student nurse reflection on learning and development

The researcher teaches in a diploma programme and decided to see if there was any evidence that students, one year into a Common Foundation Programme, were developing reflective skills or if they were learning through This factsheet introduces methods to identifying L&D needs, including how to carry out a capability analysis and suggests how to collect and make use of data. BMC Nurs 15, 49 (2016). [Adapting to the future specialist healthcare. Reflective writing requires one to reflect on a personal experience for the purpose of self-awareness and professional growth (Kerr, 2010). Regardless of the premise that reflection has been employed in nursing academia for many years and recognized as an academic requirement in the nursing profession that improves students knowledge and awareness, this subject still requires further investigation, especially in Saudi Arabia, where despite the advances in medical education and research, this topic is still in its infancy. Ahmed M.H. 47 to the Storting (20082009) [https://www.regjeringen.no/en/dokumenter/report.no.-47-to-the-storting-2008-2009/id567201/], Rammeplan for sykepleierutdanning : fastsatt 25. januar 2008 av Kunnskapsdepartementet. The phenomenological data analysis has given rise to the following themes and subthemes as stated in Table 4: The first theme that emerged from analyzing the verbatim of the participating students pointed towards intrinsic drivers for reflection, where students have felt something within them that have triggered them to go back and think more deeply about their clinical experience and learn from it. Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. The mean age of the students was 21.65 1.27 years (Table 1). In an advanced clinical setting with complex technology and treatments, it can be difficult for inexperienced nursing students to actively seek knowledge. The study followed the principles of the Declaration of Helsinki and the Norwegian Social Science Data Services [27, 28]. The development of new and improved technology has enabled a transition in most countries from long hospitalizations to same-day surgeries and increased use of outpatient treatments [1]. and transmitted securely. Outpatient units traditionally have a higher nurse-patient ratio. 1. and M.F; investigation, F.A., M.S.I. Methods The study has a qualitative explorative design. Participants willingness to learn more and thus reflect on their experiences was certainly strong. The trainer is responsible for creating such conditions [26]. ; writingreview and editing, M.S.I. 2015;15(3):15561. Qualitative Research in Nursing: Advancing the Humanistic Imperative. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Epub 2018 Dec 3. Choperena A., Oroviogoicoechea C., Zaragoza Salcedo A., Olza Moreno I., Jones D. Nursing narratives and reflective practice: A theoretical review. [The Nursing education curriculum 25. and A.T.; resources, Y.A. The forms directed the students attention towards the patient and their experiences and the relationships between the nurses and the patient. It is worth noting that there are seven steps to the Colaizzi techniques as described in Table 3: Since the interviews were conducted in Arabic, the transcriptions were sent to two official translators that are experts in the field where translation and back translation were carried out and then translations were sent to an external expert to check their authenticity. The study has a qualitative explorative design. It is also suggested that further study be carried out on how to facilitate reflection in nursing education from the perspectives of instructors, physicians, and nursing professionals. The https:// ensures that you are connecting to the by studentnurse88 (student) University Degree Subjects allied to Medicine The purpose of this essay is to reflect on my experience and skills gained during a two-week clinical placement as a first year Student Nurse and also the learning outcomes stated in my Personal Development Plan (PDP). Students need guidance in understanding concepts and in applying expectations. J Nurs Educ Prac. DeBrew JK, Lewallen LP. The aim of this study was to explore students' experiences of structured learning activities using forms for unit-specific learning outcomes and targeted reflection during clinical placements in outpatient units. Learning through reflection: the critical role of reflection in work The students included were enrolled in the full-time study program, and have been practicing reflection throughout their clinical training program through fulfilling a portfolio containing qualitative reflection forms for each clinical task. PDF A Guide to Nursing Students' Written Reflections for Students and Educators PDF A Perfect Nursing Reflective Essay | PDF Sample Data were collected by means of focus group interviews during spring 2015. government site. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. Andersson EK, Willman A, Sjstrm-Strand A, Borglin G. Registered nurses descriptions of caring: a phenomenographic interview study. Three questions guided the scoping review: Nursing students or qualified nurses working in clinical settings, such as hospitals and primary care, and involved in patient care, took part in the 17 studies examined. Empathy and support in nursing. Comparison of convenience sampling and purposive sampling. The steps are Description, Feelings, Evaluation, Analysis, Conclusion and Action Plan (Gray, 2007). AKH and AGG collected the data. Holmsen TL: Hva pvirker sykepleierstudentenes trygghet og lring i klinisk praksis? Integrate themes into a thorough description, Determine the underlying basis of the phenomenon, Contact respondents for additional information. They have also indicated that they do not want to be a kind of nurse that is just performing technical procedures. The essay will give an in-depth analysis of the episode when I joined the community placement by the university. Would you like email updates of new search results? When students engage in reflective thinking, they are better able to analyze and evaluate their experiences, which enables them to extract meaning and actively process what they have learned . An interview guide, with themes concerning the informants experiences with the forms unit-specific learning outcomes and targeted reflection in the outpatient unit, was used. Save my name, email, and website in this browser for the next time I comment. [https://www.regjeringen.no/globalassets/upload/kd/vedlegg/uh/rammeplaner/helse/rammeplan_sykepleierutdanning_08.pdf], Throughput of students in tertiary education - SSB [http://www.ssb.no/en/utdanning/statistikker/hugjen/aar/2015-06-26]. Inclusion criteria for joining the study were: second-year students, undergoing clinical placement at the cardiology or neurology units. sharing sensitive information, make sure youre on a federal The nursing education sector has had to rethink the knowledge and skills it provides and how it teaches patient interaction to its students [9]. Another student also proclaimed, theres still a lot for me to learn so that I can become a proficient nurse and every time I feel like I lack knowledge in a certain aspect of care it only makes me more encouraged to dig deeper and reflect on my practice skills so that I can provide higher care quality for patients (S3). This method entails a critical examination of prior experiences in order to induce change in behavior and improve personal and professional capabilities in the future [4]. A similar experience was also shared by another student, I mean with clinical training you get to detect where exactly is your knowledge and skills are lacking and this should make you feel that you need to fill these gaps this can only be done by reflecting on where did you go wrong or where you could have done better or thinking about which aspects of patient care you still do not know much about this motivation to learn more about patients and clinical care makes me want to reflect every piece of new knowledge on my practices (S21). Reflecting on health and wellbeing as a student nurse: a personal journey | Nursing Times EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 10th Floor, Southern House, Wellesley Grove, Croydon, CR0 1XG We use cookies to personalize and improve your experience on our site. However, more meaningful reflection and learning can be undertaken if formal reflection takes place. Our findings indicate that, when given a form with questions to answer and settings to reflect upon, students take a more active approach to seeking knowledge. . (Gibbs 1988). Compared to the regular ward which was perceived as more active, the outpatient placement was described as a relatively passive learning environment. Students were chosen starting from the second semester because nursing students must complete around 39 credits in the clinical area, which commence in the second semester, and they are regularly confronted with a variety of challenging situations from the outset of their training program, that might drive reflection. Sarah Byrne is a third-year nursing student in Trinity College Dublin Student Focus - Reflection - With experience comes confidence All rights reserved by INMO. To pass or to fail? Clipboard, Search History, and several other advanced features are temporarily unavailable. 2013;3(9):106. As a result, it suggests a guide for education in clinical practice could include consideration of the following: which tool will be appropriate? Conclusion: As per the results of the study, nursing students perceived that they underwent reflection as a response to personal motivational and external educational aspects. Taking responsibility for ones own learning is an important part of being prepared [13] and being prepared for clinical placement is an attribute that can separate the successful students from the unsuccessful ones. Informed written consent was given by all informants. One of the students said for instance, I reflect on my clinical experiences because when I graduate I want to be not just any other nurse I want to be an outstanding example of the highly professional nurse who continually works on developing themselves through increasing their knowledge and skills by reflecting on the areas needing improvement and thus develops into a higher standard of care (S9). Students who were registered in a bachelor nursing degree at the targeted university, had at least one semester of clinical training program, and were prepared to partake and discuss their insights met the studys inclusion criteria. I was placed in a private ward during clinical placement as a student nurse. Effects of reflective practice on baccalaureate nursing students stress, anxiety and competency: An integrative review. The forms were useful in terms of preparing for the procedures and to define what we were supposed to be focusing on at the outpatient clinic.. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. Reflective practice in nursing: A concept analysis This analysis identifies the need for future nursing researchers to develop reflective models or strategies that promote reflection among nurses and nursing students before, during, and after the clinical experiences. Data were analyzed by means of content analyses. Student Focus - Reflection - With experience comes confidence Following introduction, the researchers asked study subjects to participate in hour-long semi-structured interviews using Microsoft teams. An official website of the United States government. The students spent one week at the outpatient unit out of a total of eight weeks in clinical placement. Reflection in medical education can be implemented in multitude of ways, depending on the restrictions of the coursework. The authors want to acknowledge the efforts of the research assistant who helped in the data collection and publishing of this paper as well as the participants who were involved in the study. This essay is a reflection of my placement which I recently took at the Princess Royal University Hospital which is under the able guidance of King's College Hospital. What levels of reflection are identified or achieved: low (descriptive), middle (application), or high (evaluative)? 2015;14(1):110. In this profession, the doctors diagnose the disease and do the surgeries when required but people take the efforts of nurses for granted. This study employed a phenomenological explorative methodology in order to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. This sense has led students to reflect on their clinical experiences and knowledge as they want to be completely responsible for their patients and doing them good. The majority of the respondents indicated they reflected on clinical encounters from a specific position, such as a lack of information or a necessity they were unaware of at the moment. Lawrence C., Mhlaba T., Stewart K.A., Moletsane R., Gaede B., Moshabela M. The hidden curricula of medical education: A scoping review. Only 4 (19.04%) were in the second semester of the third year. This study shows that preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. One of the anecdotes was, our instructor is quite an inspiration he sets an excellent example for the competent and highly qualified registered nurse this makes me want to be like him when I graduate and it encourages me to reflect on my clinical practice so that I can develop into a professional nurse like him (S7). sharing sensitive information, make sure youre on a federal Get Help With Your Nursing Essay Results: Two major themes were prevalent upon thematic analysis, namely, Personal Drivers of Reflection which consisted of Motivation to Learn, Desire to develop, Ethical Regard, and Responsibility towards patients and External Drivers of Reflection which consisted of Patient characteristics, Case complexity, and Competent Instructors. Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria. How to reflect on your practice for revalidation | Nursing in Practice Other students were well prepared for the new experiences, as they had read and used the forms ahead of the week in the outpatient unit in order to be alert. When confronted with unfamiliar circumstances, learners started to ponder on clinical experiences and seek knowledge from various resources in order to minimize information gaps. The transcriptions were anonymized and coded where each participant was assigned pseudonym from S1 to S21. vol. All authors read and approved the final manuscript. A literature review. I was part of a 60-hour long placement in the hospital and had . which approach should be used? Students also viewed Spinal Cord and Nerves Anatomy week 2 Week2 notes for This study shows that use of outpatient units for clinical placement in nursing studies has several challenges but also the potential for creating positive experiences for the students. Identifying Learning & Development Needs | Factsheets | CIPD Nursing in the Australian Healthcare System (NUR1101) Introduction to Psychology II (PSYU1102) Software Testing (ITECH7409) Civil Procedure and Arbitration (200813) Newest Vector Calculus (MAST20009) Fraud and Cybercrime (3026ccj) Foundations of Property Law (LAWS12065) Foundations of Nursing Practice 2 (NURS11154) Corporations Law (LAWS13009) 1Emergency Department, Al-Amal Psychiatric Hospital, Qassim, Buraydah 52326, Saudi Arabia; as.vog.hom@hamalaslasy, 2Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail 55476, Saudi Arabia; as.ude.hou@iwagabla.b, 3College of Nursing, King AbdulAziz University, Jeddah 22252, Saudi Arabia; as.ude.uak@riakbabl, 4Department of Nursing, Qassim University, BSN, RN, Riyadh 52571, Saudi Arabia; as.ude.uq@hamalasla.f, 5Faculty of Health Sciences, Beirut Arab University, Beirut 11-5020, Lebanon; bl.ude.uab@inati.dammahom (M.S.I. volume15, Articlenumber:49 (2016) Previous research also suggests that learning is stimulated when students conceptualize their experiences and are led into reflecting upon specific situations [26]. Disclaimer. 8600 Rockville Pike (2019) who have also indicated the value of reflective practice among student nurses in enhancing their knowledge, skills, and intellectual abilities [21]. This article demonstrates the meaningful learning that resulted as a consequence of using critical reflection on practice. The interview guide was used as a reminder to the researchers to ensure that the themes were covered. ; formal analysis, Y.A., B.A., L.B. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). For example, one of the students said, my patient is my responsibility even though I am still a student but I need to learn how to take responsibility for my actions with the patients so I need to reflect on my practices, skills and knowledge so that I can learn more and be read for more complex cases and provide the patient with their needs (S5). 2008;8:10311. If I did not have those forms to help me reflect, I would never have understood what I was actually doing or was a part of., The fact that you are being guided towards what you are supposed to look for and stuff, I really liked it.. It is therefore vital that students learn to be truly present in order to care for their patients. Levett-Jones T, Lathlean J, Higgins I, McMillan M. The Duration of Clinical Placements: A Key Influence on Nursing Students Experience of Belongingness. In order to secure as open-minded an approach as possible, the researchers discussed their own preconceptions on the topic and made efforts to put these aside during the data collection and analyses. In the first year of my nursing programme my first placement was in an acute admission ward for older people. Chambers, Thiektter and Chambers [24] claim that nursing education needs to adopt pedagogical approaches that stimulate the learning process, so that students have the necessary ballast to meet the continuous changes taking place in health care. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. It was often like you could just sit down in a nook and answer the questions because it wasnt really busy.. A purposive sample of 21 nursing students from the second semester and above from one nursing school in Saudi Arabia and were employed into this study [17]. Ann Karin Helgesen. The complex technologies in some of these units represent a challenge for students who have limited existing knowledge or experience. In Norway there has been a 6% reduction in hospital beds from 2010 to 2014 [2]. Nursing Reflective Essay: Examples + Useful Writing Tips [2023] My personal and professional development will allow me to facilitate and encourage the learning and development of other nursing students in the future. The authors are grateful to the participants in the study. For example, one of the students shared, one time I had a patient who is 19 years old this made me put myself in their shoes and pay attention to more details regarding the case and the management as his case was truly critical and I was thinking I can be in his place at any moment in life this make me think a lot about my work and the value of careI felt I want to read more about it afterwards and I did (S2). Publishers Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. More focus on outpatient care has also led to fewer opportunities for studying the continuity of a patients life situation. Thereafter the interviews were read word by word. Another student also shared a similar testimonial, the clinical instructor motivates us to be not only skillful but also knowledgeable and have critical thinking skills to integrate theory and practice and he demonstrates this through his work with us and with his patients and colleagues this alone makes me think that I want to be this skillful and professional thus I reflect on my practice skills and knowledge I use in caring for my patients so that I can advance myself (S16). Banning (2008) suggests that a 'think out loud' approach may be an excellent way to get student nurses to learn as they problem-solve a case study, just as they would in real life practice. Epub 2017 Apr 7. The students also perceived that cooperation amongst instructors, clinicians, nursing staff, and nursing students may create a favorable environment for students to reflect on their encounters through proper communication, as well as a desirable supporting environment. Students who did not use the forms, expressed less alertness. Moreover, the students who took part in this study have expressed the strong ethical and moral value of their work and the need to be up to the expectations of their personal, professional, cultural, and religious values in their work. 8600 Rockville Pike Student Nurse Placement Reflection and Personal Development Plan. Lillemoen L: Det er bare snn jeg er- : en underskelse om sykepleiestudenters utvikling av moralsk opptreden. Some of the findings agree with other studies that have found that using outpatient units as clinical placements in nursing studies has several challenges [17]. From reflective learning to reflective practice: Assessing transfer. What do we know about coaching in medical education? In: Sluttrapport S-Hi. and M.F. Received 2022 Jun 20; Accepted 2022 Jul 25. They value debriefing following experience and there is evidence that they would benefit from training in mental previewing techniques prior to embarking on new experience. 2017 Jul;25:1-4. doi: 10.1016/j.nepr.2017.04.004. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (, reflection, nursing students, qualitative, perspectives, clinical setting. This will require high quality, standardised, and reproducible research that includes comparable interventions, outcome measures, and study conditions.. All authors have read and agreed to the published version of the manuscript. Nurse Educ Pract. Many of the respondents wished to improve their own expertise in order to give better treatment. The time scheduled for the interviews was changed shortly before they were due to take place and two students failed to notice the change. Ultimately, the authors concluded that while reflection is a core component of nursing education and RN standards for practice, there is little agreement among the research community on how best to assess the measurement and quality of reflection. Contemp Nurse. What causes you to reflect on these scenarios? A guide to nursing students' written reflections for students and educators. Data showed that some of the students had read and used the forms ahead of the week in the outpatient unit. Etikan I., Musa S.A., Alkassim R.S. Universitetet i Oslo, Det medisinske fakultet Unipub; 2008. Pre-registration nursing students enjoy a wealth of learning during community placements, develop invaluable knowledge and skills and gain exposure that may help them consider this dynamic field . When having used the given tools, data indicated that students felt a higher ability to focus on their upcoming practice. The reforms have also required nursing education to consider different areas for clinical placements for their students, and outpatient units in hospitals have been increasingly formalized as clinical learning environments. Many scholars think that providing a sufficient degree of complicated and demanding scenarios as part of a students learning process promotes the formation of reflection and cognitive and metacognitive abilities [28]. For instance, one of the students proclaimed, new difficult cases make you want to know more about the management and when you handle such cases it makes you feel that you need to always check how did you do and go back and think about all the steps you took and it motivates you to become more proficient in handling such situations (S4). This may agree with what Coyne and Needham [12] refer to as customizing learning needs. Findings also revealed that the forms guided the students attention from the technological devices towards the patients and their experiences, and also to the relationship between nurse and patient. Nurse students' experiences with clinical placement in outpatient unit Reflection on creating a coaching approach to student nurse clinical Reflecting on health and wellbeing as a student nurse: a personal Nurse Educ Pract. Reid, (1993) describes reflection as a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice.
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