student nurse placement feedback examples

This influenced her own documentation practices: The RN nurses are busy there is not much time left to document nor update the residents care plans. Most nursing students will appreciate being told what they are doing right along with what they could do better. 2018;60:927. One of the best ways to make sure when you give feedback its received and received well starts long before you ever have to provide input. However, the RNs do not have time to supervise or follow-up on us as they are so busy with other responsibilities. https://doi.org/10.1111/jocn.14015. Using that model, you are direct to the point. Poor nurse leaders give criticism because their focus is on blaming you for what you did wrong. (P1, FGB). However, a few students emphasised that even though they experienced that their RN mentor performed more administrative tasks and more technical procedures, they learned from that situation and valued experiencing the complexity surrounding patient care. Nursing students attitudes towards persons who are aged: an integrative review. Three focus group interviews (i.e. So, my mentor really put a lot of effort into me, ensuring that I had a good placement period. Floyd A, Linet A. Researching from within: external and internal ethical engagement. Dont fret, by the end of this article, youll learn the basics of what you need to know to start giving effective feedback. This work was supported by The Research Council of Norway (RCN) grant number 273558. While we strive for accuracy we cannot guarantee the information will be accurate as of the time you look at it. (2018). Status of knowledge on student-learning environments in nursing homes: a mixed-methods systematic review. Hence, nursing homes can serve as rich educational sites that provide the students with positive and enriched learning experiences. Before the pandemic, my placement was going to be in the Accident and Emergency Department, and I was so excited. Is there something one of your nurse peers are doing that is a patient safety risk? Van Lersel M, Latour CHM, Vos R, et al. Eklund A, Skyvell Nilsson M, Billett S. Bridge over troubled water? Make sure youre not just talking to the person, but youre engaging them and encouraging them to be a part of the process. Ford K, Courtney-Pratt H, Marlow A, Cooper J, Williams D, Mason R. Quality clinical placements: the perspectives of undergraduate nursing students and their supervising nurses. 2013;34(3):27291. 2018;62:1439. Specific examples of positive feedback are provided for each scenario. You can provide positive feedback in In addition, numbered identifiers were randomly assigned to each of the participants and their focus group designation (e.g. To protect the anonymity of the participants and the educational institution, participant characteristics are not elaborated in the paper. Then as from some instant example, you can take a look at. A cross-sectional survey. The analyses identified five themes relating to first-year nursing students overall placement experiences when assigned to nursing homes for clinical practice education: (1) variations in utility of pre-placement orientation and welcome at the placement site; (2) a challenging learning environment; (3) spending considerable placement time with non-registered nurses; (4) considerable variability in supervision practices; and (5) a vulnerable and demanding student role. Nevertheless, the findings and issues raised are relevant in a national and international context especially for nursing education programs that apply the preceptorship model for clinical placement or similar teaching methods. (P2, FGC). https://doi.org/10.1016/j.nedt.2015.03.001. Great nursing leaders focus on future performance. Carlson E, Bengtsson M. The uniqueness of elderly care: registered nurses experience as preceptors during clinical practice in nursing homes and home-based care. Did also mention the ability to give constructive feedback is an important trait when talking about the qualities of a good nurse. BMC Nurs. Article In nursing like most other professions, the rationale is important. Criticism comes from a place of not caring about the person. nursing home ward) after 2weeks on placement because her assigned RN mentor was off sick. https://doi.org/10.1080/02701960.2014.954040. of reflection that has six main stages namely description, feeling, evaluation, analysis, conclusion Our findings indicate that staffing shortages and a general lack of available RN mentors, alongside mentors being absent through sick leave combined with their managerial role, introduced considerable vulnerability in student supervision, which negatively influenced students placement experiences. For example, feedback is a great way to build up your coworkers and motivate your fellow nurses to go from an undesirable behavior to a more preferred behavior. (P1, FGB). students) as well as the wider organisation [34]. https://doi.org/10.18261/ISSN1892-2686-2015-04-05. This was quite a change of pace as I was used to my first placement being very hectic and busy but, on this ward, things were a lot more relaxed.For this reason, I found it quite difficult at first as I would sometimes wander round asking myself what I should be doing and making myself anxious, thinking I wasnt being very helpful. (2013). Likewise, students expectations of the ideals of person-centred care do not always meet the realities encountered [3]. Our RN mentor told us directly in the very beginning of our placement period that supervising students was the worst weeks of the year. To ensure confidentiality, any identifying information about participants such as names and location was removed from the interview transcripts. Additionally, the experience demonstrated to me how language barriers affect the (P5, FGA), The nurse educators place emphasis on different things and subjects, some are concerned with and question the students about theory and some teachers do not. Braun V, Clarke V. Using thematic analysis in psychology. clinic sessions. To begin with lets talk about the differences between feedback and criticism. Great nurse leaders will identify what went wrong but are focused on you doing better in the future. 2017;49:14552. This is in addition to the annual non-means tested grant of at least 5,000 from the NHS Learning Support Fund introduced in 2020, with additional payments of 1,000 to those who are studying mental health or learning disability nursing and to those from regions struggling to recruit students. 2015;6(3):71. https://doi.org/10.5430/jnep.v6n3p71. Certainly, clinical placement has great potential to enhance the experiences of the learners (e.g. (2015). Garbrah W, Kankkunen P, Vlimki T. Gerontological nurse teachers' abilities and influence on students' willingness in older people nursing: a cross-sectional, correlational survey. It is busy you know, and my mentor needs to do her work with residents as well as dealing with me. Moreover, some participants in our study reported that the degree of inclusion in the overall work environment during placement differed in ways which imply that the invitational qualities of the workplace were central to opportunities for learning afforded to students [33]. Nurse Educ Today. Health workforce for ageing populations. BMC Nursing (Eds.). I got to learn so much more about wound care, learning how to pack cavity wounds and increasing my confidence surrounding which dressings to use for different types of wounds. health care facilities. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Subscribe to receive advice, insights and inspiration to help you progress your career. Moreover, students spend considerable placement time with non-registered nurses because of marginal access to RN mentors alongside the expressed mismatch between the RNs role and the first-year students learning objectives. care a nurse gives to patients. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. 2018;17(8):8. https://doi.org/10.1186/s12912-018-0277-z. Several participants expressed feeling great comfort and confidence in being paired with another student and especially if the student with whom they were paired had pre-placement clinical experience. 3rd ed. The funder had no role in the design of the project, data collection, analysis, interpretation of data, or in writing and publication of the manuscript. Below are just some of the ideas we have found that make nurses want to shy away from such an important part of the nursing profession and clinical team building. This feedback is when you focus on everything the person is doing right. In the United Kingdom (UK), national standards for the clinical education and mentorship have existed for many years [41, 42], and most recently these have been updated to reflect the shift in UK nursing from mentorship to supervision. We thank Hugh McGonigle, from Edanz Group (https://en-author-services.edanz.com/ac), for editing a draft of the manuscript. Reljic MN, Pajnkihar M, Fekonja Z. Self-reflection during first clinical practice: the experiences of nursing students. This is very unfortunate because it stifles the opportunity for growth and mentorship. Sykepleien Forskning. Overall, participants spoke of the nursing home environment as instructive, even though they had difficulties elaborating on their specific learning outcome beyond learning fundamentals of care, interacting and communicating with older residents and, in particular, residents living with dementia. When I asked specific questions, I sometimes experienced that my mentor gave answers on totally different things and subjects. Several participants reported that their assigned RNs were less involved in the fundamentals of care in comparison with other healthcare workers. Furthermore, adverse variations in supervision and assessment practices were indicated and the vulnerability associated with being a first-year student emphasised. However, above all the supervisory relationship between the student and the registered nurse (RN) mentor is found to be of upmost importance in influencing a students placement and learning experience [16, 17]. A few participants experienced having RN mentors with linguistically diverse backgrounds. Share your thoughts, add your opinion in the comments below. BMC Nurs. Well use the Jane and Sarah example again: Jane is known to be one of the nicest nurses working in the unit. Many universities also offer their own bursaries, often for those with a low household income or for high academic achievement. If either one questioned you on why you were doing something a certain way which one are you more likely to get defensive with? Save my name, email, and website in this browser for the next time I comment. It can be difficult coming into a new team and learning the daily routine of a new placement area, but you soon find your feet. Patton MQ. They just told us this is the form you can use to evaluate your own performance and development. Everyone has to start somewhere, and I learnt that its important to speak up if you ever feel uncomfortable doing something and not to feel under pressure to do anything you dont feel confident enough to do. You will also experience working in a mix of both acute and community settings. Some participants emphasised that this was particularly the case if feedback or questions were given or asked in the presence of residents or their next of kin. Nurse Educ Today. 2. Provided by the Springer Nature SharedIt content-sharing initiative. The other scenario is Sarah. Nurse Educ Pract. We were four students on the ward, each assigned to an RN mentor. Action Plan One researcher moderated the content of the discussions by means of a semi-structured interview guide while the other assisted, took field notes, observed the interaction within the groups, and occasionally followed up with additional questions and clarifications. https://doi.org/10.1016/j.nedt.2017.09.016. When I perform interventions with residents, I know that I should document in the residents records. Nurse Educ Today. The feedback sandwich is one of the go-to ways to deliver useful feedback while avoiding putting the other person on the defensive. This site uses cookies. Epub 2011 Jan 21. The experience showed me Some participants in our study reported communication difficulties with their RN mentors owing to language barriers, which are also reported in the study by Brynildsen et al. Its important to think about when youre going to have the conversation. 2016;37:97102. When there is a language barrier, the nurse may not correctly The interviews were conducted by the first and last author (KL and IA), who represent experienced qualitative researchers with backgrounds in nursing and education. I understand that the information can be relevant, but it is difficult to absorb it all. https://doi.org/10.1016/j.nepr.2012.07.013. Failure to provide an appropriate type of feedback can have a disastrous effect in your workplace. The coded data were then sorted into potential recurring themes covering students experiences with placement in nursing homes. A review of nursing students experiences with nursing home placements found that students feel unprepared for the realities of the nursing home environment and that the practice sites were unprepared for them. It is reported in other studies that student nurses view the nursing home as an environment that provides fewer learning opportunities compared with hospital settings, as students are concerned about technical care [3]. He allowed me to check his temperature Some of those students shared examples of how language difficulties led to misunderstandings and frustration. Moreover, some participants reported being utilised as workers (used as an extra pair of hands) rather than learners by some staff members during their placement, consistent with existing literature [48]. If youre doing something wrong or inefficient wouldnt you rather know about it? Rev Lat Am Enfermagem. I spent my first ever placement as a student nurse working on a trauma orthopaedic ward that specialised in hip fractures. You can find out more information about this model here. Student nurse attrition: a half century of research. By using this website, you agree to our 'Satisfaction' across seven studies was My mentor was not aware of my learning objectives, nor prepared and did not say much if anything during the assessment meeting. https://doi.org/10.19043/ipdj.101.007. at times that we forget the people: staff communication experiences when caring for Most of the participants stated that they were anxious or worried prior to placement because they were afraid of what everyone expected of them and their knowledge and technical skills. Furthermore, some participants expressed that lack of supervisory continuity influenced their feelings of belongingness, security, and overall negative perspective of their placement experience. Unfortunately, student nurses arent paid for the time they spend on placement. Xiao LD, Kelton M, Paterson J. Nurse Educ Today. Focus group interviews were used to explore the students placement experiences. Moquin H, Seneviratne C, Venturato L. From apprehension to advocacy: a qualitative study of undergraduate nursing student experience in clinical placement in residential aged care. Because so much time had passed since my last placement, I felt extremely anxious before starting this placement and I felt like I had forgotten everything that I had learnt and that it would be like starting from the beginning again. One participant in our study reported her perception of nursing being more related to technical tasks rather than essential nursing skills based on that students observation. Nurse Educ Today. All participants were supervised by an RN mentor, and some of the students were supervised in peer learning. Supernumerary means you arent counted in staff numbers and youre never alone help is always available if you need it and no question is a silly question. We wish to thank them for their interest, willingness, time and for sharing their experiences. Nordisk Sygeplejeforskning. Your hospital will benefit from feedback. Focus groups A and B comprised four participants and focus group C comprised five participants. I was allocated a placement on a frailty ward which I ended up really enjoying and even after my first shift, I felt so much more at ease and almost felt silly for worrying so much about it beforehand. 2014;13(1):44. https://doi.org/10.1186/s12912-014-0044-8. However, the readiness of nursing home staff and aptitude to engage and view students placement period as a learning activity likely depends on how well they and the workplace encourage staff to engage with these opportunities [35]. Thirteen first-year nursing students participated in the study. Successful focus groups: advancing the state of the art. J Clin Nurs. Hovey S, Dyck M, Reese C, et al. Int J Res Method Educ. Nursing student attitudes toward and preferences for working with older adults. Student learning in nursing homes is influenced by the interaction of a variety of individual factors (e.g. However, the participants voiced a need for more guidance and preparation prior to placement. Saturation in qualitative research: exploring its conceptualization and operationalization. The research provides insight into the contextual characteristics encountered by first-year students that influence the quality of their placement experiences. Constructive feedback is the primary focus of this article, and it focuses on what someone can do better. I heard a rumour about a teacher that failed several students on the mid-term assessment just because the students written self-assessment was not good enough even though that has never been taught to us prior to placement [how to write self-assessments]. I had not met aboriginal patients before; however I recognised that they had special https://doi.org/10.1016/j.nedt.2012.11.017. If there only is one RN on the shift they are basically just running around with medications and performing RN required procedures. Critical care and ED were my top desired Aboriginal cardiac patients. I was left there without knowing what to do or how to reach other staff members. All authors have read and approved the manuscript. Eligible participants were enrolled in a 3-year bachelors programme in nursing covering 180 European Credit Transfer System points. 2014;89(9):124551. Furthermore, some participants expressed that non-registered nurses more often tended to view them as (purely) a supply of labour, which led some of the students to experience being exploited as manpower during their placement period. (P4, FGA). Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Institutional Affiliation, Reflection as a student nurse on Placement Although the nursing home sector is forecasted to grow in importance as a site for undergraduate students, relatively little research has been undertaken to qualitatively explore students placement experiences in this clinical setting [3]. Lastly, close with another positive feedback. Confusion breathes frustration, and thats exactly what you want to avoid. Standards to support learning and assessment in practice. Only one mentor came and said hello to us on the reception day (P4, FGC). Qual Health Res. https://doi.org/10.1016/j.nedt.2018.10.019. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Are care workers appropriate mentors for nursing students in residential aged care? These students suggested that non-registered nurses were often more engaged in the fundamentals of care and (thus) this aspect of care provision. When you visit any patient in the community, its important to remember that you are a guest in their home, and to respect that. J Work Learn. how knowledge of culturally sensitive care is important in the caring of patients from diverse They just tell us go and do that and that handing over their work tasks on us students. The sample was highly specific for the aim of this study and the interview dialogue was strong, which enhances information power [52]. 2014;14(6):72272. In any Sarah is once again someone you dont really know very well, but you have heard she can be a difficult nurse to work with. (P1, FGA). Maybe you have had a negative experience in the past. Nursing home placements are often provided to foster learning about the fundamentals of nursing care and instil positive attitudes about older people [5, 6]. 2020;28:e3254. Besides, when I cared for residents in the morning, she [the RN mentor] was never present. (P4, FGB). Your nursing coworkers will appreciate the feedback, especially if theyre a. Dont just wait to be asked as it can be easy for staff to forget if its busy and by showing that you want to take part in something, youll also be demonstrating that youre keen to learn. Those students described how high levels of support enabled them to learn how to reflect on their own practice and work more independently throughout the placement period. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. However, for each year of your course you can apply for a Maintenance Loan of up to 12,382 from Student Finance England to help with your living costs. Overall, participants emphasised gaining insight into the complexity and busyness of working as an RN in a nursing home during their placement period, recognising the RNs overall responsibility for residents while simultaneously mentoring students. I have experienced that many non-registered nurses gave me many valuable advices. One student voiced concern and questioned how linguistic challenges could potentially influence the quality of supervision, the outcome of the assessment, and their overall learning and placement experience. Many nurses avoid giving constructive feedback because they dont want to come off as criticizing their nurse coworkers. However, I sought help from student wellbeing and the university was really supportive and considered my partners health condition when deciding where to put me on placement. What is the difference between constructive feedback and negative feedback? I even had the opportunity to follow a patients journey through to theatre and observe their operation, caring for them both before and after the procedure. PubMed (Eds.). Think about it as youre having a discussion with them as opposed to a lecture. They [the non-registered nurses] have a lot of knowledge and skills. 2018;27(5-6):92938. Added with the extra worry of the spread of Covid and my partner being clinically extremely vulnerable, I was dreading it! Some participants described how they had very few working days together with their mentors prior to the mid-term assessment and between the mid-term and final assessment: My RN mentor did not have grounds to say much during the mid-term assessment as we had not worked a lot of days together for several reasons. Google Scholar. Being able to care for patients in their own homes, comfortable and surrounded by their family, I saw a whole different side to end of life care compared to in the hospital. Reflective writing is a useful approach for nurses to learn from experience. Embracing Both The Highs And The Lows Of Placement. We get so task orientated Indeed, previous research indicates that the nurse educators role in clinical practice is not clearly defined and varies by institution and country [39, 40]. Nursing & Midwifery Council. I received a lot of feedback during that clinical. Its not just enough to say, you have a problem or what youre doing is wrong.. (P2, FGA). https://doi.org/10.1108/EUM0000000005548. Developing an attitude of gratitude. Not only does it enhance the good behavior you see such as a strong work ethic, but it also helps to motivate employees doing the right thing. health care demands (Richardson & Stanbrook, 2015). Nurse managers importance for the learning environment of student nurses in nursing homes. Basics of qualitative research: grounded theory procedures and techniques. Letting people know how much you appreciate them. Indeed, a survey of Norwegian nursing students on placement in nursing homes assessed the clinical learning environment more negatively than hospital placements in nearly all dimensions [19]. This was my first community placement and my first placement not on a ward. During the placement period we gradually gained a greater understanding of the busyness of the RN mentors, in fact how busy it really is working as a registered nurse in a nursing home. (P1, FGC). To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Another student described how she experienced being scolded in the presence of a resident: One time I experienced that a care assistant scolded on me in front of the resident. If youre going around giving feedback, you need to make sure you are receptive when other people are trying to provide you with feedback. For my second placement, I was placed on a rehabilitation ward. Notice you want to start off with something that encourages the person. Practical information concerning the written self-assessment assignments was lacking. written assignments), and emotionally demanding placement experiences. By continuing to use this site you consent to our use of cookies.To find out more or to change your cookie settings, visit the cookies section of our Cookie Policy. Related Articles on Constructive Feedback in Nursing. Nurse Educ Today. Four of the authors (KL, KK, EE, and IA) independently read the interviews to garner a general impression and become familiar with the transcripts. I cant imagine a better group who could benefit more from feedback from an experienced nurse like nursing students. Consistent with previous research [29], our findings suggest that the perception of feeling welcome varied. Google Scholar. To document their own learning was something several students reported as difficult and challenging, representing a stressor during their placement period, especially as the students ability to self-reflect in writing was given considerable emphasis by the nurse educator in the formal assessment discussions. In comparison, two students reported having fewer positive experiences. only shook his head. Participants reported stress and high workloads during their placement period, especially concerning the expectation to take responsibility for their own learning. Nurse Educ Today. NMC standards for mentors, practice teachers and teachers. As one student said: I experienced a lot of comfort being paired with and working alongside another student during placement. respect, not courtrooms. Your email address will not be published. What has been your experience in giving constructive feedback? Thus, to enhance nursing homes as clinical placements and increase the capacity to foster positive placement and learning experiences, several have argued for development and application of placement models tailored to better accommodate the marginal nursing home context [28, 29]. One student explained how she experienced that nursing documentation was not given priority on a busy workday. Then tell them what you noticed happen as a result of what they did. Int Pract Dev J. Opportunities for feedback during placement include: Informal feedback: part of the normal day-to-day interaction. Formative feedback i.e. feedback that is specifically designed to reflect on the students current performance, relative to learning objectives, with guidance on strategies for improvement, that is not assessed. (P4, FGC), I was a bit surprised that our mentor appeared so uncertain about what we students should do or what our learning objectives were because I assume, they [the mentors] have some kind of course or receive information from the education institution. Merkley BR. regulatory health care bodies require reflective practice among health care practitioners for their When it comes to giving constructive feedback in nursing, the personal brand you created as a nurse matters? Sample size and data saturation in qualitative research has been subject to enduring discussions arising from a variety of conceptual understandings [51]. Ask questions, comment and like this article below! In general, students have described nursing home placements as emotionally demanding while feeling insecure, scared, nervous, and intimidated when working with older people [20]. Four participants dropped out of the study prior to the focus group interviews owing to sickness or because they were absent on the day of the scheduled interview. Those participants having no prior exposure to patient care pre-placement reported this to a higher degree than those with prior patient experience. Qualitative research and evaluation methods (3rd edition). Mueller C, Goering M, Talley K, Zaccagnini M. Taking on the challenge of clinical teaching in nursing homes. You tell them what you saw them doing that way they know exactly what youre talking about. I experienced that day to be of most value as it was easier to ask questions and interact. So, it was of course very challenging for some of us in the beginning of the placement period. Nurs Inq. Available at: https://www.who.int/ageing/publications/health_workforce_ageing/en/.