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Problems in the Supervision and Assessment of Student Nurses: Can clinical placement be improved?
Jim Kevin
Lecturer, School of Nursing and Midwifery, La Trobe University, Bendigo Campus, Bendigo VIC
Abstract
The assessment and supervision of student nurses during clinical placement remains a complex activity. The student needs to be assessed thoroughly to identify his or her strengths and weaknesses. Further, this assessment should be conducted in circumstances which allow the student to be at his or her best. There are many which continue to impact upon clinical supervisors although documented over the last five to ten years.
This paper addresses how assessment and student supervision are still influenced by extraneous factors. Its major suggestion is for universities to place a greater emphasis on all aspects of the clinical placement component within nursing courses.
Keywords
clinical, assessment, student, nurse
References
Aston L, Mallik M, Day C and Fraser D (2000) An exploration into the role of the teacher/lecturer in practice: findings from a case study in adult nursing. Nurse Education Today 20(3): 178-188.
Blackstock N (2005) Poor attrition may be more to do with course content. Nursing Standard 19(33): 39.
Brackenreg J (2004) The brave new university world: factors affecting quality assurance of nursing graduates in Australian undergraduate programs. Collegian 11(1): 28-34.
Brennan A and Hutt R (2001) The challenges and conflicts of facilitating learning in practice: the experiences of two clinical nurse educators. Nurse Education in Practice 1: 181-188.
Calman L, Watson R, Norman I, Redfern S and Murrells T (2002) Assessing practice of student nurses: methods, preparation of assessors and student views. Journal of Advanced Nursing 38(5): 516-523.
Cason CL, Cason GJ and Bond ML (1990) Maternal infant clinical nurse specialist performance assessment: reliability and validity of an evaluation tool. Clinical Nurse Specialist 4(4): 187-193.
Chambers MA (1998) Some issues in the assessment of clinical practice: a review of the literature. Journal of Clinical Nursing 7: 201-208.
Chapman H (1999) Some important limitations of competency-based education with respect to nurse education: an Australian perspective. Nurse Education Today 19: 129-135.
Clifford C (1994) Assessment of clinical practice and the role of the nurse teacher. Nurse Education Today 14: 272-279.
Craig JL and Page G (1981) The questioning skills of nursing instructors. Journal of Nursing Education 20(5): 18-23.
Davies E, Turner C and Osborne Y (1999) Evaluating a clinical partnership model for undergraduate nursing students. Collegian 6(2): 23-28.
Dolan G (2003) Assessing student nurse clinical competency: will we get it right? Journal of Clinical Nursing 12(1): 132 - 141.
Drennan J (2002) An evaluation of the role of the clinical placement coordinator in student nurse support in the clinical area. Journal of Advanced Nursing 40(4): 475-486.
Duke M (1996) Clinical evaluation - difficulties experienced by sessional clinical teachers of nursing: a qualitative study. Journal of Advanced Nursing 23: 408-414.
Edgecombe K, Wotton K, Gonda J and Mason P (1999) Dedicated education units: a new concept for clinical teaching and learning. Contemporary Nurse 8(4): 166- 171.
Elliott M (2002) The clinical environment: a source of stress for undergraduate nurses. Australian Journal of Advanced Nursing 20(1): 34-38.
Finn T, King J and Thorburn J (2000) The educational needs of part time clinical facilitators. Contemporary Nurse Journal 9(2): 132-139.
Fordham AJ (2005) Using a competency based approach in nurse education. Nursing Standard 19(31): 41-48.
Gassner L, Wotton K, Clare J, Hofmeyer A and Buckman J (1999) Theory meets practice. Collegian 6(3): 14-21.
Gillespie M (2002) Student-teacher connection in clinical nursing education. Journal of Advanced Nursing 37(6): 566-576.
Girot EA (1993) Assessment of competence in clinical practice: a phenomenological approach. Journal of Advanced Nursing 18: 114-119.
Haas BK, Deardorff KU, Klotz L, Baker B, Coleman J and De Witt A (2004) Creating a collaborative partnership between academia and service. Journal of Nursing Education 41(12): 518-523.
Hepworth S (1991) The assessment of student nurses. Nurse Education Today 11: 46-52.
Hill PF (1998) Assessing the competence of student nurses. Journal of Child Health Care 2(1): 25-30.
House BM, Chassie MB and Bowling-Spohn B (1990) Questioning: an essential ingredient in effective teaching. The Journal of Continuing Education in Nursing 21(5): 196-201.
Hutchings A, Williamson GR and Humphreys A (2005) Supporting learners in clinical practice: capacity issues. Journal of Clinical Nursing 14(8): 945-959.
Hrobsky PE and Kersbergen AL (2002) Preceptor's perceptions of clinical performance failure. Journal of Nursing Education 41(12): 550-553.
Justice S (2005) Fighting back. Nursing Standard 19(33): 72.
Kaviani N and Stillwell Y (2000) An evaluative study of clinical preceptorship. Nurse Education Today 20: 218-226.
Koh LC (2002) Practice - based teaching and nurse education. Nursing Standard 16(19): 38-42.
Kenny G (2004) The tensions between education and models of nurse preparation. British Journal of Nursing 13(2): 94-100.
Kyrkjebo JM and Hage I (2005) What we know and what they do: nursing students' experiences of improvement knowledge in clinical practice. Nurse Education Today 25(3): 167-175.
Lally C and Brandis M (1996) The kindness of strangers - how nursing students really learn. Imprint Sept/Oct: 52-55.
Landers MG (2000) The theory-practice gap in nursing: the role of the nurse teacher. Journal of Advanced Nursing 32(6): 1550-1560.
Landers M (2001) The theory/practice gap in nursing: the views of the students. The All Ireland Journal of Nursing and Midwifery 1(4): 142-147.
Landmark B, Hansen GS, Bjones I and Bohler A (2003) Clinical supervision - factors defined by nurses as influential upon the development of competence and skills supervision. Journal of Clinical Nursing 12: 834-841.
Lofmark A and Wikblad K (2001) Facilitating and obstructing factors for development of learning in clinical practice: a student perspective. Journal of Advanced Nursing 34(1): 43-50.
Mahara M S (1998) A perspective on clinical evaluation in nursing education. Journal of Advanced Nursing 28(6): 1339-1346.
Marcum EH and West RD (2004) Structured orientation for new graduates: a retention strategy. Journal for Nurses in Staff Development 20(3): 118-124.
McKenna LG and Wellard SJ (2004) Discursive influences on clinical teaching in Australian undergraduate nursing programs. Nurse Education Today 24: 229-235.
Matteson-Kane M and Clarren D (2003) Recruiting students is one thing: keeping them is another. Nurse Educator 28(6): 281-283.
Meyer T and Xu Y (2005) Academic and clinical dissonance in nursing education: are we guilty of failure to rescue? Nurse Educator 30(2): 76-79.
Murphy FA (2000) Collaborating with practitioners in teaching and research: a model for developing the role of the nurse lecturer in practice areas. Journal of Advanced Nursing 31(3): 704-716.
Myatt K (2005) Trained staff should give students a break. Nursing Standard 19(36): 39.
Napthine R (1996) Clinical education: a system under pressure. Australian Nursing Journal 3(9):20-24.
National Review of Nursing Education 2002 - Our Duty of Care (2005) Australian Government - Department of Education, Science and Training.
Neary M (2000) Responsive assessment of clinical competence: part 1. Nursing Standard 15(9): 34-36.
Neuman JA, Brady-Schluttner KA, McKay AK, Roslien JJ, Twedell DM and James KMG (2004) Centralizing a Registered Nurse Preceptor program at the institutional level. Journal for Nurses in Staff Development 20(1):17-24.
Nicol M and Freeth D (1998) Assessment of clinical skills: a new approach to an old problem. Nurse Education Today 18: 601-609.
Norman IJ, Watson R, Murrells T, Calman L and Redfern S (2002) The validity and reliability of methods to assess the competence to practise of pre-registration nursing and midwifery students. International Journal of Nursing Studies 39: 133-145.
Nyland L and Lindholm L (1999) The importance of ethics in the clinical supervision of nursing students. Nursing Ethics 6(4): 278-286.
Parish C (2004) A war of attrition. Nursing Standard 19(11): 14-16.
Peach L (2002) Placement blues. Nursing Times 98(17): 24-26.
Phillips N and Duke M (2001) The questioning skills of clinical teachers and preceptors: a comparative study. Journal of Advanced Nursing 33(4): 423-529.
Pfeil M (2003) Assessing the clinical skills performance of nursing students. Journal of Child Health Care 7(3):191-206.
Profetto-McGrath J, Bulmer Smith K, Day RA and Yonge O (2004) The questioning skills of tutors and students in a context based baccalaureate nursing program. Nurse Education Today 24: 363-372.
Sellappah S, Hussey T, Blackmore AM and McMurray A (1998) The use of questioning strategies by clinical teachers. Journal of Advanced Nursing 28(1): 142-148.
Sprengel A and Job L (2004) Reducing student anxiety by using clinical peer mentoring with beginning nursing students. Nurse Educator 29(6): 246-250.
Teeter M (2005) Formula for success: addressing unsatisfactory clinical performance. Nurse Educator 30(3): 91-92.
Wallace B (2003) Practical issues of student assessment. Nursing Standard 17(31): 33-36.
Watson R (2002) Clinical competence: Starship Enterprise or straitjacket? Nurse Education Today 22: 476-480.
Watson R, Stimpson A, Topping A and Porock D (2002) Clinical competence assessment in nursing: a systematic review of the literature. Journal of Advanced Nursing 39(5): 421-431.
Weber S (2005) Promoting critical thinking in students. Journal of the American Academy of Nurse Practitioners 17(6): 205-206.
Williams A, Wellard SJ and Bethune E (2001) Assessing Australian undergraduate clinical learning. Collegian 8(4): 9-13.
Woo-Sook L, Cholowski K and Williams AK (2002) Nursing students' and clinical educators' perceptions of characteristics of effective clinical educators in an Australian university school of nursing. Journal of Advanced Nursing 39(5): 412- 420.
Wood V (1982) Evaluation of student nurse clinical performance- a continuing problem. International Nursing Review 29(1): 11-18.
Yonge O, Myrick F and Haase M (2002) Student Nurse stress in the preceptorship experience. Nurse Educator 27(2): 84-88.
Zungolo E (2003) Challenges in nursing education research. Nursing Education Perspectives 24(4): 166.
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