Bridging the experience-complexity gap with longitudinal clinical placements

IF 4.1 2区 医学 Q1 NURSING
Jama Goers PhD, RN , Kale Humphrey MS , Kenneth Oja PhD, RN , David Mulkey DNP, RN, CPHQ, CCRN, CHSE
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Abstract

Background

Clinical learning is a critical element to prepare nursing students for the profession. There is limited evidence on the experience-complexity gap among novice nursing students entering the workforce.

Purpose

This study aimed to implement a novel longitudinal clinical experience program and examined readiness for practice for undergraduate nursing students.

Methods

We used a prospective cohort design using the Casey-Fink Readiness for Practice survey.

Findings

There have been 2,004 clinical placements filled since the start of the program. Repeated exposure at one organization provided consistency and continuity while allowing students to develop relationships with patients and staff in a variety of settings. The medical-surgical two clinical experience was a pivotal course that influenced students’ perception to enter the nursing workforce.

Discussion

Clinical and academic partners must collaborate to provide the necessary competencies required to enter the workforce. Longitudinal clinical programs may improve nursing students readiness for practice.

Conclusion

The continous and immersive nature of the longitudinal clinical experience program facilitated the development of critical thinking skills and clinical competence, suggesting that longitudinal clinical placements can bridge the experience-complexity gap in nursing education.

通过纵向临床实习缩小经验与复杂性之间的差距
背景临床学习是为护理专业学生做好准备的关键因素。本研究旨在实施一项新颖的纵向临床经验计划,并对护理专业本科生的实习准备情况进行检查。方法我们采用了前瞻性队列设计,并使用了凯西-芬克实习准备情况调查。在一家机构重复实习既能保持一致性和连续性,又能让学生在不同的环境中与病人和员工建立关系。内外科两科临床经验是影响学生进入护理行业的关键课程。讨论临床和学术伙伴必须合作,提供进入护理行业所需的必要能力。结论纵向临床经验课程的持续性和沉浸性促进了批判性思维能力和临床能力的发展,表明纵向临床实习可以弥补护理教育中经验与复杂性之间的差距。
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来源期刊
Nursing Outlook
Nursing Outlook 医学-护理
CiteScore
6.20
自引率
7.00%
发文量
109
审稿时长
25 days
期刊介绍: Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.
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