This work was funded by funds from stfold University College, Norway. What tools and approaches are used for reflection (both to facilitate/teach/instruct reflection and to measure the outcomes of reflection) in nursing education by nursing trainees and educators in clinical settings? PhD thesis. Fifty percent of nursing education in Norway consists of clinical practice where the students are under the supervision of registered nurses. the contents by NLM or the National Institutes of Health. Instead of just observing, the forms helped the students take a more vigorous approach in seeking knowledge. Although there have been many changes in the health care sector and in the education of nurses, caring is still the essence of nursing and has been described as an intricate interplay in the care context [11]. Reflection is more than being contemplative; it relates to a mechanism that may help people learn from their experiences. The https:// ensures that you are connecting to the Inclusion criteria for joining the study were: second-year students, undergoing clinical placement at the cardiology or neurology units. In order to meet these challenges, structured learning activities with special forms were developed by nursing educators and nurses at outpatient units. However the findings also revealed opportunities for making the placement a positive experience for the students. The site is secure. Tellingly, none of the 17 studies examined included the same combination of elements. Reflection as a Student Nurse on Placement 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. 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]. The most used reflection tools among the 17 studies were written cases, narrative, and diaries. Careers, Unable to load your collection due to an error. Ahmed M.H. Krueger and Casey (2015)s interview guide (Table 2) was used in order to conduct the interviews as follows: The components of each interview were transcribed and typed shortly thereafter. Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. At the very end of the interviews, which were each 50min long, a verbal summary of the content was presented to the informants to ensure that their experiences had been correctly understood. The students expressed their urge to enhance their critical thinking, decision making and practical skills so that they evolve into highly competitive nurses in the labor market. One of the ways I accomplished this task was, at the beginning of the placement, ask the preceptor for a list of commonly used medication and then use the medication charts to create a list of any unfamiliar medications so that I could research and be able to provide the necessary information. Part of Students stated that they found the forms helpful, since they made them use the extra time wisely in reflecting on the procedures they had been observing. Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Epub 2017 Apr 7. This research received no external funding. Mayring P: Qualitative Content Analysis. In this reflective essay, I am going to reflect on what I have learned from nursing course. Cadman K, Clack E, Lethbridge Z, Millward J, Morris J, Redwood R. Nurse Educ Today. BMC Nursing and M.F; writingoriginal draft preparation, Y.A. Methods: Semi-structured interviews were conducted among 21 Saudi nursing students at one major university in Saudi Arabia. During the reflection phase, they also require their trainers advice, direction, and supervision. Self-reflection looks inward and listens to the whispers. The members checking was used to compare the consistency of concepts obtained from data and respondents views. Received 2022 Jun 20; Accepted 2022 Jul 25. Reflection as a learning tool in graduate medical education: A systematic review. This article demonstrates the meaningful learning that resulted as a consequence of using critical reflection on practice. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. 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. Reflective Practice: Transforming Education and Improving Outcomes. An official website of the United States government. Only 4 (19.04%) were in the second semester of the third year. The forms seemed to give the students more confidence as they had something meaningful to do between procedures. 2012;42(1):97104. An official website of the United States government. The interviews started by obtaining biographical data and with open dialogue during which the informants were encouraged to talk freely about their experiences (e.g. This study aims at exploring nursing students' perspectives on the facilitators of reflective practices in the clinical setting. Allowing students to discuss their results while also reflecting on the reasons, encourages them to speak openly about their flaws, limitations, uncertainty, and confusion, rather than hiding their possible negligence. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Interventions, tools, approaches and the measurement of nurses reflection in clinical settings are highly varied, a new paper has found. Rapid progress in the treatment of many medical conditions has caused a shift in nurses duties and functions and many changes in nursing education over the last two decades [7, 8]. HHS Vulnerability Disclosure, Help 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. Reflection On Medication Management - 1335 Words | Cram Even if clinical placements in outpatient units face several challenges, they also have the potential to offer students positive experiences. ; validation, Y.A. Nursing is the art of caring for the patient during illness. Many teaching programs require students to keep a reflective journal, and the writings are frequently used for evaluation, thus highlighting the students weaknesses and encouraging students to improve [10]. Nursing students in this study have identified both personal and external drivers to practice reflection. Preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. 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). Nursing students satisfaction with supervision from preceptors and teachers during clinical practice. 155-161. Younger S.J. Students who had their week at the outpatient unit at the end of their clinical placement period perceived that they achieved better learning outcomes from their placements than the other students. Other investigators have noted that reflection occurs as a consequence of being conscious of a need and the normal complexity of that need. What causes you to reflect on these scenarios? Kindly elaborate on one of your clinical encounters that has prompted you to ponder and reflect more? and M.F. In this study, students stated that novel situations during the training session give a framework for reflection. To gain a thorough grasp of the data, the researchers reviewed the transcripts and played each recording multiple times, extracting relevant data, coding repetitious data, and finally summarizing the data as themes, according to the Colaizzi method. A Login to ePAD T ePAD user guide The feelings evoked by the encounter as well as a professional evaluation of the experience will be discussed. Such characteristics include patients age and educational level. ; data curation, Y.A., B.A., L.B. Manage cookies/Do not sell my data we use in the preference centre. There are many reflective models . Time expended, attitudes used, responsiveness to patients talk, analysis of logical path of discussion, and technical abilities are all part of this assessment. and transmitted securely. student nurse reflection on learning and development 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'. There are waiting periods between most procedures at outpatient units. Because we found such variability across the studies we examined in terms of several factors, this shows that despite being fundamental to policy and practice, the research underpinning reflection is still limited by lack of consistency and comparability which should be addressed.. Lewallen LP, Debrew JK. Written permission was obtained from the head of the hospital nursing department and the head of the outpatient department before the study was conducted. Barbagallo M.S. BMC Nurs. Andersson EK, Willman A, Sjstrm-Strand A, Borglin G. Registered nurses descriptions of caring: a phenomenographic interview study. During the final 30min approximately, author2 left the room so that her presence did not hinder the informants from talking freely about their experiences. J Nurs Educ Prac. Students also viewed Spinal Cord and Nerves Anatomy week 2 Week2 notes for Relji N.M., Pajnkihar M., Fekonja Z. Self-reflection during first clinical practice: The experiences of nursing students. Helgesen, A.K., Gregersen, A.G. & Roos, A.K.. Witnessing change with aspiring nurses: a human becoming teaching-learning process in nursing education. 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. Another student also indicated, I aspire to be an international level nurse a nurse that can practice in any type of challenging and complex setting a nurse that can be part of the leadership team; therefore, to be that, I need to always reflect on my performance to prove myself to be more competent than before and work on my areas of weakness (S20). The current study was undertaken to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. In: Sluttrapport S-Hi. Data showed that some of the students had read and used the forms ahead of the week in the outpatient unit. Lautebach and Becher (1996) relate self-reflection to caring for the self. 2022 Mar;7 (3):e008007. Reflection has been shown to provide valuable professional development. 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. Previous literature indicates however that students may not actually comprehend how to effectively prepare for their clinical placement [12, 13], which might also be the issue among some of the students in this study. One of the most important aspects in the clinical practice reflection process was students willingness to learn more about clinical care. 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. Before In this profession, the doctors diagnose the disease and do the surgeries when required but people take the efforts of nurses for granted. Upon students clinical training, instructors responsibility is critical, and that the instructor should pay attention to the students discourse, critique their rationalization and perceptions, assess their effectiveness in patient interaction from various angles, and provide prompt and appropriate input. Box 300, 1714, Grlum, Norway, You can also search for this author in 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. A high level of preparedness seemed to be close to a prerequisite in order for a student to perceive the week as successful. Publishers Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Instructors have been perceived by the students to have an important role in guiding students through reflection on clinical experiences, with a particular focus on their relationships and motivating elements. Purposeful reflection is a tool that helps nurses gain self-knowledge and insight (Palmer, 2007).
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