Effects of Clinical Rotation Shifting to Nursing Students

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Student and Registered Nursing
Staff’s Perceptions of 12-Hour
Clinical Rotations in an
Undergraduate Baccalaureate
Nursing Program
Bette Mariani, PhD, RN
Angelina Arcamone, PhD, RN, CCE
Jennifer Cummins, MSN, RN, CEN

Background


With today’s increase in student enrollment
in baccalaureate education it has become
more difficult to secure quality clinical
placements with optimal learning
experiences and clinical faculty



Some clinical agencies are only able to offer
12 hour clinical shift rotations for student
experiences



There are a limited number of studies that
have been conducted on the use of 12 hour
clinical shift rotations with nursing students,
with little evidence to support the use of this
clinical scheduling strategy
2

Purpose of Study


The purpose of this study is to evaluate the
student and registered nursing staff’s
perceptions of whether the 12-hour clinical
shift rotation enhances the student’s clinical
learning ability, allows for better continuity
of care for their assigned patients and
families, and facilitates the ability to
correlate theory to nursing practice.

3

Research Questions
1.

Do nursing students perceive that a 12hour clinical rotation is beneficial to their clinical learning?

2.

Do nursing staff perceive that working with
nursing students during a 12-hour clinical
experience is beneficial?

4

Research Questions (con’t.)
3.

Do nursing students feel that the 12-hour
clinical rotation allows for a better
opportunity for continuity of care and
learning for their assigned patients and
families?

4.

What are the advantages and
disadvantages of a 12-hour clinical
rotation perceived by nursing students and
staff?
5

Methodology


A mixed method descriptive design
was used to conduct the study,
incorporating both qualitative and
quantitative method



IRB approval obtained from Villanova
University and Clinical Site Facility
6

Research Instrument and
Method of Data Collection


Questionnaire*
◦ Separate questionnaire for RNs and Students
◦ Likert Scale and Open-ended questions
◦ Fall 2010 with 28 subjects
 Cronbach’s Alpha Student Questionnaire = .82
 Cronbach’s Alpha Nurse Questionnaire = .93

◦ Spring 2011 with 38 subjects
 Cronbach’s Alpha Student Questionnaire = .88



Focus groups
◦ Three student focus groups held on campus
◦ Four open-ended questions asked
For the students questionnaires, additional data was collected in Spring 2011 and was added to the original data from Fall 2010.

*Questionnaire adapted with permission from Rossen, B. E. and Fegan, M. A. (2009)

7

Sample Questions on Student
Questionnaire
Using the Likert Scale, please respond to the following
statements below based on your perception of the
12-hour clinical shift rotation in which you participated:
The 12-hour clinical shift rotation enhanced my clinical
learning experience.
2. I had a better opportunity for continuity of care for my
assigned patients and families when I participated in the
12-hour clinical shift in comparison to the traditional 6 or 8 hour clinical day.
3. Participating in the 12-hour clinical shift allowed me a
greater opportunity to evaluate the results of my nursing
interventions in comparison to the traditional 6 or 8 hour
clinical day.
4. I had more time to interact and discuss patient care
issues with my instructor during the 12-hour clinical shift
in comparison to the traditional 6 or 8 hour clinical day.
1.

8

Sample Questions on Nurse
Questionnaire
Using the Likert Scale, please respond to the following
statements below based on your perception of the
12-hour clinical shift rotation in which you participated:
The 12-hour clinical shift allowed the students to develop
a collaborative working relationship with the nursing staff. 2. The 12-hour clinical shift enhanced the students ability to correlate theoretical principles...
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