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Development of Student Nurse-Driven Tools to Assess Learning Needs and Clinical Learning Environments in Order to Establish Guiding Principles for Maintaining High Quality Clinical Education

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Development of Student Nurse-Driven Tools to Assess Learning Needs and Clinical Learning Environments in Order to Establish Guiding Principles for Maintaining High Quality Clinical Education
DEVELOPMENT OF STUDENT NURSE-DRIVEN TOOLS TO ASSESS LEARNING NEEDS AND CLINICAL LEARNING ENVIRONMENTS IN ORDER TO ESTABLISH GUIDING PRINCIPLES FOR MAINTAINING HIGH QUALITY CLINICAL EDUCATION

ABSTRACT

This paper addresses two major factors of clinical education, namely: students’ determination of their own learning needs and their perceptions of the clinical learning environment, with the end in view of developing assessment tools to help establish and maintain high quality clinical learning environments in nursing education.

Individual semi-structured interviews were conducted in a private setting with seven (7) undergraduate nursing students, in an attempt to gain a deep, interpretive and holistic understanding of the perceptions of these students with regard to their clinical learning experiences and felt educational needs.

The study found agreement on 92 felt learning needs, and also noted differing opinions among student nurses on selection and ranking of learning needs.

The elements of an ideal clinical learning environment identified by the students could be categorized under five headings: 1) Clarity of objectives, 2) High quality clinical education staff, 3) A welcoming environment, 4) A culture of learning, and 5) Appropriate learning opportunities.

KEY WORDS: Clinical placements, Learning environment, Learning needs assessment, Clinical education

1. Introduction

Clinical education, usually delivered to undergraduate nursing students through clinical placements, is a vital component in the curricula of nursing programs because it provide students with an opportunity to integrate and apply knowledge, skills and attitudes taught in the classroom or laboratory in a clinical setting. However, although often described as the single most important resource in the development of knowledgeable and competent nursing professionals, it remains essential to take cognizance of the various



References: Asutilla, Carine M. (2008). Poor quality nursing schools blamed. Cebu Daily News. Retrieved October 30, 2010 from http://www. INQUIRER.net.htm. Burchell, H. & Jenner, E. A. (2006). The role of the nurse in patient-focused care: Models of competence and implications for education and training. International Journal of Nursing Studies, 33(2), 67-75. Fraser, B. I. (2005). Research on classroom and school climate. In D. Gabel (Ed.), Handbook of research on science teaching and learning (pp. 492-541). New York: Macmillan. Fraser, B.J., & Fisher, D.L. (2006). Assessment of classroom psychological environment. (Monograph). Perth, Australia: Curtin University of Technology. Fraser, B.J., & Walberg, H.J. (Eds.). (2007). Educational environments: Evaluation, antecedents and consequences. Oxford, England: Pergamton Press. Havnes, A. (2005). Examination and learning: an activity-theoretical analysis of the relationship between assessment and educational practice. Assessment & Evaluation in Higher Education 29 (2), 159–176. Lindner, R. (2008). A framework to identify learning needs for continuing nurse education using information technology. Journal of Advanced Nursing, 27(5), 1017-1020. Massarweh, I.-J. (2005). Promoting a positive clinical experience. Nurse Educator, 24(3), 44-47. Moore, P. V. & Short, J. (1994). Planning a continuing education program: The model for health education planning. American Association of Occupational Health Nurses Journal, 42(9), 430-4. Quinn, F.M., Hughes, S.J. 2007. Quinn’s Principles and Practice of Nurse Education. 5th Ed. London: Nelson Thornes Ltd. Ramsden, P. 2005. Learning to Teach in Higher Education. 2nd Ed. London: Routhledge Falmer. Rath, D., Boblin-Cummings, S., Baumann, A., Parrott, E., & Parsons, M. (2006). Individualized enhancement programs for nurses that promote competency. The Journal of Continuing Education in Nursing, 27(1), 12-6. Valisno, Mona. Technical Workshop on Education and Globalization. July 31, 2006.

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