Volume 8, Issue 1, February 2019, Page: 1-8
Nursing Students' Opinions on Facilitating and Hindering Factors in the Clinical Training Setting
Iman Abdullah Mohammed Abdulmutalib, Department of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt
Naglaa Abdelaziz Mahmoud El Seesy, Department of Nursing Administration, Faculty of Nursing, Alexandria University, Alexandria, Egypt
Shadia Abdallah Hassan Yousuf, Department of Community Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, KSA
Received: Dec. 3, 2018;       Accepted: Dec. 13, 2018;       Published: Jan. 19, 2019
DOI: 10.11648/j.ajns.20190801.11      View  38      Downloads  28
Clinical training for nursing students is essential in any nursing program because nursing is a discipline that requires students to apply theoretical knowledge into clinical training setting and acquire various skills to enhance their performance. The study aimed to identify nursing students’ opinions on facilitating and hindering factors in the clinical training setting. A descriptive cross-sectional design was used. The study was conducted in the Faculty of Nursing King Abdulaziz University on 86 student nurses enrolled in 2nd, 3rd, and 4th year. The tool was developed by the researchers and consists of two parts: Part I: Demographic characteristics. Part II: This part includes 42 items, 15 items related to facilitating factors and 27 items hindering factors. The study results showed that there was a statistically significant difference among all three academic years of the student nurses regarding common hindering factors named patient’s morning care, difficulty in being initiative or not being self-reliant, feeling of not being treated seriously/receiving condescending comments from the supervisor, and insufficient supervision or supervisors irritated or not interested. While no statistically significant difference among all three academic years of the student nurses opinions in relation to the common facilitating factors. Conclusions: The common facilitating factors among all students in the present study were patient family cooperation help me to be more confident, having opportunities to practice different tasks gives confidence, more practice makes learning from mistakes, being receiving feedback gives self-confidence, having a good collaboration with staff gives the confidence to ask questions or show weakness, and working with another student-helped make the work and care of the client go smoothly. Furthermore, the common hindering factors among all students were fear of making mistakes, evaluation by faculty, patient’s morning care, lack of time to accomplish the required tasks, difficulty in being initiative or not being self-reliant, receiving condescending comments from the supervisor, and insufficient supervision and supervisors not interested. Recommendations: Develop an organized supervision system, through specialized clinical supervisors, and assigned preceptors from the hospital to help the students in the clinical training. Develop a standardized evaluation form to support and fair evaluation. Prepare the students before direct contact with the patients, through attending simulation training to minimize mistakes when contact with the patients in the clinical setting.
Clinical-Nursing Practice, Facilitating, Hindering Factors, Nursing Students
To cite this article
Iman Abdullah Mohammed Abdulmutalib, Naglaa Abdelaziz Mahmoud El Seesy, Shadia Abdallah Hassan Yousuf, Nursing Students' Opinions on Facilitating and Hindering Factors in the Clinical Training Setting, American Journal of Nursing Science. Vol. 8, No. 1, 2019, pp. 1-8. doi: 10.11648/j.ajns.20190801.11
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Ali W. Caring and effective teaching behaviors of clinical nursing instructors in clinical area is perceived by their students. Journal of Education and practice. 2012; 3 (7): 15-26.
Lawal J, Weaver S, Bryan V, Lindo J. Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing. Journal of Nursing Education and Practice. 2016; 6(4): 32-39.
Killam LA, Heerschap C. Challenges to student learning in the clinical setting: A qualitative descriptive study. Nurse Education Today. 2013; 33(6): 684-691.
Chaun OL, Barnett T. Student, tutor and staff nurse perceptions of the clinical learning environment. Nurse Education in Practice. 2012; 12(4): 192-197.
Salminen L, Stolt M, Saarikoski M, Suikkala A, Vaartio H, Leino-Kilpi H. Future challenges for nursing education --a European perspective. Nurse Education Today. 2010; 30: 233-238.
Papp I, Markkanen M, von Bonsdorff M. Clinical environment as a learning environment: student nurses’ perceptions concerning clinical learning experiences. Nurse Education Today. 2003; 23: 262-268.
Fenush J, Hupcey J. An investigation of clinical unit choices graduating baccalaureate nursing Students. Journal of Professional Nursing. 2008; 24(2): 90–95.
Marsland L, Hickey G. Planning a pathway in nursing: do course experiences influence job plans.? Nurse Education Today. 2003; 23: 226–235.
Grealish L, Carroll G. Beyond perception and supervision: a third clinical teaching model emerges for Australian nursing education. Australian Journal of Advanced Nursing. 1998; 11: 26-33.
D'Souza a M, Karkada S, Parahoo K, Venkatesaperumal R. Perception of and satisfaction with the clinical learning environment among nursing students. Nurse Education Today. 2015; 35: 833–840.
Löfmark A, Mårtensson G. Validation of the tool assessment of clinical education (AssCE): A study using Delphi method and clinical experts. Nurse Education Today. 2017; 50: 82–86.
Levett-Jones T, Lathlean J, Higgins I, et al. Staff–student relationships and their impact on nursing students’ belongingness and learning. Journal of Advanced Nursing. 2009; 65(2): 316- 324.
Carolan-Olah M, Kruger G. Final year students’ learning experiences of the bachelor of midwifery course. Midwifery. 2013. http://dx.doi.org/10.1016/j.midw.2013.07.010.
Tulbure C. Do different learning styles require differentiated teaching strategies? Procedia - Social and Behavioral Sciences. 2011; 11: 155- 159.
Dale B, Leland A, and Gunnar Dale J. What Factors Facilitate Good Learning Experiences in Clinical Studies in Nursing: Bachelor Students’ Perceptions. ISRN Nursing. 2013; Volume. Article ID 628679, 7 pages.
Elçigil A, Sari H. Facilitating Factors in Clinical Education in Nursing. Nursing Clinical Education. 2011; 4 (2): 67-71.
Jan W. Facilitating student learning in clinical practice. Nursing New Zealand. 2010; 16 (1): 14-6, 32.
Nahas V, Yam M. Hong Kong nursing students' perceptions of effective clinical teachers. Journal of Nursing Education. 2001; 40(5): 233-7.
Lö fmark A, Wikblad K. Facilitating and hindering factors for development of learning in clinical practice: a student perspective. Journal of Advanced Nursing. 2001; 34 (1): 43–50.
Sprengel A. Reducing Student Anxiety by Using Clinical Peer Mentoring With Beginning Nursing Students. Nurse Educator. 2004; 29(6): 246-250.
Kleehammer K, Hart L, Keck F. Nursing students’ perceptions of anxiety-producing situations in the clinical setting. J Nurs Educ. 1990; 29 (4): 183-187.
Khan N, Alam B, Sabiha. Views of Nursing Students about Clinical Instructor behaviors That Affect the Development of Self-Confidence, Peshawar, KP, Pakistan. International Journal of Innovative Research & Development. 2015; 4 (4): 10-20.
Johnson M, Young H. The application of Aaronson’s taxonomy to medication errors in nursing. Journal of Nursing Care Quality. 2011; 26(2): 128–135. doi: 10.1097/NCQ. 0b013e3181f54b14.
Sharif F, Masoumi S. “A qualitative study of nursing student experiences of clinical practice. BMC Nursing. 2005; vol. 4, article 6, 1-7.
Zieber M, Williams B. The Experience of Nursing Students Who Make Mistakes in Clinical Int. Jornal Nurse Education. 2015; Scholarsh; 12(1): 1–9.
Rajeswaran L. Clinical Experiences of Nursing Students at a Selected Institute of Health Sciences in Botswana. Health Science Journal. 2016; 10(6): 471, ISSN 1791-809X.
Baraz S, Memarian R, Vanaki Z. Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal Education Health Promot. 2015; 4: 52.
Hickey M. Preceptor perceptions of new graduate nurse readiness for practice. J Nurses Staff Dev. 2007; 25: 35-41.
Melincavage M. Student nurses' experiences of anxiety in the clinical setting. Nurse Education Today. 2011; 31(8): 785–9. doi: 10.1016/j. nedt.2011.05.007.
Lekalakala-Mokgele E, Caka E. Facilitative and obstructive factors in the clinical learning environment: Experiences of pupil enrolled nurses. 2015; Original Research: 1-7.
Hathorn D, Machtmes K, Tillman K. The lived experiences of nurses working with the student nurses in the clinical environment. Qual Rep. 2009; 14: 227-244.
White A. Self-confidence: A concept analysis. Nursing Forum. 2009; 44(2): 103- 114. doi: 10.1111/j.1744- 6198.2009.00133.x.
Joolaee S, Farahani M, Amiri S, Varaei S. Support in Clinical Settings as Perceived by Nursing Students in Iran: A Qualitative Study. Nurse Midwifery Stud. 2016; March; 5(1): e31292.
Al Shararani Y. Factors that assist undergraduates nursing students to cope with the experience of their first clinical placement [Master Thesis]. Adelaide University; 2015.
Cooper J, Courty-pratt H, Fitzgerald M. Key influences identified by first-year undergraduates nursing students as impacting quality of clinical placement: A Qualitative study. Nurse Education today. 2015; 35(9): 10041008.
Chung K, Rhee E, Baik H, Os A. The effect of team-based learning in medical ethics education. Med Teach. 2009; 31(11): 1013–1017.
Wiener H, Plass R, Marz R. Team-based learning intensive course format for first-year medical students. Med Educ. 2009; 50(1): 69–76.
Vasan N, DeFouw D, Compton S. A survey of student perceptions of team-based learning in anatomy curriculum: Favorable views unrelated to grades. Anat Sci Educ. 2009; 2(4): 150–155.
Phuma-Ngaiyaye E, Bvumbwe T, Chipeta C. Using preceptors to improve nursing students' clinical learning outcomes: A Malawian students' perspective. International Journal of Nursing Science. 2017; 4: 164 – 168.
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