Objective: To evaluate an intervention of a modified assessment process for nursing students in clinical practice and how this process was experienced by the nursing students and their supervisors. Methods: An intervention study with a descriptive approach. The data collection was conducted in two phases with a survey and follow-up group interviews. Participants were second-year nursing students and their nursing supervisors. Descriptive statistics were used for the quantitative data (survey) and qualitative content analysis for the qualitative data (tape-record and transcribed interviews). Mixed method was used to integrate all data. Findings: The survey response rate was 65% (n = 41 students) and 100% (n = 9 supervisors). Students and supervisors found the assessment tool applicable for the assessment process. Assessment through dialogue and Supportive learning environment, describe how the modified assessment process was experienced. Conclusions and implication for clinical practice: It is important that the supervisors understand the learning goals and assessment criteria and how to use the assessment tool. Clear structures based on learning goals and assessment criteria as well as their own strategies to reach their goals benefit student learning. Strategies need to be developed to facilitate the assessment process when the teachers from the university have a consulative role. The new assessment tool and changing the university teachers' involvement can be seen as a form of professional development of the supervisors' group as they take greater responsibility in conducting the assessment of nursing students in clinical practice.
Living with long-lasting pain -patients' experiences of neuropathic pain Aim. The aim of this study was to describe the lived experiences of patients with neuropathic pain.Background. An estimated 132 000 (1AE5%) Swedes are affected by some form of neuropathic pain, but the exact prevalence is uncertain. Neuropathic pain is a syndrome that is often under-diagnosed. Earlier studies focusing on the experience of neuropathic pain show that it has a huge impact on life and that pain-related limitations result in social withdrawal. Conclusions. The present study contributes to nursing knowledge by presenting a picture of living with neuropathic pain. It confirms earlier data which found that living with neuropathic pain often brings major changes in a person's way of life, influencing daily activities and social life. The findings indicate the importance of being met with empathy and a positive attitude from healthcare professionals and pointed out the negative impact on a patient's trust when healthcare professionals question them about the pain. The findings confirm that feelings of loneliness and vulnerability emerged when patients were not met with trust. Relevance for clinical practice. The findings are clinically relevant for nurses and other healthcare professionals, because they provide information on the patients' symptoms and the strategies they use to deal with neuropathic pain on a daily basis. The current study indicates that more attention must be placed on the healthcare professionals' attitude when meeting patients living with neuropathic pain. The findings highlight that professional and positive encounters between healthcare staff and patients should be emphasised, as a part of nursing education and in clinical practice, as this has a profound effect on the patient's trust in care.
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