scholarly journals Stress, stressors and related factors in clinical learning of midwifery students in Iran: a cross sectional study

2020 ◽  
Author(s):  
Behrooz Rezaei ◽  
Juliana Falahati ◽  
Raziyeh Beheshtizadeh
Keyword(s):  
Learning Environment ◽  
Perceived Stress ◽  
Negative Impact ◽  
Clinical Learning ◽  
Academic Education ◽  
Clinical Practices ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional

Abstract Background: Midwifery is an emotionally challenging profession, and academic education of midwifery especially clinical learning has its own specific challenges. Midwifery students face with stressful experiences, especially related to instructor and characteristics of clinical environment, which can affect their theoretical and practical abilities. There is insufficient evidence in this field. This study aimed to explore (1) the perceived stress and stressors of midwifery students and (2) the relationships between students' stress and related factors in clinical learning environment. Methods: A cross sectional, survey design was conducted at one university in Iran. A sample of 108 students was selected using Krejcie and Morgan table in 2016. Data was collected using Persian version of Cohen's perceived stress scale, Persian questionnaire of sources of stress and demographic form. Data was analyzed using independent t, ANOVA and correlation coefficient test (α<0.05). Results: Participants returned 70 surveys (response rate, 64.8%). Approximately 56 % of the students perceived a high level of stress. The most common dimensions of stressors were "unpleasant emotions" and "humiliating experiences". The highest stressors were included "feeling suffering due to seeing for patients with critical situation", "instructor’s admonition in the presence of clinical staff" and "communication with instructor". The "interest in the field of study" had a negative impact on perception of stressors in dimensions of "clinical practices" and "interpersonal communication". Conclusions: The midwifery students reported their stress in severe level, especially in dimensions of "unpleasant emotions" and "humiliating experiences". The factors associated with the instructors have caused more stress in students. These findings will highlight need for supportive strategies by the clinical instructors. In this regard, the use of experienced instructors, the development of communication skills of the instructors, increasing coping skills of the students and the creation of a supportive environment may be helpful. Keywords: Clinical Learning Environment, Clinical Education, Clinical Preceptorship, Midwifery Education, Stress, Student, Midwifery, Instructor

scholarly journals Healthcare student-patient relationship and the quality of the clinical learning environment – a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arja Suikkala ◽  
Leena Timonen ◽  
Helena Leino-Kilpi ◽  
Jouko Katajisto ◽  
Camilla Strandell-Laine
Keyword(s):  
Learning Environment ◽  
Clinical Learning ◽  
Patient Relationship ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Healthcare Students

Abstract Background Relationships with patients are seen as the core component of establishing the quality of patient-centred care and promoting patients’ autonomy and relevant use of services. A clinical learning environment that emphasizes relationship-based healthcare is essential for encouraging future healthcare professionals to work in partnership with patients. There is also broad agreement that the insight of patients should be used actively in healthcare students’ clinical learning. The aim of this study was to describe healthcare students’ perceptions of their relationship with patients and the quality of the clinical learning environment and to identify factors associated with both of these. Methods A cross-sectional survey using an electronic questionnaire was applied to collect data from 1644 Finnish healthcare students, mostly nursing students, between January 2018 and May 2018. The data were analysed statistically using descriptive statistics, Spearman’s correlation coefficients, and multifactor analysis of variance. Results Students perceived the level of the student-patient relationship and the role of the teacher as good while pedagogical atmosphere, premises of care, premises of learning, and supervisory relationship were perceived to be at very good level. The correlations between the student-patient relationship and all clinical learning environment dimensions were perceived as moderate. Furthermore, a number of student-related factors associated with the student-patient relationship and the quality of the clinical learning environment were detected. Conclusions In this study, the rarely explored perspective of the student-patient relationship within the context of the clinical learning environment was included. The student-patient relationship and the quality of the clinical learning environment were perceived as good by the students, with a number of determining factors affecting these perceptions. Giving the student-patient relationship a role in clinical education may be conducive to students’ learning with the patient in focus, and may thus promote the competence needed in the rapidly evolving healthcare environment and the changing scope of clinical practice.

scholarly journals Stress, stressors and related factors in clinical training of midwifery students in Iran: a cross sectional study

2019 ◽  
Author(s):  
Behrooz Rezaei ◽  
Juliana Falahati ◽  
Raziyeh Beheshtizadeh
Keyword(s):  
Perceived Stress ◽  
Clinical Training ◽  
Negative Impact ◽  
Training Methods ◽  
Academic Education ◽  
Clinical Environment ◽  
Clinical Practices ◽  
Training Environment ◽  
Related Factors ◽  
Cross Sectional

Abstract Background: Midwifery is an emotionally challenging profession, and academic education of midwifery has its own specific challenges. Midwifery students face with stressful experiences, especially related to instructor and characteristics of clinical environment, which can affect their theoretical and practical abilities. There is insufficient evidence in this field. This study aimed to explore (1) the perceived stress and stressors of midwifery students and (2) the relationships between students' stress and related factors in clinical training. Methods: A cross sectional, descriptive study was conducted at one university in Iran. A sample of 108 students was selected using Krejcie and Morgan table in 2016. Data was collected using Persian version of Cohen's perceived stress scale, Persian questionnaire of sources of stress and demographic form. Data was analyzed using independent t, ANOVA and correlation coefficient test (α<0.05). Results: Participants returned 70 surveys (response rate, 64.8%). Approximately 56 % of the students perceived a high level of stress. The most common dimensions of stressors were "unpleasant emotions" and "humiliating experiences". The highest stressors were included "feeling suffering due to seeing for patients with critical situation", "instructor’s admonition in the presence of clinical staff" and "communication with instructor". The "interest in the field of study" had a negative impact on perception of stressors in dimensions of "clinical practices" and "interpersonal communication". Conclusions: The midwifery students reported their stress in severe level, especially in dimensions of "unpleasant emotions" and "humiliating experiences". The factors associated with the instructors have caused more stress in students. These findings will highlight need for supportive strategies by the clinical instructors. In this regard, the use of experienced instructors, the development of communication skills of the instructors, increasing coping skills of the students and the creation of a supportive environment may be helpful. Keywords: Clinical Training Environment, Clinical Preceptorship, Midwifery Education, Stress, Student, Midwifery

scholarly journals Clinical learning environment of nursing and midwifery students in Ghana

2020 ◽  
Author(s):  
Florence Assibi Ziba ◽  
Vida Nyagre Yakong ◽  
Zakari Ali
Keyword(s):  
Nursing Students ◽  
Learning Environment ◽  
Clinical Experience ◽  
Clinical Placement ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undergraduate Nursing ◽  
Team Supervision

Abstract Background Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience.Methods This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA.Results Most of the sampled students were Nurses (67%) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001).Conclusion Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

scholarly journals Clinical learning environment of nursing and midwifery students in Ghana

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Florence Assibi Ziba ◽  
Vida Nyagre Yakong ◽  
Zakari Ali
Keyword(s):  
Learning Environment ◽  
Clinical Experience ◽  
Learning Experience ◽  
Clinical Placement ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undergraduate Nursing ◽  
Team Supervision

Abstract Background Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience. Methods This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA. Results Most of the sampled students were Nurses (67%) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001). Conclusion Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

scholarly journals Clinical learning environment of nursing and midwifery students in Ghana

2020 ◽  
Author(s):  
Florence Assibi Ziba ◽  
Vida Nyagre Yakong ◽  
Zakari Ali
Keyword(s):  
Learning Environment ◽  
Clinical Experience ◽  
Learning Experience ◽  
Clinical Placement ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undergraduate Nursing ◽  
Team Supervision

Abstract Background: Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience.Methods: This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA.Results: Most of the sampled students were Nurses (67 %) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001).Conclusion: Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

Student midwives' self-assessment of factors that improve or reduce confidence in clinical practice during a 1-year training period in Zimbabwe

2020 ◽  
Vol 14 (2) ◽  
pp. 1-9
Author(s):  
Christina Mudokwenyu-Rawdon ◽  
Unice Goshomi ◽  
Pisirai Ndarukwa
Keyword(s):  
Clinical Practice ◽  
Learning Environment ◽  
Education Programme ◽  
Main Theme ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Training Course ◽  
Teaching Learning

Background/Aims Several studies demonstrate that midwifery students do not feel confident in their ability to practice independently post-qualification, both globally and in Zimbabwe. To build competence, it is critical that midwives are encouraged to assess factors that improve or reduce their confidence in clinical practice. This study aimed to explore factors enhancing or reducing midwifery students' confidence in clinical practice in Zimbabwe, following a 1-year training course. Methods A total of 300 midwifery students from 22 government midwifery training schools in Zimbabwe participated in a cross-sectional survey that assessed self-confidence at completion of a 1-year training course. Students responded to the question ‘What factors improved or reduced your confidence in clinical area during training?’ Thematic analysis was used to describe and interpret students' responses. Results The main theme taken from students' answers was that resource availability in the clinical learning environment is key. There were four sub-themes: (1) the midwifery education programme, (2) teaching-learning methodologies, (3) clinical instructor/supervisor professional behaviour, and (4) student fear and insecurity. Conclusions Confidence development is a process to be cultivated and nurtured in students during midwifery training. Student midwives are faced with multiple factors inherent to an unsupportive clinical learning environment, which negatively impacts their confidence. These include shortages of resources and the attitudes and teaching practices of supervisors or instructors. Focus should be given to creating a supporting clinical learning environment, to improve students' confidence and competence.

scholarly journals Perceived Stress and Its Associated Factors Among Nursing Students Regarding Clinical Learning Environment

2019 ◽  
Vol 9 (2) ◽  
pp. 19-23
Author(s):  
Binita Adhikari ◽  
Jenny Ojha
Keyword(s):  
Nursing Students ◽  
Learning Environment ◽  
Perceived Stress ◽  
Associated Factors ◽  
Clinical Learning ◽  
Severe Stress ◽  
Clinical Learning Environment ◽  
Related Factors ◽  
Emotional Strain ◽  
Moderate Stress

Introduction: Stress is a state of mental or emotional strain resulting from demanding circumstances. This study aims to assess the perceived stress and its associated factors among nursing students regarding clinical learning environment. Methods: A cross-sectional study was conducted among 172 Proficiency Certificate Level nursing students of second year. The respondents were selected using lottery method and information collected using the semi-structured selfadministered questionnaire. Descriptive and inferential statistics with Chi-square test were performed. Results: The mean age of the respondents was 18.17±0.612. The study revealed that more than half (54.7%) students had Moderate stress, 41.3% had Mild and 4.0% had Severe stress regarding clinical learning environment. The clinical learning environment related factors such as: using or handling unfamiliar equipment (χ 2 =7.646,df=1, p=0.006), Interpersonal relationship with clinical supervisor (χ2 =7.516,df=1,p=0.006) were significantly associated with perceivedstress regarding clinical learning environment. Conclusions: The study revealed that more than half (54.7%) students had Moderate stress, 41.3% had Mild and 4.0% had Severe stress regarding clinical learning environment.

scholarly journals Clinical learning environment of nursing and midwifery students in Ghana

2020 ◽  
Author(s):  
Florence Assibi Ziba ◽  
Vida Nyagre Yakong ◽  
Zakari Ali
Keyword(s):  
Learning Environment ◽  
Clinical Experience ◽  
Learning Experience ◽  
Clinical Placement ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undergraduate Nursing ◽  
Team Supervision

Abstract Background: Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience.Methods: This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA.Results: Most of the sampled students were Nurses (67 %) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001).Conclusion: Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

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