Self-efficacy and concerns of nursing students regarding clinical experiences
George T.P.; DeCristofaro C.; Murphy P.F.
2020
Nurse Education Today
20
10.1016/j.nedt.2020.104401
Background: It is important for nurses to provide safe, high-quality care for patients, and clinical experiences allow nursing students to integrate theory into practice. However, many students have anxiety about clinical rotations. Objectives: The concerns of nursing students about clinical experiences and factors relating to self-efficacy in a rural Bachelor of Science in Nursing (BSN) program were examined. Design: This was a mixed-methods study, and students were surveyed prior to and at the end of their clinical experiences. Setting: The study location is a public liberal arts university in the rural, southeast United States. Participants: Junior level students (first and second semester) and senior level students (first and second semester) levels of BSN students participated in this project. Results: Qualitative themes were identified, including concerns regarding clinical competence, expectations of learning, aspects of patient/peer/instructor interactions, as well as learning strategies and preferences. The student's level of confidence regarding communication to patients and physicians, assessment of heart and lung sounds, interview skills, documentation, and discussion of nursing procedures increased significantly from pre to post-survey. Confidence levels in physical assessment skills rose significantly after the clinical experience (t? = ?6.3718 with 140 df, p < .001). Conclusion: Strategies that nurse educators can use prior to, during, and after the clinical experience to address student concerns about clinical experiences include the use of caring, competent clinical instructors, orientation to clinical sites, laboratory and simulation days, self-reflection, peer-support, and debriefing. © 2020 Elsevier Ltd
Clinical education; Nursing education research; Nursing students; Self-efficacy
Assarroudi A., Heshmati Nabavi F., Armat M.R., Ebadi A., Vaismoradi M., Directed qualitative content analysis: the description and elaboration of its underpinning methods and data analysis process, J. Res. Nurs., 23, 1, pp. 42-55, (2018); Boswell S., Lowry L.W., Wilhoit K., New nurses’ perceptions of nursing practice and quality patient care, J. Nurs. Care Qual., 19, 1, pp. 76-81, (2004); Cooper J., Courtney-Pratt H., Fitzgerald M., Key influences identified by first year undergraduate nursing students as impacting on the quality of clinical placement: a qualitative study, Nurse Educ. Today, 35, 9, pp. 1004-1008, (2015); Cowen K.J., Hubbard L.J., Hancock D.C., Concerns of nursing students beginning clinical courses: a descriptive study, Nurse Educ. Today, 43, pp. 64-68, (2016); Cowen K.J., Hubbard L.J., Hancock D.C., Expectations and experiences of nursing students in clinical courses: a descriptive study, Nurse Educ. Today, 67, pp. 15-20, (2018); Hatzenbuhler N.J., Klein J.E., Educational preparation for clinical practice: reflections of newly graduated RNs, Nurse Educ., 44, 2, pp. 93-97, (2019); Lopez V., Yobas P., Chow Y.L., Shorey S., Does building resilience in undergraduate nursing students happen through clinical placements? A qualitative study, Nurse Educ. Today, 67, pp. 1-5, (2018); Milton-Wildey K., Kenny P., Parmenter G., Hall J., Educational preparation for clinical nursing: the satisfaction of students and new graduates from two Australian universities, Nurse Educ. Today, 34, 4, pp. 648-654, (2014); Pfaff K.A., Baxter P.E., Jack S.M., Ploeg J., Exploring new graduate nurse confidence in interprofessional collaboration: a mixed methods study, Int. J. Nurs. Stud., 51, 8, pp. 1142-1152, (2014); Rafati F., Nouhi E., Sabzehvari S., Dehghan-Nayyeri N., Iranian nursing students’ experience of stressors in their first clinical experience, J. Prof. Nurs., 33, 3, pp. 250-257, (2017); Stump G.S., Husman J., Brem S.K., The nursing student self-efficacy scale: development using item response theory, Nurs. Res., 61, 3, pp. 149-158, (2012); Sun F.K., Long A., Tseng Y.S., Huang H.M., You J.H., Chiang C.Y., Undergraduate student nurses’ lived experiences of anxiety during their first clinical practicum: a phenomenological study, Nurse Educ. Today, 37, pp. 21-26, (2016); Warner R.M., Applied Statistics: From Bivariate Through Multivariate Techniques, (2013); Woods C., West C., Mills J., Park T., Southern J., Usher K., Undergraduate student nurses’ self-reported preparedness for practice, Collegian, 22, 4, pp. 359-368, (2015)
Churchill Livingstone
Article
Scopus