student nurse reflection on learning and development

Methods: Semi-structured interviews were conducted among 21 Saudi nursing students at one major university in Saudi Arabia. California Privacy Statement, Reflection in Learning and Professional Development - Jennifer A. During the final 30min approximately, author2 left the room so that her presence did not hinder the informants from talking freely about their experiences. There was also lack of standardisation in how reflection outcomes were classified. Another external driver for reflection was prevalent in the experiences expressed by the students, where they have indicated that the instructional methods, communication approaches, and leadership style that have been adopted by the clinical instructors that were mentoring them at the clinical site are highly influential factor, that encouraged them to reflect on their performance. 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. https://doi.org/10.1186/s12912-016-0167-1, DOI: https://doi.org/10.1186/s12912-016-0167-1. The number of nursing students rose by 14% between 2010 to 2014, from 3,179 to 3,630 [5]. 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. As a result, it suggests a guide for education in clinical practice could include consideration of the following: which tool will be appropriate? 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. The encounter will be analysed and conclusions on the need for nursing professional conduct will be drawn. Leveraging advanced practice nursing in complex health care systems. 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. It is therefore vital that students learn to be truly present in order to care for their patients. Moon 2013-09-05 Reflection is a technique for aiding and reinforcing learning, used in education and statement and Correspondence to The data was analyzed using a standard qualitative content analysis technique. Time expended, attitudes used, responsiveness to patients talk, analysis of logical path of discussion, and technical abilities are all part of this assessment. 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. As researchers were granted access to a registry of university webmail, students were contacted by email. As this was their first encounter with an outpatient clinic and such procedures, using the forms and preparing ahead enabled students to be more alert to new experiences. 2013;381(9874):132331. Following introduction, the researchers asked study subjects to participate in hour-long semi-structured interviews using Microsoft teams. 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. Lfmark et al. 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. 8600 Rockville Pike 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. Instead of just observing, the forms helped the students take a more vigorous approach in seeking knowledge. The scoping review included 17 studies from around the world, conducted between 2007-2020 . 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]. 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. Influenced by an ongoing project at Bethesda North called the Off ward shadowing experience [18] a project team consisting of nurse educators from HI and nurses working at S outpatient units developed forms with unit-specific learning outcomes and targeted reflection for eight technologically advanced procedures in cardiology and neurology outpatient units. Speziale H.S., Streubert H.J., Carpenter D.R. Comparison of convenience sampling and purposive sampling. Colet P.C., Cruz J.P., Cruz C.P., Al-Otaibi J., Qubeilat H., Alquwez N. Patient safety competence of nursing students in Saudi Arabia: A self-reported survey. To maintain this association, it is important that the clinical placement offers an environment where this can be taught. Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. The interview guide was used as a reminder to the researchers to ensure that the themes were covered. Identifying Learning & Development Needs | Factsheets | CIPD Reflective Practice: Transforming Education and Improving Outcomes. The data will be shared by the authors of this research paper upon request. Communication with patients is one of a nurse's most important tasks. All authors read and approved the final manuscript. ; project administration, M.F. The Nursing and Midwifery Board of Australias (NMBA) Registered nurse standards for practice state RNs develop practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice. The introduction of the Coordination Reform [3] in 2012 saw a restructuring of acute care and an increased focus on outpatient treatment. Second year student nurse, Saima - Nursing and Midwifery Council Forum: Qualitative Social Research 2000, 1(2). PDF A Guide to Nursing Students' Written Reflections for Students and Educators and M.F. There are waiting periods between most procedures at outpatient units. Description. 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]. The Reflection, Feedback, and Restructuring Model for Role Development Outpatient units traditionally have a higher nurse-patient ratio. PDF A Perfect Nursing Reflective Essay | PDF Sample These external motivational factors for reflection revolve around the clinical environment in which the students are practicing which included patients, clinical preceptors and the healthcare team with which the students are in constant contact. Solvoll B-A, Opsahl G, Granum V. Hvordan bidrar rammeplanen for norsk sykepleierutdanning til akademisk profesjonskompetanse? https://creativecommons.org/licenses/by/4.0/. Successful and Unsuccessful Clinical Nursing Students. Lautebach and Becher (1996) relate self-reflection to caring for the self. This will require high quality, standardised, and reproducible research that includes comparable interventions, outcome measures, and study conditions.. Integrate themes into a thorough description, Determine the underlying basis of the phenomenon, Contact respondents for additional information. Reflection in Action: Developing Reflective Practice in Health and Social Services. Several quotes were utilized to describe the research results, providing the research subjects a real voice [19]. 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. Nursing Reflective Essay: Examples + Useful Writing Tips [2023] Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. The study was conducted in a hospital in the eastern part of Norway. Tellingly, none of the 17 studies examined included the same combination of elements. PhD thesis. One of the most important aspects in the clinical practice reflection process was students willingness to learn more about clinical care. 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]. 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). Furthermore, highest variation sampling helped in data transferability and authenticity. They have also indicated that they do not want to be a kind of nurse that is just performing technical procedures. Halden: Hgskolen i stfold; 2013. This study aims at exploring nursing students' perspectives on the facilitators of reflective practices in the clinical setting. In Norway there has been a 6% reduction in hospital beds from 2010 to 2014 [2]. This account will identify practical needs that I must improve with supportive evidence based research, and evaluate the impact of this need for my personal development as a future qualified nurse. 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. The methodology used in this research is predicated on Colaizzis phenomenological framework, which uses respondents viewpoints and observations to explain the phenomenon in question, culminating in the recognition of common attributes within the sample group rather than personal qualities [15]. 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.. My week at the outpatient unit, was in my second week of clinicals. In order to obtain rich and meaningful data, probing questions were sometimes asked by both researchers to extend or narrow the field of interest (e.g. Student Nurse Reflection Examples - EduBirdie 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. In order to acquire profound and comprehensive data, it was sought to choose individuals with the most variety (in terms of semester, average level, and family status). The Practice Assessment Document (PAD) provides a comprehensive record of professional development and performance in practice. Relji N.M., Pajnkihar M., Fekonja Z. Self-reflection during first clinical practice: The experiences of nursing students. 2004 Jan;17(1):36-41. doi: 10.1177/0894318403260550. 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. The foundation of learning through experiencing is reflection, which involves the combination of both knowledge and practice. and transmitted securely. 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). Nurse Educ Pract. Gonzalez L., Nielsen A., Lasater K. Developing students clinical reasoning skills: A faculty guide. AKG, AGG and AKR designed the study. Third year student nurse, Darren - Nursing and Midwifery Council Lawrence C., Mhlaba T., Stewart K.A., Moletsane R., Gaede B., Moshabela M. The hidden curricula of medical education: A scoping review. Supporting student reflective practices through modelling-based learning as-signments. Patel A.B., Shah S.V. Lovell B. 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]. Provided by the Springer Nature SharedIt content-sharing initiative. 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. 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? A guide to nursing students' written reflections for students and educators. This study shows that preparedness and guidance during placement were essential to making the week in the outpatient unit meaningful. 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]. Contreras et al. I was placed in a private ward during clinical placement as a student nurse. The researchers alternated conducting the interviews to avoid the potential of a moderators domination; Each interview took between 20- and 25-min. J Adv Nurs. 2012;51(7):38995. 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). Reflection is more than being contemplative; it relates to a mechanism that may help people learn from their experiences. Data revealed the challenges of being a student in a highly technological world. 2005;15(9):127788. Nursing Student Reflection Paper Pdf Pdf is available in our digital library an online access to . Younger S.J. Student Nurse Reflection on Learning and Development It is a matter of fact that nursing students gradually advance from understanding the general aspects to the more complex areas of nursing [12, 22]. Clinical leadership in nursing students: A concept analysis During the reflection phase, they also require their trainers advice, direction, and supervision. Cite This Essay. Coyne E, Needham J. Undergraduate nursing students placement in speciality clinical areas: understanding the concerns of the student and registered nurse. Student Focus - Reflection - With experience comes confidence Faculty of Health and Social studies, stfold University College, P.O. (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]. The resulting reflection, feedback, and restructuring model describes an inductive, iterative process strongly influenced by feedback. MeSH Nurse Educ Today. 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 students spent one week at the outpatient unit out of a total of eight weeks in clinical placement. 2015;15(3):15561. This paper has important evidence and implications for nurses, nursing educators, researchers, and regulatory bodies because reflection and reflective practice are so central to education, training, clinical practice, and registration standards and requirements both in Australia and around the world, Dr Peters said. The researchers were aware that inclusion of more informants might have provided additional data; it was however only these students who underwent this particular experience. Reflecting on Practices in Medicine Administration - UKEssays.com 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. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. As a result, facilitation of reflection and reflective capacities is seen as an essential part of professional growth [7]. Andersson EK, Willman A, Sjstrm-Strand A, Borglin G. Registered nurses descriptions of caring: a phenomenographic interview study. 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. 2022 Mar;7 (3):e008007. 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. A literature review. 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]. It was often like you could just sit down in a nook and answer the questions because it wasnt really busy.. Qual Health Res. In this profession, the doctors diagnose the disease and do the surgeries when required but people take the efforts of nurses for granted. vol. McLeod G.A., Vaughan B., Carey I., Shannon T., Winn E. Pre-professional reflective practice: Strategies, perspectives and experiences. ; writingreview and editing, M.S.I. 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. 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. 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 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 The key is not to cause harm but to help afterward. Choperena A., Oroviogoicoechea C., Zaragoza Salcedo A., Olza Moreno I., Jones D. Nursing narratives and reflective practice: A theoretical review. However the findings also revealed opportunities for making the placement a positive experience for the students. The decrease in the number of hospital beds in parallel with the increase in the number of nursing students has created a challenge in terms of providing the best possible learning facilities under given conditions in hospitals. 2017 Jul;25:1-4. doi: 10.1016/j.nepr.2017.04.004. The https:// ensures that you are connecting to the 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. Given these conditions, HI teamed up with S in 2014 for a new project. 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). California: Addison-Wesley Publishing Company Nursing Division Melno Park; 1984. More focus on outpatient care has also led to fewer opportunities for studying the continuity of a patients life situation. J Nurs Educ Prac. However, the study also identifies opportunities for making the placement in an outpatient unit a positive experience for the students. The study sample was made up of 21 male nursing students from one nursing school at a major university at Saudi Arabia, where 3 (14.28%) where in the second semester of their first year, 4 (19.04%) where in the first semester of their second year, 5 (23.80%) from the second semester of the second year and another 5 (23.80%) from the first semester of their third year. Motivational parameters were reported by the students to be key in promoting their reflection on clinical skills on an individual basis. Milko / iStock. Over the past decade, there has been a reduction of hospital beds in most European countries. The sections of the interviews that dealt with the participants encounters with the reflection-facilitators were selected. Griggs V., Holden R., Lawless A., Rae J. Ruffinelli A., de la Hoz S., lvarez C. Practicum tutorials in initial teacher training: Conditions, strategies, and effects of reflective practice. Reflection is a formal process that can help nurses and nursing students develop crucial skills and competencies when undertaking training in clinical practice settings. Reflection for professional development Nursing Essay Example for MSN Nursing Students. ; formal analysis, Y.A., B.A., L.B. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Personal Reflection on Learning Outcomes of Professional Practice Learn how your comment data is processed. According to the results of the data analysis, a qualified trainer might help students in clinical practice with their reflection process. The interviews took place in a quiet room at the hospital, and, with the exception of a phone call, they were conducted without interruption. Students attempt to obtain information that may be applied in a variety of clinical contexts by reflecting on clinical training [23]. 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. Reflection is a vital skill in contemporary nursing with student nurses expected to engage in reflective learning from the very beginning of the nurse educational programme. BMC Nurs 15, 49 (2016). Informal reflection has many benefits but can result in superficial learning. The aim of the 17 included studies was to help students and supervisors to fulfil their jobs at the highest possible level, authors wrote. 15 Best Reflective Essay Topics: Nursing. Anney V.N. Would you like email updates of new search results? The study followed the principles of the Declaration of Helsinki and the Norwegian Social Science Data Services [27, 28]. Only 4 (19.04%) were in the second semester of the third year. 2008;8:10311. Students in this study value reflection as a means of learning and it seems that reflection has led to behaviour change, problem-solving and personal and professional awareness as well as improved patient care. Privacy En ny modell for organisering av praksisstudier. Google Scholar. Words which were interpreted to capture key experiences of the informants were highlighted in the text and assigned preliminary codes [19]. Newton JM, McKenna L. The transitional journey through the graduate year: A focus group study. Reflecting-in-action involves private and personal thoughts and feelings. 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. 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]. 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. Nursing is the art of caring for the patient during illness. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. Complex technologies in some of these units represent a challenge for students who have limited existing knowledge or experience. official website and that any information you provide is encrypted Community nursing placements: student learning experiences during a Get a custom paper on Reflection for professional development from a nursing writer. To pass or to fail? Ann Karin Helgesen. Reflection Of My Placement | student nurse reflection examples Existential Phenomenological Alternatives for Psychology. Study: Reflection as a learning strategy for the training of nurses in How to reflect on your practice for revalidation | Nursing in Practice

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