. [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]. The https:// ensures that you are connecting to the January 2008]. and transmitted securely. Thus, the findings of the study highlight the importance of emphasizing the significance of professional values such as personal responsibility and intrinsic motivational factors. What does the term reflection mean to you? 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. Medical trainers must encourage reflection by assessing students reflective work and identifying educational obstacles in medical curricula while utilizing handwritten or web-based portfolios. 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. For the purposes of this analysis, the term 'Nursing Student Clinical Leadership' (NSCL) will be used to describe clinical leadership in nursing students. Therefore, the researchers who established contact with the students had no influence on them or the participation process and deciding against it, did not affect their assessments. Reflection Of My Placement | student nurse reflection examples Lovell B. Student Nurse Placement Reflection and Personal Development Plan. Kindly elaborate on one of your clinical encounters that has prompted you to ponder and reflect more? sharing sensitive information, make sure youre on a federal This work was funded by funds from stfold University College, Norway. Springer Nature. 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]. Enriching Higher Education Students Learning through Post-Work Placement Interventions. 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. April 25, 2023. [When interaction is required: a healthcare in change demands new skills]. official website and that any information you provide is encrypted Most studies investigated the differences between tools and educational approaches using structured reflection frameworks, or looked at the differences when dividing participants into paired or unpaired groups. During the reflection phase, they also require their trainers advice, direction, and supervision. DeBrew JK, Lewallen LP. Reflective approaches included lectures, workshops, or reflection with supervisors or peers in clinical settings. Four of them undertook clinical placement at the cardiology unit and three of them at the neurology unit. As researchers were granted access to a registry of university webmail, students were contacted by email. 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. In addition, another student shared a similar anecdote, God is watching everything we do and my religion tells me that I need to do the most good to the people around me thats why I need to always keep myself in check and make sure that my performance is up to the level that will make the patient better and not do harm, whether clinically or even psychologically (S15). Qualitative Research in Nursing: Advancing the Humanistic Imperative. Curationis. Immediately after the interviews, notes were made by author1 to capture the setting and reflections in respect of the informants emotional responses. Student Nurse Reflection Examples - EduBirdie A guide to nursing students' written reflections for students and educators. 2009;26(2):816. 4. Lfmark et al. PMC Coyne E, Needham J. Undergraduate nursing students placement in speciality clinical areas: understanding the concerns of the student and registered nurse. According to Anderson, Willman, Sjstrm-Sand and Berglin [11], the changes occurring in health care place nurses under stress and basic care is not secured. Patel A.B., Shah S.V. The researchers alternated conducting the interviews to avoid the potential of a moderators domination; Each interview took between 20- and 25-min. The .gov means its official. Some students described how the effect of a structured learning process enhanced their placement at the outpatient unit. The study has a qualitative explorative design. Outpatient units traditionally have a higher nurse-patient ratio. According to Lovell (2018), encouraging activity analysis should be accomplished in conjunction with other determinants to enable reflection in the medical field, such as making sure that trainers are sufficiently educated are able to offer a consistent atmosphere for students, and have an effective relationship with their students. 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. Barksby J., Butcher N., Whysall A. The authors are grateful to the participants in the study. How to reflect on your practice for revalidation | Nursing in Practice 2019 Feb;35:32-41. doi: 10.1016/j.nepr.2018.11.013. Perceptions of student nurses on the writing of reflective journals as Supporting student reflective practices through modelling-based learning as-signments. Two categories and 6 subcategories, describing students experiences of using forms for unit-specific learning outcomes and targeted reflection in outpatient units, were identified (Table 1). Nine students were asked to participate in the study, but only seven ultimately participated in the interviews. 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. 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'. Unauthorized use of these marks is strictly prohibited. This study aims at exploring nursing students' perspectives on the facilitators of reflective practices in the clinical setting. It also enables you to learn more deeply about a variety of situations and events, not just . The data was analyzed using a standard qualitative content analysis technique. Google Scholar. The age of the informants, six women and one man, ranged between 20 and 41years (mean 28, median 22). 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. 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. Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. The concepts and forms were well-known by the nurse educators and preceptors who developed them, but brand new to the students and may have caused frustration and distress. Consequently, if Dewey once defined learning as a pathway that consists of a mixture of encounters and reflection, one should now define learning as a procedure that consists of a mixture of experience, reflective thinking on encounter, and application of the findings in other scenarios [24]. The introduction of the Coordination Reform [3] in 2012 saw a restructuring of acute care and an increased focus on outpatient treatment. Newton and McKenna [23] refer to this as a transitional journey. Our findings might indicate that, if the students do not feel well adjusted to the general clinical area, their transition to the advanced outpatient unit is more difficult. Please enable it to take advantage of the complete set of features! As author2 was also a nurse educator for the informants, author1, who was unknown to the informants, was in charge of the interviews. A new model for organizing practical training]. Compared to the regular ward which was perceived as more active, the outpatient placement was described as a relatively passive learning environment. The majority of the students felt that their values have driven them to reflect on what they have practiced, how they dealt with the patient, the family, and their colleagues so that they can detect any wrongdoing and make sure to avoid such encounters in the future. Data showed that some of the students had read and used the forms ahead of the week in the outpatient unit. The second group consisted of only two informants, as two informants did not show up for interview. Customized forms can help students who spend the clinical placement in an outpatient unit see the nursing perspective more clearly. 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]. Preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. the contents by NLM or the National Institutes of Health. They took place at the end of the informants clinical placements. Lancet. Data were collected by means of focus group interviews during spring 2015. 2013;34(4):6316. Get a custom paper on Reflection for professional development from a nursing writer. Reflection as a Student Nurse on Placement 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. The steps are Description, Feelings, Evaluation, Analysis, Conclusion and Action Plan (Gray, 2007). Previous research also suggests that learning is stimulated when students conceptualize their experiences and are led into reflecting upon specific situations [26]. Reflecting on health and wellbeing as a student nurse: a personal Integrate themes into a thorough description, Determine the underlying basis of the phenomenon, Contact respondents for additional information. 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 When planning rotation between the regular ward and the outpatient unit, the timing of placement in the outpatient unit should be in the middle or end of the overall clinical placement period. 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]. Adamson E, Dewar B. Compassionate Care: Student nurses learning through reflection and the use of story. 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. 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]. There was also lack of standardisation in how reflection outcomes were classified. 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. how long is the intervention period? 2013;381(9874):132331. Reflection in medical education can be implemented in multitude of ways, depending on the restrictions of the coursework. Choperena A., Oroviogoicoechea C., Zaragoza Salcedo A., Olza Moreno I., Jones D. Nursing narratives and reflective practice: A theoretical review. In spite of limited numbers of informants in one of the focus group, rich data was provided. In all of the included studies, it was possible to categorise the level of reflection attained as low, middle, or high, however, comparison between studies was challenging. 2015;14(1):110. To pass or to fail? Box 300, 1714, Grlum, Norway, You can also search for this author in Some students highlighted information failure and a lack of communication of expectations as reasons for not understanding what to do. This will require high quality, standardised, and reproducible research that includes comparable interventions, outcome measures, and study conditions.. official website and that any information you provide is encrypted Concurrent data analysis allowed the generation of meaningful hypotheses through concurrent interviews, thus enabling the production of a complete understanding of the occurrences. Data were analyzed by means of content analyses. There were several limitations to this research that should be noted. In this reflective essay, I am going to reflect on what I have learned from nursing course. 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. 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. The current study was undertaken to explore the nursing students perspectives on the facilitators of reflective practices in the clinical setting. National Library of Medicine Role As A Student Nurse | Reflection - NursingAnswers.net Etikan I., Musa S.A., Alkassim R.S. Another student also said, it is always very interesting to handle the complicated and heavy cases as you feel the sense of responsibility and achievement that makes you want to reflect on your performance and make it better this proves to me the worth of the work we are doing (S19). 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. From reflective learning to reflective practice: Assessing transfer. Facilitating student learning with critical reflective journaling in psychi-atric mental health nursing clinical education: A qualitative study. Reflection as a Student Nurse on Placement University The University of Adelaide Course Nursing Science (NURSING 7200) 13 Documents Academic year:2013/2014 Uploaded byMwatu Wambua Helpful? Qual Health Res. The transcriptions were placed in a sealed envelope, delivered to the translation professionals and were received back in a sealed envelope. By using this website, you agree to our Reflection has been shown to provide valuable professional development. Given that students often feel lost and uncertain in the initial phase of clinical placement, time plays an important factor in their experience of a good learning process [16]. Which circumstance led you to reflect more? which approach should be used? In addition, Artioli et al. The meaning of reflection for understanding caring and becoming a My week at the outpatient unit, was in my second week of clinicals. Purpose Statement The retrieved themes were given to peers for external review, and their suitability was checked and confirmed, and agreement was reached. 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.. Nurse Educ Today. 1. 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. Nurse Educ Pract. and M.F. Students may not feel adequately prepared for the multiple challenges, and it can be difficult to know how to approach this. Reflecting-in-action involves private and personal thoughts and feelings. 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. A literature review. Nonetheless, the required abilities for reflection are vague, and learning reflection is difficult. 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). 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. Archer-Kuhn B., Samson P., Damianakis T., Barrett B., Matin S., Ahern C. Transformative learning in field education: Students bridging the theory/practice gap. Speziale H.S., Streubert H.J., Carpenter D.R. Newton JM, McKenna L. The transitional journey through the graduate year: A focus group study. 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). Quotations were selected to support each description and to secure the trustworthiness of the data. Nilsen SR. Nr samhandling kreves : et helsevesen i endring krever ny kompetanse. An assessment form for clinical nursing education: A Delphi study. Andersen KL, Nilsen SR: Tilpasning til framtidens spesialisthelsetjeneste. Data has no individual details and is handled confidentially. They have also indicated that they do not want to be a kind of nurse that is just performing technical procedures. https://doi.org/10.1186/s12912-016-0167-1, DOI: https://doi.org/10.1186/s12912-016-0167-1.