Clinical Learning Experiences of Second-Year Thai Nursing Students: A Phenomenological Study
Keywords:
Clinical education, Clinical learning experience, Nursing, Nursing education, Nursing students, Phenomenology, ThailandAbstract
Clinical learning is challenging for second-year nursing students undertaking their bachelor degree, as it is often the first time for them to apply their nursing knowledge and skills to the real situation of patient care. The aim of this study was to explore a clinical learning experience of 30 second-year Thai students who practiced in clinical settings at a university hospital in Bangkok. Heidegger’s hermeneutic phenomenology was employed as the research approach and data collection was undertaken through individual journal writing and five focus groups. Data were analyzed using content analysis.
The findings revealed six themes reflecting their clinical learning experiences: lack of confidence, fear of making a mistake, getting excited and anxious, hoping to do better, feeling proud, and needing close supervision. After understanding the findings of this study, clinical nursing instructors and nursing education should take into account the students’ feelings and perception during practice in clinical settings. The findings of this study are a basis for planning and developing appropriate supports to enhance student learning in the future.
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2. Holst H, Hörberg U. Students learning in clinical practice, supervised in pairs of students – a phenomenological study. J Nurs Educ Pract. 2013 3(8): 113-124.
3. Lawal J, Weaver S, Bryan V, Lindo JLM. Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing. J Nurs Educ Pract. 2016 (4): 32-39.
4. Bjørk IT, Berntsen K, Brynildsen G, Hestetun M. Nursing students’ perceptions of their clinical learning environment in placements outside traditional hospital settings. J Clin Nurs. 2014 23(19-20): 2958-2967.
5. Mwale OG, Kalawa R. Factors affecting acquisition of psychomotor clinical skills by student nurses and midwives in CHAM Nursing Colleges in Malawi: A qualitative exploratory study. BMC Nurs. 2016 15: 30 doi:10.1186/ s12912-016-0153-7
6. Chesser-Smyth P. How to build self-confidence. Nurs Stand. 2013 27(52): 64.
7. Chesser-Smyth PA, Long T. Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland. J Adv Nurs. 2013 69(1): 145–157.
8. Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Kalyani MN. The challenges of nursing students in the clinical learning environment: A qualitative study. Sci World J. 2016 Article ID 1846178, 7 pages https://dx.doi. org/10.1155/2016/1846178
9. Beck CT. (1993). Nursing students’ initial clinical experience: A phenomenological study. Int J Nurs Stud. 1993 30(6): 189-497.
10. Yang J. (2013). Korean nursing students’ experiences of their first clinical practice. J Nurs Educ Pract. 2013 3(3): 128-138.
11. Mabuda BT, Potgieter E, Alberts UU. Student nurses’ experiences during clinical practice in Limpopo Province. Curationis. 2008 31(1): 19-27.
12. Suwanbamrung C. Learning experience of student nurses through reflection on clinical practice: A case study in pediatric nursing, Southern Thailand. Walailak J Sci & Tech. 2015 12(7): 623-629.
13. Matchim Y, Kongsuwan, W. Thai nursing students’ experiences when attending real life situations involving cardiac life support: A phenomenological study. Nurs Educ Today. 2015 35(12): 1186-1191.
14. Lambert VA, Lambert CE. Philosophical basis for phenomenological research. Pacific Rim Int J Nurs Res. 2010 14(3): 183-185.
15. Neuman W. Social research methods: Qualitative and quantitative approaches. Needham Heights, MD: Allyn & Bacon; 2000.
16. Lincoln YS, Guba E. Naturalistic inquiry. Beverly Hills: Sage; 1985.
17. Arpanantikul M. Methodological issues: Integration of Heideggerian phenomenology and feminist methodology applied to the study of lived experience in women. Thai J Nurs Res. 2003 7(4): 281-293.
18. Arpanantikul M. Midlife experiences of Thai women. J Adv Nurs. 2004 47(1): 49-56.
19. Chapman R, Orb A. The nursing students’ lived experience of clinical practice. AEJNE. 2000 5(2). [cited 2016 March 27]. Available from https://scu.edu.au/schools/ nhcp/aejne/archive/vol5-2/chapmanrvol5_2.html
20. Nair BR, Coughlan JL, Hensley MJ. Student and patient perspectives on bedside teaching. Med Educ. 1997 31: 341-346.
21. Ramani S, Leinster S. Teaching in the clinical environment. Med Teach. 2008 30: 347-364.
22. Mundt MH. Organizing clinical learning experiences in the baccalaureate nursing curriculum. In Chaska NL. The nursing profession turning points. St. Louis: C.V. Mosby; 1990, pp. 77-83.
23. Holland K. A journey to becoming: The student nurse in transition. J Adv Nurs. 1999 29(1): 229-236.
24. Kissinger J. Overconfidence: A concept analysis. Nurs Forum. 1998 33(2): 18.
25. Hoffman K, Elwin C. The relationship between critical thinking and confidence indecision-making. Aust J Adv Nurs. 2004 22(1): 8-12.
26. Latham C, Fahey L. Novice to expert advanced practice nurse role transition: Guided self-reflection. J Nurs Educ. 2006 45(1): 46-48.
27. Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. St. Louis, MS: Elsevier; 2016.
28. Zieber MP. The educational conundrum of making mistakes. Teaching Center Magazine. 2015 22-23.
29. Zieber MP, Williams B. The experience of nursing students who make mistakes in clinical. Int J Nurs Educ Scholarsh. 2015 12(1):1-9.
30. Tiwaken SU, Caranto LC, David JJT. The real world: Lived experiences of student nurses during clinical practice. Int J Nurs Sci 2015 5(2): 66-75.
31. Melincavage SM. Student nurses’ experiences of anxiety in the clinical setting. Nurs Educ Today. 2011 31(8): 785-9.
32. Benner P. From novice to expert: Excellence and power in clinic nursing practice. Menlo Park, CA: Addison-Wesley; 1984.
33. Ismail LM, Aboushady RM, Eswi A. Clinical instructor’s behavior: Nursing student’s perception toward effective clinical instructor’s characteristics. J Nurs Educ Pract. 2016 6(2): 96-105.
34. Tanner C. The art and science of clinical teaching. J Nurs Educ. 2005 44(4): 151-152.
35. Shin KR. The meaning of clinical experience of Korean nursing students. J Nurs Educ. 2000 39(6): 259-265.
36. Bradbury-Jones C, Irvine F, Sambrook S. Empowerment of nursing students in clinical practices: Spheres of influence. J Adv Nurs. 2010 66(9): 2061-2070.
37. Papastavrou E, Dimitriadou M, Tsangari H, Andreou C. Nursing students’ satisfaction of the clinical learning environment: A research study. BMC Nurs. 2016 15: 44. doi: 10.1186/s12912-016-0164-4
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Published
2017-05-05
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Arpanantikul M, Pratoomwan A. Clinical Learning Experiences of Second-Year Thai Nursing Students: A Phenomenological Study. PRIJNR [Internet]. 2017 May 5 [cited 2024 Nov. 24];21(2):121-34. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/53979
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