A good beginning: The long-term effects of a clinical communication programme
Caroline San Miguel
Senior Lecturer, ELSSA Centre, University of Technology, Sydney NSW
Frances Rogan
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney NSW
PP: 179 - 190
Abstract
Nursing students from culturally and linguistically diverse backgrounds play a valuable role in meeting the health care needs of multi-ethnic and multi-lingual societies. However, such students may not succeed during clinical placements due to difficulties with spoken communication.
This paper presents the long-term effects of a language programme that aimed to improve students' spoken communication on clinical placements. Final year students who had completed the programme in the first year of their undergraduate degree were interviewed about their experiences of clinical placements and their perceptions of any long-term effects of the programme.
The results suggest that early intervention language programmes may contribute to greater confidence and success for students. However, ongoing language programmes and institutional changes are required to improve students' clinical learning experiences.
Keywords
nursing, clinical placement, cultural and linguistic diversity, communication, nurse education, international students
References
Abriam-Yago K, Yoder M and Kataoka-Yahiro M (1999) The Cummins model: A framework for teaching nursing students for whom English is a second language. Journal of Transcultural Nursing 10(2): 143-149.
Atack L, Comacu M, Kenny R, LaBelle N and Miller D (2000) Student and staff relationships in a clinical practice model: Impact on learning. Journal of Nursing Education 39(9): 387-392.
Bosher S and Smalkoski K (2002) From needs analysis to curriculum development: Designing a course in health-care communication for immigrant students in the USA. English for Specific Purposes 21(1): 59-79.
Brammer J (2006) RN as gatekeeper: Student understanding of the RN buddy role in clinical practice experience. Nurse Education in Practice 6: 389-396.
Bray L and Nettleton P (2007) Assessor or mentor? Role confusion in professional education. Nurse Education Today 27(8): 848-855.
Brown VM (2005) Culturally and linguistically diverse nursing student education: A grounded theory study. PhD thesis, Curtin University of Technology. Retrieved 24 June 2008 from http://espace.library.curtin.edu.au/R?func=search-simplego&ADJACENT=Y&REQUEST=adt-WCU20060905.091530/.
Caputi L, Englemann L and Stasinopoulos J (2006) An interdisciplinary approach to the needs of non-native speaking nursing students: Conversation circles. Nurse Educator 31(3): 107-111.
Chant S, Jenkinson T, Randle J, Russell G and Webb C (2002) Communication skills training in health care: A review of the literature. Nurse Education Today 22: 189-202.
Cherry BS (2002) Responding to consequences of diversity in nursing education. Journal of Professional Nursing 18(5): 249-250.
Darr A (2004) Improving the recruitment of South Asian people into nursing. Nurse Education Today 24: 417-419.
Dunn SV and Hansford B (1997) Undergraduate nursing students' perceptions of their clinical learning environment. Journal of Advanced Nursing 25: 1299-1306.
Gibbons C, Dempster M and Moutray M (2008) Stress and eustress in nursing students. Journal of Advanced Nursing 61(3): 282-290.
Gonda J, Hussin V, Blackman I and Gaston J (1995) Migrant nurses: Their unique value. In G Gray (Ed) Issues in Australian nursing 4, pp.129-144. Melbourne: Churchill Livingstone.
Grealish L and Trevitt C (2005) Developing a professional identity: Student nurses in the workplace. Contemporary Nurse 19(1-2): 137-150.
Guhde J (2003) English-as-a-second language (ESL) nursing students: Strategies for building verbal and written language skills. Journal of Cultural Diversity 10(4): 113-117.
Gunn-Lewis J and Smith L (1999) 'Developing communication skills for clinical practice: From Chinese doctor to New Zealand nurse'. Melbourne: 22nd Annual HERDSA Conference: Cornerstones: What Do We Value in Higher Education. Retrieved 24 June 2008 from http://www.herdsa.org.au/?page-id=181.
Hussin V (1999) 'From classroom to clinical: Towards a model of learning support for NESB students in clinical placements'. Melbourne: 22nd Annual HERDSA Conference: Cornerstones: What Do We Value in Higher Education. Retrieved 24 June 2008 from http://www.herdsa.org.au/?page-id=181.
Jalili-Grenier F and Chase MM (1997) Retention of nursing students with English as a second language. Journal of Advanced Nursing 25(1): 199-203.
Klisch M (2000) Retention strategies for EAL nursing students. Journal of Multicultural Nursing and Health 16(1): 21-28.
Kluge MA, Glick LK, Englemann LL and Hooper JS (2007) Teaching nursing and allied health care students how to 'communicate care' to older adults. Educational Gerontology 33(3): 187-207.
Levett-Jones T, Lathlean J, Maguire J and McMillan M (2007) Belongingness: A critique of the concept and implications for nursing education. Nurse Education Today 27: 210-218.
Malthus C, Holmes J and Major G (2005) Completing the circle: Research-based classroom practice with EAL nursing students. New Zealand Studies in Applied Linguistic 11(1): 65-89.
Malu K and Figlear M (1998) Enhancing the language development of immigrant EAL nursing students: A case study with recommendations for action. Nurse Educator 23(2): 43-46.
McCabe C and Timmins F (2003) Teaching assertiveness to undergraduate nursing students. Nurse Education in Practice 3: 30-42.
Memmer MK and Worth C (1991) Retention of English-as-a-second-language (EAL) students: Approaches used by California's 21 Generic Baccalaureate Nursing Programmes. Journal of Nursing Education 30(9): 389-396.
Rogan F, San Miguel C, Brown D and Kilstoff K (2006) 'You find yourself '. Perceptions of nursing students from non- English speaking backgrounds of the effect of an intensive language support program on their oral communication skills. Contemporary Nurse 23(1): 72-86.
San Miguel C, Rogan F, Kilstoff K and Brown D (2006) Clinically speaking: A communication skills program for students from non-English speaking backgrounds. Nurse Education in Practice 6(5): 268-274.
Seibold C, Rolls C and Campbell M (2007) Nurses on the move: Evaluation of a programme to assist international students undertaking an accelerated Bachelor of Nursing programme. Contemporary Nurse 25(1-2): 63-71.
Shen J and Spouse J (2007) Learning to nurse in China - Structural factors influencing professional development in practice settings: A phenomenological study. Nurse Education in Practice 7, 323-331.
Symes L, Tart K, Travis L and Toombs MS (2002) Developing and retaining expert learners. Nurse Educator 27(5): 227-231.
Thorne S, Kirkham S and MacDonald-Emes J (1997) Interpretive description: A non-categorical qualitative alternate for developing nursing knowledge. Research in Nursing and Health 20(2): 169-177.
Yoder MK and Saylor C (2002) Student and teacher roles: Mismatched expectations. Nurse Educator 27(5): 201-203.
Zollo JA (1998) Reflective practice in nurse education: A step towards equity in education and health. Collegian 5(3): 28-33.

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