scholarly journals Nursing Students' Experiences with Patient Deaths during Clinical Practice

Author(s):  
Hyun-Ju Kang ◽  
Hye Choe

Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.

2019 ◽  
Vol 25 (4) ◽  
pp. 471-483
Author(s):  
Sunghee Park ◽  
Hyeyoung Cho

Purpose: The purpose of this study was to explore the experiences of perception of nursing students' rights participating in clinical practice. Methods: This descriptive study carried out purposeful sampling. The participants were 17 nursing students, who had experience of participating in clinical practice for more than 12 weeks. Data were collected through focus group interviews. Twelve subjects were in their third year and five in their fourth year. All were practicing in secondary general and tertiary university hospitals. The data were analyzed using classical content analysis method. Results: The researchers extracted 23 codes representing the nursing students' rights of clinical practice, which were grouped into 4 categories and 11 subcategories. The 4 categories were 'deep disappointment as an alienated person in a clinical field', 'clinical practice experience that cannot be given up despite difficulties', 'need for a practice environment that takes care of nursing students', and 'hope for support, advocacy and respect'. Conclusion: Nursing students cannot claim rights at this time, but expressed the desire to build a support system so that these parts can be improved in the future. Therefore, nursing education institutions and clinical fields should maintain diverse efforts through reciprocal relationships.


2016 ◽  
Vol 2 (2) ◽  
pp. 165
Author(s):  
Masta Haro

ABSTRAK Pendahuluan: Tahap pendidikan Keperawatan tahap profesi (Ners) sepenuhnya dilakukan di institusi pelayanan kesehatan, namun fakta menunjukkan belum ada Rumah Sakit Pendidikan (RSP) Keperawatan dan Peraturan Pemerintah yang mengatur tentang perlindungan kepada mahasiswa profesi ners termasuk hak dan kewajiban mahasiswa profesi ners belum ada. Tujuan: penelitian ini untuk mengetahui perlindungan hukum terhadap mahasiswa pendidikan Ners dalam melaksanakan praktik klinis di institusi pelayanan kesehatan. Metode: Metode penelitian ini adalah pendekatan yuridis normatif, yaitu penelitian hukum yang dilakukan dengan cara meneliti data atau bahan perpustakaan yang merupakan data sekunder berupa bahan hukum primer, bahan hukum sekunder maupun bahan hukum tersier. Hasil: Penelitian ini mengindikasikan bahwa belum adanya kejelasan hukum dan aturan yang kongkrit yang memberikan perlindungan kepada mahasiswa profesi ners dalam melaksanakan praktik klinisnya. Diskusi: Diharapkan agar pemerintah membuat peraturan yang jelas sebagai perlindungan hukum bagi mahasiswa pendidikan Ners dalam melakasanakan praktik klinis, mendorong Rumah Sakit Pendidikan Perawat, institusi pendidikan Ners mempersiapkan mahasiswa secara optimal, Institusi Kesehatan mempersiapkan pembimbing lapangan secara optimal, serta memasukkan penyelenggaraan praktik klinis pendidikan Ners di dalam Hospital By Law atau Clinic By Law.   Kata Kunci: Perlindungan hukum, Mahasiswa Pendidikan Ners, Institusi Kesehatan   ABSTRACT Introduction: The phase of nursing profession of Indonesian nursing education system (after Bachaleurate) are fully carried out at the health care institutions, yet there is no teaching hospital (RSP), Nursing Association and Government Regulation that protect nursing students which regard to their responsibilities and rights. The purpose of this study to determine setting of legal protection against nursing students profession in implementing clinical. Method: This research utilized normative juridical approach, legal research conducted by examining the data or material library is secondary data in the form of primary legal materials, secondary law or tertiary legal materials. Result: The result of this study indicate that legal protection for profession nursing students in implementing clinical practice is unclear and not concrete. Discussion: It is recomended the government make clear regulations as legal protection for profesion nursing student in implementing clinical practice, education agency nursing prepare students optimally, Health Institutions prepare for mentor optimally, and include the clinical practice in the Hospital by Law or clinic by Law. Keywords: Legal Protection, Profession Nursing Student, Health Institutions


2021 ◽  
Vol 11 (2) ◽  
pp. 291-300
Author(s):  
Marie Kvamme Mæland ◽  
Britt Sætre Tingvatn ◽  
Linda Rykkje ◽  
Sigrunn Drageset

Background: Research indicates that newly graduated nurses are often unprepared for meeting challenging situations in clinical practice. This phenomenon is referred to as a “reality shock”. This gap in preparedness may lead to moral distress. The aim of this article is to provide knowledge of moral distress in clinical nursing practice. Methods: Bachelor and further education nursing students were invited to write a story about challenging situations from their own clinical practice, resulting in 36 stories. Analysis was based on hermeneutical reading inspired by a narrative method; therefore, six stories were selected to represent the findings. Results: A finding across the stories is that the students knew the right thing to do but ended up doing nothing. Four themes were related to moral distress: (a) undermining of professional judgement, (b) disagreement concerning treatment and care, (c) undignified care by supervisors, and (d) colliding values and priorities of care. Conclusion: Nursing education should emphasize to a greater extent ethical competency and training for the challenging situations students will encounter in clinical practice.


Author(s):  
Hyun Ju Park ◽  
Hyo Ja An

Purpose: This study aimed to explore and understand nursing students' nunchi experiences in clinical practice. Methods: Participants were nursing students in the third and fourth years who had clinical experience. A total of 20 nursing students were divided into three focus groups based on their grade levels and gender. Data were collected from December 2017 to March 2018 through focus group interviews and were analyzed via Colaizzi's phenomenological methodology. Results: The study results consisted of 5 theme clusters, 11 themes, and 24 subthemes. These clusters were: confusion about ambiguous behavioral standards, effort in following social norms, concern about getting hurt, physical and psychological exhaustion, and forming social attitudes. Conclusion: These results show that nunchi has positive and negative effects on the clinical practice of nursing students. We need to improve the causes of nunchi, which can have a negative impact on clinical practice.


Author(s):  
Ujin Lee ◽  
Heeseung Choi ◽  
Yeseul Jeon

Simulation-based communication education has improved nursing students’ communication knowledge and skills. However, communication patterns that students commonly exhibit in simulated situations and students’ responses to specific clinical situations have not been systematically examined. The specific aims of the present study were (1) to identify non-therapeutic communication patterns that nursing students exhibit in simulated situations in the computer simulation-based education (ComEd) program, and (2) explore students’ responses to challenging clinical situations. This study used a mixed-method research design and a convenience sampling method to recruit participants. Frequency analysis and a conventional content analysis method were used to analyze answers provided by participants. A total of 66 students from four Korean nursing schools participated in the study. “False reassurance” was found to be the most common non-therapeutic communication pattern used by nursing students. Nursing students had difficulty in clinical situations such as reporting a patient’s condition to a doctor, communicating with a patient and perform basic nursing skills at the same time, and managing conflicts between patients. Technology-based communication simulation programs, which reflect various clinical situations, are considered a new alternative that can supplement the limitations of clinical practicum and improve the quality of nursing education.


Author(s):  
Sarah Dewell ◽  
Carla Ginn ◽  
Karen Benzies ◽  
Cydnee Seneviratne

Abstract Objectives To explore attitudes about adding genomic content to an undergraduate nursing curriculum. Genomic knowledge is essential to nursing education, but challenges exist for curriculum innovation. Few countries have guiding documents from national nursing organizations on genomic competencies for practice or education. Information on attitudes about genomics may provide guidance for curriculum development. Methods Nineteen undergraduate nursing students and two faculty from a school of nursing with two sites in western Canada participated. Five focus groups and four interviews were conducted using a semi-structured focus group guide. Data were analysed using thematic analysis. Coding was inductive. Results Characteristics of participants, eight key themes, and four future focal areas were identified to guide future research and curriculum development. Conclusions Global development of genomics-informed curricula will require a focus on increasing knowledge, defining scope and role, increasing visibility of role models, and preparing to implement precision health.


2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Ana Railka de Souza Oliveira-Kumakura ◽  
Juliany Lino Gomes Silva ◽  
Natália Gonçalves

Abstract Aim: To report the experience of applying different teaching strategies on undergraduate nursing students caring for burn victims. Method: Experience report on the topic, "Nursing care for the patient with burns", for undergraduate nursing student education. Results: Teaching strategies during this course involved theoretical lecture, discussion of clinical cases, use of a virtual environment, and practice in a simulated environment. The students reported satisfaction with the tools used. Conclusion: It is important to incorporate different active teaching strategies, such as clinical simulation practices, e-learning, classes incorporating dialogue, case studies, and others, for undergraduate nursing education on caring for the burn victim.


2017 ◽  
Vol 23 (3) ◽  
pp. 300-308
Author(s):  
Do Young Lee ◽  
Jin Kyoung Park ◽  
Mi Young Choi

Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.


2021 ◽  
pp. 084456212110489
Author(s):  
Dimitri Létourneau ◽  
Johanne Goudreau ◽  
Chantal Cara

Background Most nursing education programs prepare their students to embody humanism and caring as it is expected by several regulatory bodies. Ensuring this embodiment in students and nurses remains a challenge because there is a lack of evidence about its progressive development through education and practice. Purpose This manuscript provides a description of nursing students’ and nurses’ recommendations that can foster the development of humanistic caring. Methods Interpretive phenomenology was selected as the study's methodological approach. Participants (n = 26) were recruited from a French-Canadian university and an affiliated university hospital. Data was collected through individual interviews. Data analysis consisted of an adaptation of Benner’s (1994) phenomenological principles that resulted in a five-stage interpretative process. Results The following five themes emerged from the phenomenological analysis of participants’ recommendations: 1) pedagogical strategies, 2) educators’ approach, 3) considerations in teaching humanistic caring, 4) work overload, and 5) volunteerism and externship. Conclusion The findings suggest the existence of a challenge when using mannikins in high-fidelity simulations with the intention of developing humanistic caring. The findings also reaffirm the importance of giving concrete and realistic exemplars of humanistic caring to students in order to prevent them from making “communication” synonymous to “humanization of care”.


Author(s):  
Luis Miguel Dos Santos

From the East Asian social and cultural perspectives and contexts, this study aimed to understand the relationships and behaviors between nursing students’ sense of filial piety and their decision-making behind selecting nursing education as their major. Forty-two traditional-age nursing students (i.e., six men and 36 women) at their final year of a bachelor’s degree program in nursing were invited. The findings indicated that many nursing students disliked their university major and the potential career pathway as a nursing professional, as none of them selected the major based on their choice and interest. The environmental context and family’s recommendations were the major impacts to influence the decision-making process of the participants. The result also indicated that filial piety, parents’ recommendations, and elderly people’s suggestions were the key factors to influence the selections and decisions of university major and career development pathways. The study provided a blueprint for related staff and professionals to create and design career counselling and services for East Asian youths to enable life investment and development.


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