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Learning in clinical practice is challenging regarding organizational and pedagogical issues. Clinical education wards are one way to meet these challenges by focusing on both patient care and student learning. However, more knowledge is needed about how students’ learning can be enhanced and about patients’ and supervisors’ roles in these settings.
The aim was to explore nursing students’ learning on a clinical education ward with an explicit pedagogical framework. Semi-structured interviews of students were analyzed using qualitative content analysis and an ethnographic study including observations and follow-up interviews of students, patients and supervisors was conducted.
The core of student meaningful learning experiences both external and internal authenticity. Students in early stages immediately created mutual relationships, experienced both external and internal authenticity, and patients became active participants in student learning. Without a mutual relationship, patients passively let students practice on their bodies. Students nearing graduation experienced only external authenticity, creating uncertainty as a threshold for learning. Caring for patients with complex needs helped students overcome the threshold and experience internal authenticity. Supervisors’ challenges were to balance patient care and student learning by working as a team. They supported students coping with the complex challenges on the ward.
Students need to experience external and internal authenticity to make learning meaningful. Experiencing authenticity, involving meaning-making processes and knowledge construction, is linked to transformative learning and overcoming thresholds. Therefore, an explicit pedagogical framework, based on patient-centredness, peer learning and the supervisory team, creates the prerequisites for experiencing external and internal authenticity.
Sedgwick M, Harris SA. Critique of the undergraduate nursing preceptorship model. Nurs Res Pract. 2012;2012:248356.
Rydlo C. Fighting for the otherness – Student nurses’ lived experiences of growing in caring. Doctoral Thesis. Örebro Studies in Care Sciences. Örebro University, 2010.
Monrouxe LV, Rees CE, Bradley P. The construction of patients’ involvement in hospital bedside teaching encounters. Qual Health Res. 2009;19:918–30. CrossRef
Brewer ML, Stewart-Wynne EG. An Australian hospital-based student training ward delivering safe, client-centred care while developing students’ interprofessional practice capabilities. J Interprof Care. 2013;27:482–8. CrossRef
Moscato SR, Nishioka VM, Coe MT. Dedicated education unit: implementing an innovation in replication sites. J Nurs Educ. 2013;52:259–67. CrossRef
Mezirow J. An overview on transformative learning. In: Illeris K, editor. Contemporary theories of learning. Learning theorists … in their own words. London: Routledge; 2009. pp. 90–105.
Savin-Baden M, Howell Major C. Qualitative research. The essential guide to theory and practice. London: Routledge; 2013.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–12. CrossRef
Hammersley M, Atkinson P. Ethnography. Principles in practice, 3rd ed. London: Routledge; 2007.
McCune V. Final year biosciences students’ willingness to engage: teaching-learning environments, authentic learning experiences and identities. Stud High Educ. 2009;34:347–61. CrossRef
Land R, Rattray J, Vivian P. Learning in the liminal space: a semiotic approach to threshold concepts. High Educ. 2014;67:199–217. CrossRef
Manninen K, Welin Henriksson E, Scheja M, Silén C. Authenticity in learning – nursing students’ experiences at a clinical education ward. Health Educ. 2013;113:132–43. CrossRef
Manninen K, Scheja M, Welin Henriksson E, Silén C. Self-centeredness or patient-centeredness–final year nursing students’ experiences of learning at a clinical education ward. J Nurs Educ Pract. 2013;3:187–98.
Manninen K, Welin Henriksson E, Scheja M, Silén C. Patients’ approaches to students’ learning at clinical education ward-an ethnographic study. BMC Med Educ. 2014;14:131. CrossRef
Manninen K, Welin Henriksson E, Scheja M, Silén C. Supervisors’ pedagogical role at a clinical education ward – an ethnographic study. BMC Nurs. 2015;14:55. CrossRef
- Experiencing authenticity – the core of student learning in clinical practice
- Bohn Stafleu van Loghum