Adamson E, Dewar B. Compassionate Care: Student nurses learning through reflection and the use of story. Empathy and support in nursing. Generally, students may scrutinize their behaviors and activities within the experiential context in which they engage through reflection, therefore, resolving the inconsistencies in their performance [5]. Reflection: a casualty of modularisation? 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]. 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. 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 reflection. Written permission was obtained from the head of the hospital nursing department and the head of the outpatient department before the study was conducted. Students were emailed a generic invitation to participate in the research as well as an explanation of the study objectives, and if they were willing to participate, they were asked to return a signed informed consent form. Third year student nurse, Darren - Nursing and Midwifery Council and M.F. 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]. Students take a more active approach to seeking knowledge when given structured learing activities during clinical placement in outpatient unit. This is consistent with Relji et al. Reflection as a learning tool in graduate medical education: A systematic review. 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. The review recommended that authors be explicit in their definitions of these categories according to standardised criteria. Reflection is a formal process that can help nurses and nursing students develop crucial skills and competencies when undertaking training in clinical practice settings. 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. 2009;26(2):816. Uniped. Concept analyses should be conducted when concepts require further clarification, as is the case with NSCL. 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]. Hwang B., Choi H., Kim S., Kim S., Ko H., Kim J. ); bl.ude.uab@issat.a (A.T.). Aust J Adv Nurs. Tellingly, none of the 17 studies examined included the same combination of elements. 15 Best Reflective Essay Topics: Nursing. Many scholars think that providing a sufficient degree of complicated and demanding scenarios as part of a students learning process promotes the formation of reflection and cognitive and metacognitive abilities [28]. Informal reflection has many benefits but can result in superficial learning. Quotations were selected to support each description and to secure the trustworthiness of the data. The essay will give an in-depth analysis of the episode when I joined the community placement by the university. Author, Professor Linda Schumann Scheel, from the University of Aalborg, Denmark said: This review has shown that the use of reflection nurse training and education is widespread, but that further testing and validation is necessary. 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. According to the findings, the drivers of reflection ranged from personal and extrinsic levels. Universitetet i Oslo, Det medisinske fakultet Unipub; 2008. Clinical Placement Reflective Essay-final - Introduction This essay Reflection in medical education can be implemented in multitude of ways, depending on the restrictions of the coursework. The https:// ensures that you are connecting to the 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. Another student also had a similar experience, one time I was assigned to care for a child who had a very serious condition it made me think a lot about the importance of each step of care I was giving I have never seen such a case at such a small age when I went back home and had to prepare a care plan assignment about her case, I found myself thinking a lot about everything we did for her (S10). Google Scholar. The researchers used several methods in accordance with past research in the field of qualitative analysis in attempt to optimize the study reports credibility and prevent biases from emerging [18]. Communication with patients is one of a nurse's most important tasks. volume15, Articlenumber:49 (2016) The foundation of learning through experiencing is reflection, which involves the combination of both knowledge and practice. Students also find the procedure of reflection difficult and feel that it does not occur spontaneously, therefore, it needs a safe and secure atmosphere in which they may cultivate reflection with the assistance of professionals. Time expended, attitudes used, responsiveness to patients talk, analysis of logical path of discussion, and technical abilities are all part of this assessment. To ensure credibility, the researcher documented and published the whole study procedure, allowing others to do follow-up investigation. Colaizzi P. Psychological Research as the Phenomenologist Views it. Only 4 (19.04%) were in the second semester of the third year. 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. According to the findings, instructors should assist students through clinical reflection, with a special focus on their interactions and motivation. The forms directed the students attention towards the patient and their experiences and the relationships between the nurses and the patient. PhD thesis. Terms and Conditions, Hgskolen i stfold, Sykehuset stfold; 2011. Reflecting on Practices in Medicine Administration - UKEssays.com The authors are grateful to the participants in the study. Previous research also suggests that learning is stimulated when students conceptualize their experiences and are led into reflecting upon specific situations [26]. 2019 Feb;35:32-41. doi: 10.1016/j.nepr.2018.11.013. Students may not feel adequately prepared for the multiple challenges, and it can be difficult to know how to approach this. A new paper, Reflection as a learning strategy for the training of nurses in clinical practice setting: a scoping review, delved into the tools and approaches used for reflection as a learning strategy for nurses and nursing students in clinical settings. Lfmark A, Thorell-Ekstrand I. This research received no external funding. Archer-Kuhn B., Samson P., Damianakis T., Barrett B., Matin S., Ahern C. Transformative learning in field education: Students bridging the theory/practice gap. January 2008]. Younger S.J. 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]. Nowadays, nurses work in a system that is extremely complicated, active, and ever-changing while providing a diverse array of healthcare functions. The encounter will be analysed and conclusions on the need for nursing professional conduct will be drawn. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. When confronted with difficult conditions, there is a lack of contact and the creation of a sense of need [29]. The number of nursing students rose by 14% between 2010 to 2014, from 3,179 to 3,630 [5]. J Nurs Educ. Data revealed the challenges of being a student in a highly technological world. The informants were verbally informed and given written information stating the purpose of the study, that the data would be handled confidentially, and that they had the right to withdraw at any time without any consequences for them. 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. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning. Thereafter the interviews were read word by word. Readers are introduced to the process of critical and reflective thinking and the translation of these into coursework that will help them to achieve better grades in nursing courses. 2012;12(3):1649. Furthermore, highest variation sampling helped in data transferability and authenticity. One aim of the reforms in nurse education is to produce reflective practitioners. 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. 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. Sarah Byrne is a third-year nursing student in Trinity College Dublin Student Focus - Reflection - With experience comes confidence All rights reserved by INMO. Reflection for professional development Nursing Essay Example Trainers can help students reflect on their encounters by allowing them to communicate their recollections and perspectives, conducting dialogues, and directing class discussion. The recent reforms in the health care sector have changed the requirements for professional nursing competence in the clinical field. Reflection has been shown to provide valuable professional development. Our findings show that, when in an outpatient clinic, students have more time between patients. Get Help With Your Nursing Essay My week at the outpatient unit, was in my second week of clinicals. Griggs V., Holden R., Lawless A., Rae J. how should findings and outcomes be reported consistently? 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. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. DeBrew JK, Lewallen LP. Purposeful reflection is a tool that helps nurses gain self-knowledge and insight (Palmer, 2007). National Library of Medicine April 25, 2023. Inclusion in an NLM database does not imply endorsement of, or agreement with, Jaiswal A., Lyon J.A., Zhang Y., Magana A.J. Google Scholar. Vrd i Norden 2010. Complex technologies in some of these units represent a challenge for students who have limited existing knowledge or experience. When having used the given tools, data indicated that students felt a higher ability to focus on their upcoming practice. HHS Vulnerability Disclosure, Help 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. 2008;8:10311. The scoping review found most studies used physical tools and reflective dialogues in clinical settings. The researchers who interviewed the students were two males and one female, where all three of them had experience in conducting qualitative research. 2013:17. Licensee MDPI, Basel, Switzerland. The Practice Assessment Document (PAD) provides a comprehensive record of professional development and performance in practice. and transmitted securely. Data revealed that some of the students lacked comprehensive understanding about being part of this specific project, of the terms used and about the forms. 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 outcomes of the study can be used to develop a clinical education program that bridges the gap between theory and practice. 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. The authors read the interviews right through each by themselves in order to obtain a sense of the whole. Preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. 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]. statement and This study showed that the students think that reflecting on clinical training progress and development is facilitated by their desire to obtain practical knowledge, responsibility to patients, and students inclination to be influenced by their values. The https:// ensures that you are connecting to the This led to frustration and distress. First-semester students were excluded because they lacked clinical experience. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. Words which were interpreted to capture key experiences of the informants were highlighted in the text and assigned preliminary codes [19]. The second-year students undergoing clinical placement were informed by two instructors in the upcoming program that a study would take place in the outpatient units and that some of them would be contacted and asked if they wanted to participate in the study. Conventional content analysis following Hsieh and Shannon [19], also described as inductive category development [20], was used. (Gibbs 1988). Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. Each transcription was compared against recordings to ensure authenticity. Its crucial to establish a secure setting in which people may reflect on their experiences [9]. Nurse Educ Today. Lovell B. Our findings show that, through reflection, students were able to focus less on technology and more on the patient. 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. This study shows that use of outpatient units for clinical placement in nursing studies has several challenges but also the potential for creating positive experiences for the students. In our study, the existence of a form to guide the students as to what aspects of nursing are important seems to have had a positive impact on their ability to acknowledge the patient. An official website of the United States government. Data showed that the forms guided the students through their placements in the outpatient unit. Accessibility Student Nurse Reflection on Learning and Development Nursing Reflective Essay: Examples + Useful Writing Tips [2023] It was often like you could just sit down in a nook and answer the questions because it wasnt really busy.. 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. When comparing results between studies, authors should explicitly state the foci or themes reflected on, as well as the length of the intervention period and the level of students educational experience.. 2002 Aug;25(3):35-42. doi: 10.4102/curationis.v25i3.784. 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. 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. Introduction and background. Background: Reflection increases meta-cognitive capacities, promotes student-instructor relationships, overcomes the theory-practice gap, and enriches learning.