student nurse reflection on learning and development student nurse reflection on learning and development

Trainers can help students reflect on their encounters by allowing them to communicate their recollections and perspectives, conducting dialogues, and directing class discussion. According to the findings, instructors should assist students through clinical reflection, with a special focus on their interactions and motivation. The importance of preparing students for their clinical practice, including an ability to integrate theory into a clinical setting and to secure time for reflection, to promote learning and confidence, has been highlighted in several studies [1214]. Hsieh HF. 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. 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. In Norway there has been a 6% reduction in hospital beds from 2010 to 2014 [2]. Coyne and Needham [12] show that a higher nurse-patient ratio allows more time for student supervision. Effects of reflective practice on baccalaureate nursing students stress, anxiety and competency: An integrative review. In: Sluttrapport S-Hi. The https:// ensures that you are connecting to the 8600 Rockville Pike As a result, the investigators worked on the study for over three months. However, the study also identifies opportunities for making the placement in an outpatient unit a positive experience for the students. 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). There was also lack of standardisation in how reflection outcomes were classified. (2020) also discovered that self-reflection combined with clinical knowledge and expertise reduces anxiety, allowing nurses to build competence in real-world settings [6]. When nurses reflect, they purposefully "bend back" their attention in a focused attempt to discover personal . (2019) who have found that students carrying out reflective practices have expressed to have higher level of knowledge, critical thinking abilities, advanced practices and relationship with patients; outcomes which have driven their reflection [20]. More focus on outpatient care has also led to fewer opportunities for studying the continuity of a patients life situation. Levett-Jones T, Lathlean J, Higgins I, McMillan M. The Duration of Clinical Placements: A Key Influence on Nursing Students Experience of Belongingness. By using a reflective model I am going to revisit this incident with the intention of learning from it to improve my future practice. One area that has continued to raise particular challenges in community nursing is maintaining the level of student learning capacity, supervision and assessment to the extent of pre-pandemic levels. En ny modell for organisering av praksisstudier. 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. Reflection in Learning and Professional Development - Jennifer A. Moon 2013-09-05 Reflection is a technique for aiding and reinforcing learning, used in education and It is therefore vital that students learn to be truly present in order to care for their patients. 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). During the reflection phase, they also require their trainers advice, direction, and supervision. Reflection as a learning tool in graduate medical education: A systematic review. The outcomes of the study can be used to develop a clinical education program that bridges the gap between theory and practice. which approach should be used? 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). The authors declare no conflict of interest. Housing quality impacts ADHD symptoms in children, Learn how nurses and midwives play a crucial part in cyber security, Nurse sounds a warning on hearing loss for COVID-19 patients, Scholarships and subsidies for Victorian nurses , midwives and students open for applications at the end of the month, Addressing nursing workforce shortages with comprehensive evidence-based strategies, Promising new Network set to boost nursing and midwifery research, Take precautions against respiratory infections in early pregnancy, Higher dietary magnesium delays brain ageing, Shift workers at risk of higher blood pressure, study finds, Newly Qualified / Transition to Practice (33). When confronted with unfamiliar circumstances, learners started to ponder on clinical experiences and seek knowledge from various resources in order to minimize information gaps. ; data curation, Y.A., B.A., L.B. Description. The researchers had no prior relationship with the students; however, they were introduced upon receiving the email of participation through mutual colleagues and professors who taught the students. The Practice Assessment Document (PAD) provides a comprehensive record of professional development and performance in practice. 2023 BioMed Central Ltd unless otherwise stated. Before Concurrent data analysis allowed the generation of meaningful hypotheses through concurrent interviews, thus enabling the production of a complete understanding of the occurrences. One of the most essential elements of reflection practice, according to Lawrence et al. The essay will give an in-depth analysis of the episode when I joined the community placement by the university. An outpatient unit is also quite specific in terms of offering students the possibility of observing and participating in a range of different skills. Griggs V., Holden R., Lawless A., Rae J. The retrieved themes were given to peers for external review, and their suitability was checked and confirmed, and agreement was reached. This led to frustration and distress. When I wasnt informed like I was supposed to about how to use the forms, I guess I wasnt able to benefit from them as intended.. April 25, 2023. Participants willingness to learn more and thus reflect on their experiences was certainly strong. government site. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). From reflective learning to reflective practice: Assessing transfer. Leveraging advanced practice nursing in complex health care systems. 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. Data revealed the challenges of being a student in a highly technological world. 2009;26(2):816. However a rotation between an outpatient unit and a regular ward might be challenging, as a key influence on nursing students sense of belonging relates to the length and organization of the clinical placement [16]. 2022 Mar;7 (3):e008007. It has something to do with information failure. Epub 2017 Apr 7. Assistance with this reflection is often found in student handbooks, as part of induction days, by allowing access to past students' successful reflective work and through stated sessions containing learning theories and styles, meta-cognition, self-analysis of strengths and weaknesses and the writing of personal statements (Helyer and Price . Barksby J., Butcher N., Whysall A. Applied to student nurse practice placement learning, coaching has the potential to boost leadership learning that is student led, less focused on following the directions of a mentor and more focused on students taking responsibility for identifying their learning goals and objectives. 8600 Rockville Pike This is in line with findings in Adamson and Dewars study [25] which emphasizes that reflective learning and the use of stories about the experience of giving and receiving care can contribute to development of knowledge, skill and confidence in the students. J Nurs Educ Prac. Nursing students receive a sense of efficacy and value when they identify a reflection occasion and succeed in their job in a stressful clinical learning setting. Nursing Student Reflection Paper Pdf Pdf is available in our digital library an online access to . More research is needed on the use of structured learning activities such as unit-specific learning outcomes and targeted reflections in special clinical placements such as outpatient units. The interviews without any biographical details of the informants were transcribed verbatim by a secretary and delivered to the three authors. In an advanced clinical setting with complex technology and treatments, it can be difficult for inexperienced nursing students to actively seek knowledge. 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. It is a useful and indispensable method for improving professional nursing, and it is broadly utilized in learning and teaching methods in both lecture halls and clinical contexts [3]. What causes you to reflect on these scenarios? DeBrew JK, Lewallen LP. HHS Vulnerability Disclosure, Help This conceptual model may be a useful tool to guide nurse educators in facilitating role development and the transition from the classroom to the clinical setting for the nursing student. Contreras et al. 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. 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. 1 - Recognise the importance of reflective practice and understand the process of reflection This outcome relates to the NMC Proficiency of 'Demonstrate the responsibility for one's own learning through the development of a Record of Achievement of practice and recognise when further learning is required'. ); bl.ude.uab@issat.a (A.T.). sharing sensitive information, make sure youre on a federal (2018) is exciting, unexpected, and puzzling clinical experiences. Lewallen LP, Debrew JK. 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.. It also provides insight for those in smaller organisations addressing their particular challenges in identifying learning and development needs. Facilitating student learning with critical reflective journaling in psychi-atric mental health nursing clinical education: A qualitative study. Reflective Practice: Transforming Education and Improving Outcomes. Our results are also in line with Choperena et al. and M.F; investigation, F.A., M.S.I. In the next step of the process, the research team met and compared their codes and sorted them into categories and subcategories. ; project administration, M.F. Data were analyzed by means of content analyses. This work was funded by funds from stfold University College, Norway. Another student has addressed the knowledge of the patient saying, one time I had a patient who has been chronically ill and also works in the healthcare fieldthat moment made me feel that I had to be very knowledgeable to be able to care for this patient as I cant have less information about the patient case than the patient themselves this had me doing a lot of research every time I handle a case (S14). Contreras J.A., Edwards-Maddox S., Hall A., Lee M.A. Federal government websites often end in .gov or .mil. official website and that any information you provide is encrypted Fifty percent of nursing education in Norway consists of clinical practice where the students are under the supervision of registered nurses. Careers. Reflection is essential for students to learn and understand caring, their formation as human and caring beings, and their ability to meet patients in a caring way. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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 . Nurse Educ Today. Barbagallo M.S. Lovell B. 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.. The literature suggests that developing a professional identity and an aspiration to learn are influenced by the length of the clinical practice [16]. Chambers D, Thiektter A, Chambers L. Preparing student nurses for contemporary practice: The case for discovery learning. As an education provider, a trainer should push students to gain more from other sources and patients who are similar to them [27]. What are your impressions on the importance of reflection in clinical practice? For instance, one of the students said, at many instances in my clinical rotation I feel that I lack deep knowledge about clinical decision making and expertise this pushes me to make the best out of each clinical encounter by stopping and thinking more about what has been done for this patient or that patient so that I can add that into my clinical experience (S18). 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. Students abilities and capacities increase when they are able to reflect on their everyday occurrences, which can be accomplished by immersing students in an exercise that leverages their consciousness and allowing them to communicate their views [8]. Along with substantial economic restrictions around the world [6], the recent reforms in the health sector [3] have changed requirements for professional nursing competence in the clinical field. Ruffinelli A., de la Hoz S., lvarez C. Practicum tutorials in initial teacher training: Conditions, strategies, and effects of reflective practice. In order to offer a better understanding of the significance of reflection for implementing more successful programs, it is important to evaluate nursing students perceptions of reflection. 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. Google Scholar. Existential Phenomenological Alternatives for Psychology. Elevating the Patient Experience : Advancing Towards Person-Centred Care - Practice #3: Off-Ward Experience Shadowing [https://www.advisory.com/sitecore%20modules/web/~/media/ABI/Research/GCNE/Studies/2012/PatientExperience.pdf]. The study followed the principles of the Declaration of Helsinki and the Norwegian Social Science Data Services [27, 28]. AKG, AGG and AKR designed the study. and M.F. Nonetheless, the required abilities for reflection are vague, and learning reflection is difficult. Another subtheme that was prevalent as an internal driver for reflection on clinical experience revolves around the students strong desire to develop professionally into highly competent registered nurses. As a result, it suggests a guide for education in clinical practice could include consideration of the following: which tool will be appropriate? Licensee MDPI, Basel, Switzerland. Reflective writing requires one to reflect on a personal experience for the purpose of self-awareness and professional growth (Kerr, 2010). Learn how your comment data is processed. The site is secure. how should findings and outcomes be reported consistently? Cadman K, Clack E, Lethbridge Z, Millward J, Morris J, Redwood R. Nurse Educ Today. Accessibility Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. . how long is the intervention period? 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. Part of Introduction and background. A new model of reflection for clinical practice. This study shows that the use of outpatient units for clinical placement in nursing studies faces several challenges. When confronted with difficult conditions, there is a lack of contact and the creation of a sense of need [29]. Some tools included specific questions for participants to reflect on, while others included open questions, or no questions. Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects [https://www.etikkom.no/en/ethical-guidelines-for-research/medical-and-health-research/declaration-of-helsinki/], Norwegian Social Science Data Services (NSD) [http://pvo.nsd.no/prosjekt/sok?s=40573&innmeldt_fra=&innmeldt_til=&institusjon=0&side=1. Hi, stfold University College; S, stfold Trust Hospital, Health at a Glance: Europe 2012 - OECD [http://dx.doi.org/10.1787/9789264183896-en], Specialist health service - SSB [https://www.ssb.no/en/helse/statistikker/speshelse/aar/2015-06-18], Report No. Short-term placement has been shown to offer students less opportunity to participate in the social interactions that go into making them future professionals [15]. In this study, students stated that novel situations during the training session give a framework for reflection.