To belong or not to belong: nursing students' interactions with clinical learning environments - an observational study.
BMC Med Educ
; 16: 197, 2016 Aug 05.
Article
em En
| MEDLINE
| ID: mdl-27496098
ABSTRACT
BACKGROUND:
Belongingness has been argued to be a prerequisite for students' learning in the clinical setting but making students feel like they belong to the workplace is a challenge. From a sociocultural perspective, workplace participatory practices is a framework that views clinical learning environments to be created in interaction between students and the workplace and hence, are dependent on them both. The aim of this study was to explore the interdependence between affordances and engagement in clinical learning environments. The research question was How are nursing students influenced in their interactions with clinical learning environments?METHODS:
An observational study with field observations and follow-up interviews was performed. The study setting comprised three academic teaching hospitals. Field observations included shadowing undergraduate nursing students during entire shifts. Fifty-five hours of field observations and ten follow-up interviews with students, supervisors and clinical managers formed the study data. A thematic approach to the analysis was taken and performed iteratively with the data collection.RESULTS:
The results revealed that students strived to fill out the role they were offered in an aspirational way but that they became overwhelmed when given the responsibility of care. When students' basic values did not align with those enacted by the workplace, they were not willing to compromise their own values. Workplaces succeeded in inviting students into the community of nurses and the practice of care. Students demonstrated hesitance regarding their desire to belong to the workplace community.CONCLUSION:
The results imply that the challenge for clinical education is not to increase the experience of belongingness but to maintain students' critical and reflective approach to health care practice. Additionally, results suggest students to be included as an important stakeholder in creating clinical learning environments rather than being viewed as consumer of clinical education.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estudantes de Enfermagem
/
Pesquisa em Educação em Enfermagem
/
Atitude do Pessoal de Saúde
/
Competência Clínica
/
Local de Trabalho
/
Aprendizagem Baseada em Problemas
/
Bacharelado em Enfermagem
Tipo de estudo:
Observational_studies
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMC Med Educ
Assunto da revista:
EDUCACAO
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Suécia