Clinical experiences of RN to BScN nursing students in Kenyan universities

G. Mbuthia, Gisela Van Rensburg, S. Shaibu
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Abstract

Introduction and objective: Clinical learning environments play a great role in nursing training as they allow nursing students to develop their clinical skills by combining cognitive, psychomotor and affective skills. Consequently, clinical learning environments enable nursing students to bridge the theory-practice gap. Fewer studies have examined the clinical experiences of RN to BScN students in Kenya. This paper is part of analytical memo of a larger PhD study that sought to explore and describe the support needs of RN to BScN students in Kenyan universities. The paper focuses on clinical experiences of RN to BScN students.Methods: Using a qualitative phenomenological approach, ten focus group discussions were conducted with 100 RN to BScN students, purposively sampled from four universities in Kenya. Data were analyzed using Tesch’s data analysis protocol. The article has adhered to Consolidated criteria for reporting qualitative studies.Results: The data on RN to BScN students’ clinical experience revealed two themes: curriculum challenges and practice environment and six sub-themes: redundant learning outcomes, redundant clinical assessments, not acknowledging prior learning, lack of clinical supervision, lack of learning resources and “an extra pair of hands”.Conclusions: The study findings highlight the need for review of clinical learning outcomes for the RN to BScN students in Kenya. The findings emphasize the need for collaborative partnerships between universities, clinical learning environments, nurse educators, and policy makers, to design of clinical learning outcomes relevant to RN to BScN students in Kenya.
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肯尼亚大学护理学学士(RN)学生的临床经验
导言和目标:临床学习环境在护理培训中发挥着重要作用,因为它使护生能够将认知技能、心理运动技能和情感技能结合起来,从而发展他们的临床技能。因此,临床学习环境能让护生弥补理论与实践之间的差距。对肯尼亚注册护士到理学士学生临床经验的研究较少。本文是一项大型博士研究的分析性备忘录的一部分,该研究旨在探索和描述肯尼亚大学护理学学士学位学生的支持需求。本文的重点是注册护士到理学士学生的临床经验:采用定性现象学方法,与 100 名从肯尼亚四所大学有目的抽样的护士到理学士学生进行了十次焦点小组讨论。采用 Tesch 数据分析协议对数据进行了分析。文章遵守了定性研究报告的综合标准:有关注册护士到理学士学生临床经验的数据揭示了两个主题:课程挑战和实践环境,以及六个次主题:多余的学习成果、多余的临床评估、不承认先前的学习、缺乏临床监督、缺乏学习资源和 "多一双手":研究结果强调了对肯尼亚注册护士到理学士学生的临床学习成果进行审查的必要性。研究结果强调,大学、临床学习环境、护士教育者和政策制定者之间需要建立合作伙伴关系,共同设计与肯尼亚注册护士到理学士学生相关的临床学习成果。
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