Student Nurse Reflection Examples - EduBirdie The steps are Description, Feelings, Evaluation, Analysis, Conclusion and Action Plan (Gray, 2007). There are waiting periods between most procedures at outpatient units. As an education provider, a trainer should push students to gain more from other sources and patients who are similar to them [27]. Correspondence to [7] claim that good co-operation between clinical staff and nurse educators is necessary for providing a good learning environment for nursing students. Another student also shared, I dont want to be unable to take the proper actions when the patients need me or when they need answers on something I feel as a student nurse responsible just like a graduate registered nurse for the patients condition that what makes me want to think more on my level of performance (S12). Trainers can help students reflect on their encounters by allowing them to communicate their recollections and perspectives, conducting dialogues, and directing class discussion. Levett-Jones T, Lathlean J, Higgins I, McMillan M. The Duration of Clinical Placements: A Key Influence on Nursing Students Experience of Belongingness. This site needs JavaScript to work properly. Lfmark A, Thorkildsen K, Rholm M-B, Natvig GK. The forms directed the students attention towards the patient and their experiences and the relationships between the nurses and the patient. Publishers Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. In an advanced clinical setting with complex technology and treatments, it can be difficult for inexperienced nursing students to actively seek knowledge. and M.F. 2012;42(1):97104. 1. To ensure credibility, the researcher documented and published the whole study procedure, allowing others to do follow-up investigation. Reflection as a Learning Tool in the Classroom | Edutopia Andersson EK, Willman A, Sjstrm-Strand A, Borglin G. Registered nurses descriptions of caring: a phenomenographic interview study. My journey from the last 12 weeks and progress I had made this semester also my learning experience in this semester. and M.F; investigation, F.A., M.S.I. The sections of the interviews that dealt with the participants encounters with the reflection-facilitators were selected. 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. One limitation of the current study was that it only looked at nursing students perspectives; thus, additional research should look at additional subtopics, such as nursing educators perceptions of encouraging reflection in clinical settings. In the first year of my nursing programme my first placement was in an acute admission ward for older people. This information failure can most likely be linked to the introduction of the new concepts of learning outcome and targeted reflection, and the new forms which had been specifically developed for the project. This shows that new concepts and the use of new forms must be explained in detail, since an understanding of what to do is an important part of being prepared. Evaluation of medical student program with the use of a reflective portfolio: A qualitative study. asking about their experiences of the use of unit-specific learning outcomes). Not only the details of the disease itself has motivated the participating students to reflect on their clinical practice but rather the patients themselves and their sociodemographic characteristics and interaction patterns have also played a key role in driving and facilitating students to reflect more on their performance. 8600 Rockville Pike In spite of limited numbers of informants in one of the focus group, rich data was provided. 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). Medication administration - The critical reflection will follow Gibbs Lfmark et al. Ruffinelli A., de la Hoz S., lvarez C. Practicum tutorials in initial teacher training: Conditions, strategies, and effects of reflective practice. The recent reforms in the health care sector have changed the requirements for professional nursing competence in the clinical field. Federal government websites often end in .gov or .mil. Download. The members checking was used to compare the consistency of concepts obtained from data and respondents views. 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. Facilitating student learning with critical reflective journaling in psychi-atric mental health nursing clinical education: A qualitative study. The aim of the 17 included studies was to help students and supervisors to fulfil their jobs at the highest possible level, authors wrote. Vrd i Norden 2010. J Adv Nurs. 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 intention of clinical practice is to acquire basic nursing skills in a natural environment [4]. Nilsen SR. Nr samhandling kreves : et helsevesen i endring krever ny kompetanse. However, more meaningful reflection and learning can be undertaken if formal reflection takes place. California Privacy Statement, Student Nurse Placement Reflection and Personal Development Plan. McLeod G.A., Vaughan B., Carey I., Shannon T., Winn E. Pre-professional reflective practice: Strategies, perspectives and experiences. Chambers D, Thiektter A, Chambers L. Preparing student nurses for contemporary practice: The case for discovery learning. The art of caring should therefore be emphasized both in theory and in clinical practice. 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. Contreras et al. PMC 15 Best Reflective Essay Topics: Nursing. volume15, Articlenumber:49 (2016) 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. Customized forms can help students who spend the clinical placement in an outpatient unit see the nursing perspective more clearly. The retrieved themes were given to peers for external review, and their suitability was checked and confirmed, and agreement was reached. Following introduction, the researchers asked study subjects to participate in hour-long semi-structured interviews using Microsoft teams. Nursing in the Australian Healthcare System (NUR1101) Introduction to Psychology II (PSYU1102) Software Testing (ITECH7409) Civil Procedure and Arbitration (200813) Newest Vector Calculus (MAST20009) Fraud and Cybercrime (3026ccj) Foundations of Property Law (LAWS12065) Foundations of Nursing Practice 2 (NURS11154) Corporations Law (LAWS13009) Coyne and Needham [12] show that a higher nurse-patient ratio allows more time for student supervision. Its crucial to establish a secure setting in which people may reflect on their experiences [9]. The importance of skill development in nursing education is vital as it promotes self-awareness and develops best practice (Dolphin, 2013; Vaughan, . Personal Reflection on Learning Outcomes of Professional Practice 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. All authors read and approved the final manuscript. Inclusion in an NLM database does not imply endorsement of, or agreement with, In Norway there has been a 6% reduction in hospital beds from 2010 to 2014 [2]. As a result, facilitation of reflection and reflective capacities is seen as an essential part of professional growth [7]. Overview First year student nurse, Emma Second year student nurse, Saima Third year student nurse, Darren The focus of this scenario is the learning that Darren, a third-year student nurse undertook whilst on a shift on ward A which is a surgical ward. What are your impressions on the importance of reflection in clinical practice? Would you like email updates of new search results? Nine students were asked to participate in the study, but only seven ultimately participated in the interviews. Fifty percent of nursing education in Norway consists of clinical practice where the students are under the supervision of registered nurses. 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.. Younger S.J. 2013;381(9874):132331. Careers, Unable to load your collection due to an error. In past years, a considerable discrepancy across instructional experiences and practical nursing services has resulted in a nursing care discrepancy, as well as critique of nurses care quality in some Saudi hospitals [14]. Reflection for the undergraduate on writing in the portfolio: Where are we now and where are we going? There was also lack of standardisation in how reflection outcomes were classified. In the future, educators, preceptors and students need to continue developing the concepts and forms. Faculty of Health and Social studies, stfold University College, P.O. Another student has addressed the knowledge of the patient saying, one time I had a patient who has been chronically ill and also works in the healthcare fieldthat moment made me feel that I had to be very knowledgeable to be able to care for this patient as I cant have less information about the patient case than the patient themselves this had me doing a lot of research every time I handle a case (S14). Thus, the findings of the study highlight the importance of emphasizing the significance of professional values such as personal responsibility and intrinsic motivational factors. According to another research, students require the assistance of the trainer in identifying difficulties that require reflection. and M.F. 81 Report Document Comments Please sign inor registerto post comments. 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 researchers who interviewed the students were two males and one female, where all three of them had experience in conducting qualitative research. Compared to the regular ward which was perceived as more active, the outpatient placement was described as a relatively passive learning environment. (2020) also discovered that self-reflection combined with clinical knowledge and expertise reduces anxiety, allowing nurses to build competence in real-world settings [6]. https://creativecommons.org/licenses/by/4.0/. 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. Reflective writing requires one to reflect on a personal experience for the purpose of self-awareness and professional growth (Kerr, 2010). Manage cookies/Do not sell my data we use in the preference centre. As per the research carried out by Hwang et al. An official website of the United States government. Coyne E, Needham J. Undergraduate nursing students placement in speciality clinical areas: understanding the concerns of the student and registered nurse. First-semester students were excluded because they lacked clinical experience. Data were analyzed by means of content analyses. . Reflection on clinical skills by nursing students during the clinical learning process is critical to the development of such student competencies [6]. In: Valle R.S., King M., editors. Students take a more active approach to seeking knowledge when given structured learing activities during clinical placement in outpatient unit. 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. The questions in the form made me look away from all the equipment they have at the outpatient unit, they made me more focused on the patients and made me think more about how the patients were being informed.. Int J Nurs Stud. The key is not to cause harm but to help afterward. FOIA National Library of Medicine Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. During the reflection phase, they also require their trainers advice, direction, and supervision. 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]. 8600 Rockville Pike 2023 BioMed Central Ltd unless otherwise stated. Lewallen LP, Debrew JK. In this profession, the doctors diagnose the disease and do the surgeries when required but people take the efforts of nurses for granted. Curationis. Epub 2017 Apr 7. They took place at the end of the informants clinical placements. Nursing students in this study have identified both personal and external drivers to practice reflection. The mean age of the students was 21.65 1.27 years (Table 1). [When interaction is required: a healthcare in change demands new skills]. What levels of reflection are identified or achieved: low (descriptive), middle (application), or high (evaluative)? Comparison of convenience sampling and purposive sampling. PDF Downloadable Free PDFs Nursing Student Reflection Paper Pdf Pdf and M.F. The quotations were provided in a narrative and insightful terms that captured the spirit of the data provided, and then those phrases were grouped, rearranged, and compiled into qualitative themes, which the investigators considered to guarantee a precise and detailed comprehension of the students experiences. 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). Cite this article. Quotations were selected to support each description and to secure the trustworthiness of the data. The interviews were carried out using virtual meeting technologies by the investigators, who were able to conduct interviews until data saturation was reached. Moon 2013-09-05 Reflection is a technique for aiding and reinforcing learning, used in education and Artioli G., Deiana L., De Vincenzo F., Raucci M., Amaducci G., Bassi M.C., Di Leo S., Hayter M., Ghirotto L. Health profes-sionals and students experiences of reflective writing in learning: A qualitative meta-synthesis. A new model for organizing practical training]. The authors are grateful to the participants in the study. One aim of the reforms in nurse education is to produce reflective practitioners. Stewart, Raymet, Fatima and Gina are four students who share their learning journey throughout the chapters of the book. Reflecting-in-action involves private and personal thoughts and feelings. ; supervision, Y.A. It also provides insight for those in smaller organisations addressing their particular challenges in identifying learning and development needs. DeBrew JK, Lewallen LP. Words which were interpreted to capture key experiences of the informants were highlighted in the text and assigned preliminary codes [19]. Nurse students' experiences with clinical placement in outpatient unit As a result, the investigators worked on the study for over three months. 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. Even if clinical placements in outpatient units face several challenges, they also have the potential to offer students positive experiences. Description. However, the study also identifies opportunities for making the placement in an outpatient unit a positive experience for the students. Students could decline to be further contacted. Nurse Educ Pract. (2021) has published results that corroborate our findings, where this study has explored qualitatively the perspectives of students on the use of reflective practice and has shown that students were driven towards reflection to enhance their knowledge and practice capabilities in order to become more competent nurses and develop professionally [22]. Cadman K, Clack E, Lethbridge Z, Millward J, Morris J, Redwood R. Nurse Educ Today. 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. Concept analyses should be conducted when concepts require further clarification, as is the case with NSCL. Kindly elaborate on one of your clinical encounters that has prompted you to ponder and reflect more? and transmitted securely. Solvoll B-A, Opsahl G, Granum V. Hvordan bidrar rammeplanen for norsk sykepleierutdanning til akademisk profesjonskompetanse? As researchers were granted access to a registry of university webmail, students were contacted by email. 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. 2012;3(01):2234. 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. Reflection: a casualty of modularisation? Efforts were made to establish an audit trail throughout the entire study. The informants have given consent to publish. PubMedGoogle Scholar. 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.

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