Promoting student learning and increasing organizational capacity to host students in residential aged care: a mixed method research study.

Abstract:

BACKGROUND:In Australia, the Federal government's agenda to increase clinical training places to address the forecast shortfall of nurses is driving innovation in clinical education. A student leadership model of clinical education, named the Student Nurse Led Ward model, was designed for the aged care context to provide a high number of clinical placements for pre-service Bachelor of Nursing students in an under-utilized clinical education setting. OBJECTIVES:The research aimed to determine the viability of the innovation by (1) developing a preliminary understanding of what students were learning and (2) exploring stakeholders' perceptions about student learning. DESIGN:A mixed methods design included an ageing knowledge test and ageing attitudes survey, both administered before and after the placement, student narratives of a learning event written after the placement, as well as focus group and individual interviews with stakeholders. SETTING:Three residential aged care facilities partnering with one university in one Australian jurisdiction. PARTICIPANTS:Included 35 of the 45 students who began placement in the aged care facilities during one semester, a convenience sample of 15 staff and each of the managers and educators from the three agencies. METHODS:Descriptive statistical analysis of student pre-post knowledge test and attitude survey, hermeneutic analysis of student narratives, and content analysis of individual and group interview data. RESULTS:There was an increase in student knowledge around sensory changes, delirium, and drug reactions in older people. There was a slight increase in students' expression of ageist attitudes following the clinical experience. The clinical educator position was considered to be critical to the success of the model. CONCLUSIONS:This Student Nurse Led Ward model is a viable model to increase clinical placements, with preliminary evidence in this study suggesting that students benefit through increased knowledge, understanding and capacity to work with older people.

journal_name

Nurse Educ Today

journal_title

Nurse education today

authors

Grealish L,Lucas N,Neill J,McQuellin C,Bacon R,Trede F

doi

10.1016/j.nedt.2012.11.017

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

714-9

issue

7

eissn

0260-6917

issn

1532-2793

pii

S0260-6917(12)00390-5

journal_volume

33

pub_type

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