries, nurses and midwives are often the first point of contact to healthcare, and in many rural areas, they are the only point of contact for patients. Skilled midwives are essential for the care of pregnant women and the safe delivery of their infants. Midwives play an important role in promoting the health and wellbeing of women, newborns and their families. In South Africa, slow progress in reducing maternal mortality can be partially attributed to a lack of appropriately trained health professionals to render some basic maternal care services. Aim & objectives: The aim of this study was to investigate the self-perception of preparedness for midwifery practice of final-year nursing students at a university in the Western Cape, South Africa. The objectives of the study were to: identify midwifery skills final-year nursing students found challenging to perform independently, determine the level of confidence of final-year nursing students for managing patients in the maternity unit, determine the level of comfort/confidence of final-year nursing students in key practice skills performance, and collect baseline evidence of nursing students’ perceptions of self-preparedness to inform the higher education institution of gaps and needs identified by nursing students. Methodology: A quantitative research approach using a descriptive survey design was implemented to gather information. A self-administered questionnaire using the Casey-Fink Readiness for Practice Survey was used. Due to the limited size of the population, an all-inclusive sampling strategy was utilised, with a sample size of N=217. At the time of the survey, only 164 nursing students attended class. Only 112 questionnaires were returned, yielding a response rate of 70.88%. All returned questionnaires had no missing data. SPSS Statistics version 25 was utilised for data analysis. Descriptive statistics, frequencies and tests for association were utilised.

Bakgrund: Sjuksköterskeyrket innebär flera utmaningar som ansvar, arbetsuppgifter och handledning till sjuksköterskestudent. Handledning till sjuksköterskestudent är en del av sjuksköterskeutbildningen och förväntas kunna utföras av legitimerad sjuksköterska parallellt med omvårdnad. Syfte: Syftet med litteraturstudien var att undersöka sjuksköterskors erfarenhet av att handleda sjuksköterskestudenter. Metod: Litteraturstudien baserades på vetenskapliga artiklar med kvalitativ metod. Databassökningen av vetenskapliga artiklar genomfördes i Cinahl och PubMed. Tio vetenskapliga artiklar med kvalitativ design valdes ut. Sju av artiklarna ansågs ha hög kvalitet och tre av medelhög kvalitet. Samtliga tio vetenskapliga artiklar undersökte sjuksköterskors erfarenhet av att handleda sjuksköterskestudenter. De vetenskapliga artiklarna analyserades utifrån Willmans &amp; Stoltz (2017) metasyntes. Resultat: I resultatet presenterades fem huvudrubriker vilka var utmaningar, ansvar, relation, stöd och personlig utveckling. Utmaningar resulterade i tre underrubriker vilka var tidsbrist, kunskapsbrist och kunskapsbehov. Huvudrubriken relation resulterade i en underrubrik vilken var tillit och förtroende. Konklusion: Litteraturstudien visade på att sjuksköterskors erfarenhet av att handleda sjuksköterskestudenter är både positiva och negativa samt påverkas av olika faktorer. Återkommande faktorer var tidsbrist utifrån svårighet att handleda sjuksköterskestudent parallellt med omvårdnad av patient. Kunskapsbrist var kopplad till saknad kunskap inom handledning, samt ett behov av handledarutbildning. Litteraturstudien visade på att sjuksköterskor upplever stort ansvar i handledarskapet och att handledning till sjuksköterskestudent upplevs som ett ömsesidigt lärande. Nyckelord: erfarenhet, handledning, klinisk placering, sjuksköterska, sjuksköterskestudent. / Background: There are many challenges in the nursing profession when it comes to responsibilities, assignments and preceptoring nursing students. Preceptoring nursing students is the foundation of nursing education and is expected of the legitimized nurse alongside with nursing care.       Aim: The aim with the literature review was to explore nurses’ experience of preceptoring nursing students. Method: The data was collected through a literature review based on scientific articles with a qualitative method. Cinahl and PubMed were used as databases during the article search. Ten scientific articles with a qualitative design were selected. Seven articles were considered to have high quality and three was considered to have an average quality. Each article explored nurses’ experience of preceptoring nursing students. The scientific articles were analyzed through Willman &amp; Stoltz (2017) metasynthesis.   Result: The results revealed five main headlines which were challenges, responsibility, relation, support, and personal development. Challenges resulted in three subheadings which were lack of time, lack of knowledge and needs for knowledge. The headline relation resulted in one subheading which were trust and confidence. Conclusion: The literature review showed that the nurses’ experiences of preceptoring nursing students are both positive and negative, which is affected by different factors. Recurrent factors were lack of time based on difficulties in preceptoring nursing students parallel with nursing care. Lack of knowledge were linked to lack of knowledge in preceptoring, as well as a need of preceptor education. The literature review showed that nurses experienced great responsibilities in the role as a preceptor and that preceptoring to nursing students was experienced as a mutual learning opportunity.   Keywords: experience, clinical placement, nurse, nursing student, preceptoring.

Gillrell, C. Vetenskapligt förhållningssätt i verksamhetsförlagd-sjuksköterskeutbildning. Fenomenografisk studie. Examensarbete i omvårdnad 15 högskolepoäng. Malmö högskola: Fakulteten för hälsa och samhälle, Institutionen för Vårdvetenskap, 2015.Det är en utmaning för sjuksköterskestudenten att identifiera omvårdnadsbehov hos en patient. Aktuell studie har fokuserat på vad den handledande sjuksköterskan uppfattar vara centralt i ett vetenskapligt förhållningssätt i omvårdnadsarbetet och hur fenomenet förmedlas till sjuksköterskestudenter. Resultatet visade variation i syftet med ett vetenskapligt förhållningssätt. En del handledare uppfattade att syftet med fenomenet var att identifiera omvårdnadsbehov, andra menade att syftet var att utföra omvårdnad flexibelt utifrån faktakunskap och vad som var det bästa för patienten. Starkast stöd för målet med ett vetenskapligt förhållningssätt i omvårdnadsarbetet var att ge den bästa och säkraste vården för specifik patient. Fenomenet vetenskapligt förhållningssätt kunde förmedlas om den verksamhetsförlagda utbildningen gavs tid, utrymme och hade strukturerade läraktiviteter samt reflektion i handling, och på handling. / Gillrell, C. Scientific approach in clinical placement in nursing education. A phenomenographic study. Degree project in Care Science 15 credits. Malmö University: Faculty of health and society, Department of Care Science, 2015.It is a challenge for nursing students to identify the care needs of a patient. Current study has focused what the supervising nurse perceived to be the center of a scientific approach in nursing and how the phenomenon was communicated to the nursing students. The results showed variation in the purpose of a scientific approach. Some supervisors perceived that the purpose of the phenomenon was to identify care needs, others meant that the aim was to carry out nursing flexible based on factual knowledge and what was best for the patient. The strongest support for the goal of a scientific approach in nursing work was to provide the best and safest care for a specific patient. The phenomenon of scientific approach could be communicated, in the clinical placement, if given the time and space, and if the student had structured learning activities and reflection in action, and on action.

No / Background Anecdotally, it has long been felt by academic staff that students on the Bradford 5-year sandwich degree programme (intercalated pre-registration training) performed differently on return to university from those on the continuous 4-year programme. Direct comparisons between cohorts have been difficult to undertake as the two groups were taught separately in their final stage. In 2016-17, a cohort of returning sandwich students was taught alongside a comparable group of continuous students in a final stage module. This study compares the results from these two student cohorts. Method The Pharmacy Special Studies module offered a very broad range of opportunities across laboratory research, systematic and scoping review, product development and care-orientated topics including audit, and analysis of clinical cases, organised in 9 separate “strands.” Students from the sandwich (n=99) and continuous (n=89) courses were offered the same selection of learning experiences. Assessment was by oral presentation and discussion (slides or poster) and written report. The Level 7 marking schemes used were designed so that the highest marks were only available to reward student demonstration of the higher-level critical, analytical and interpretative skills. Results Student performance across all 9 strands of the module was comparable. When module results were split according to cohort, a strong divergence was observed. Sandwich student results displayed an approximately bell-shaped distribution with a mean mark 73.2% (SD 8.1). In contrast, the continuous student results had a lower mean 67.3% (SD 8.5, p<10-5); moreover, the distribution of these marks was distorted with a ‘cliff edge’ in the low 70s and a long tail. Conclusion This analysis shows that students who had completed 6 months pre-registration training achieved, on average, higher grades. Moreover, they demonstrated improved higher-level skills of interpretation and critical analysis compared with the continuous group. Although this is a one-year “snapshot” observation it appears to show that following 6 months preregistration training, students are better able to critically evaluate and interpret data and draw evidence-based conclusions. Such a result could provide evidence for the benefits of intercalated placements and indicate the optimal location of professional training within the academic course. Any impact on pre-registration training itself remains to be determined. / Abstract, presented at the Pharmacy Education Conference 2017, Manchester, United Kingdom.

Introduction The purpose of this study was to enhance the prac experience of undergraduate nursing students and registered nursing staff. An innovative model of clinical education, the Clinical Education Unit (CEU) model was developed, implemented and evaluated. Background to the study Clinical education is a vital component of the undergraduate nursing curriculum. 'Real world' practice provides students with the opportunity to develop the knowledge, attitudes and skills needed to function effectively as a registered nurse. Despite the commitment of universities to produce competent graduates, there has continued debate regarding the preparedness of new graduates for practice as registered nurses. This has focussed continued attention on the adequacy of students' clinical education and, in particular, on the models used for clinical facilitation/supervision. There is little published evidence that clearly demonstrates the effectiveness of any of the current models of clinical education or that any particular model is better than any other in achieving quality outcomes (Wellard, Williams and Bethune 2000; Clare, White, Edwards and Van Loon 2002). Hence, as recommended in the recent National Review of Nurse Education (2002), ongoing evaluation of nursing curricula and teaching practice, including clinical education, is clearly warranted. Methods The study utilised action research methodology to examine the effects of the Clinical Education Unit (CEU) on the quality of clinical prac as experienced by undergraduate nursing students and registered nurses working with the students in wards where they were placed for their practicums. It was undertaken in two iterations or phases: Phase 1 - Development, implementation and initial evaluation of an innovative model of clinical education (the CEU model) and Phase 2 - Refinement and re-evaluation of the CEU model of clinical education. Using focus group discussions and survey questionnaires, qualitative and quantitative data were collected from undergraduate nursing students and clinical nursing staff in conjunction with each iteration of the study. Results Phase 1 results indicated that the CEU model was evaluated more positively by students and registered nurses than were the non-CEU models that were used for comparison. This result was demonstrated in the comments of students and registered nurses with regard to the respective models of clinical education and supported by their ratings of the quality of clinical experience through the QPE-Phase questionnaires. A similar trend was found in the results from Phase 2. The CEU-2 model was again evaluated more positively by students and registered nurses than were the non-CEU models that were used for comparison. Conclusion In summary, the results of this study indicate that the CEU model had a positive impact on the prac experience of students and registered nurses. In both phases of the study, students and registered nurses in wards where the CEU model was being used evaluated the prac experience more positively than did students and registered nurses in wards where non-CEU models were being used. Two key factors were found to be important in achieving this outcome: the collaborative nature of the CEU model and nursing staff ownership of students' clinical education. These factors provided an operating framework which enabled the development of positive learning environments in the wards where students were placed for prac. Equally important were arrangements for the supervision of students' practice which involved local clinical facilitation and the explicit inclusion of other nursing staff in the ward. Further, continued support from the university to allow the clinical facilitators to take a supernumary role when facilitating students, to provide staff development for clinical education and to support staff on a day-to-day basis during the prac was also important, if not essential. It is proposed that these factors, acting synergistically, promoted enhanced access to learning opportunities for students and improved learning outcomes for students and staff. The study makes an important contribution to nursing education by providing evidence that can inform future developments in the area of undergraduate clinical education. It has potential benefits for nursing education not only in the local context, but within the international arena as well.

The purpose of this study was to explore and describe the perceptions of registered nurses with regard to facilitating the learning of student nurses during clinical placement. Focus group interviews with fifteen registered nurses were done, followed by participant observations in two clinical areas, to gain a clearer picture of obstacles, as well as the strategies employed during placement of student nurses in the clinical area. The :findings indicate that facilitation of the learning of student nurses during clinical placement is achieved by guidance, involvement, assisting and supervision of student nurses in the clinical area by nurses of all categories, and medical and paramedical personnel. Many obstacles were identified which obstruct the employment of strategies that are suitable for facilitation in the clinical area. Guidelines for the facilitation of learning of student nurses were recommended, to improve facilitation in the clinical area. / Health Studies / M.A. (Nursing Science)