Making the decision to pass or to fail a nursing student is difficult for nurse educators, yet one that all educators face at some point in time. To make this decision, nurse educators draw from their past experiences and personal reflections on the situation. Using the qualitative method of critical incident technique, the authors asked educators to describe a time when they had to make a decision about whether to pass or fail a student in the clinical setting. The findings describe student and faculty factors important in clinical evaluation decisions, demonstrate the benefits of reflective practice to nurse educators, and support the utility of critical incident technique not only as research methodology, but also as a technique for reflective practice.
This study describes the characteristics of successful and unsuccessful clinical performance in prelicensure nursing students. Clinical evaluation is an important role of nurse educators; however, many feel uncomfortable with its subjective nature, and commonly used criteria for successful and unsuccessful clinical performance are not available in the literature. Using a qualitative descriptive design, we analyzed telephone interviews with 24 nurse educators. Educators indicated successful students were positive and eager to learn, built relationships, communicated well, think critically, prepared for the clinical experience and showed progress, accepted feedback, and adapted to the clinical setting. Unsuccessful students were unprepared for the clinical experience, were unable to function in the clinical area, were unsafe, violated legal-ethical principles, and had difficulty with communication skills. Specific characteristics differentiated students who are considered satisfactory in the clinical area and those who are not. These behaviors may identify students at risk of failure in clinical courses.
Cultural competence is a stated value of nursing and nursing education. However, some institutional and traditional practices in nursing education can unintentionally impede nurses from achieving cultural competence. Both the literature and interviews with nurse educators show that despite educators' intentions to treat all students the same, nontraditional students may feel singled out and may in fact be singled out for closer scrutiny because of their difference from the demographic norms of nursing students. To ensure that the nursing profession reflects the composition of the patient population it serves, nurse educators must first acknowledge the Eurocentric culture of nursing education and, then, work to change the environment in which students are recruited, learn, and take on the role of beginning practicing nurses.
<p>The purpose of this article is to describe a storytelling project that was designed to help community-dwelling older adults find meaning and purpose in their lives through reminiscing about the past. The storytelling project was successful not only for the older adults who participated but also for the nursing students, who were given an opportunity to learn about interviewing and communicating with older adults. The value of life review and storytelling as a nursing intervention became evident from this project. When time is taken to listen to the valuable stories and life lessons of the older population, nurses create a better understanding of their patients while their patients recall special memories and feel proud of their lives.</p>
It may seem unusual for a nurse to intervene and assist a child with a learning disability, but a mental health nurse who knows the warning signs of dyslexia is able to help families who are going through a difficult time. The current article details the author's experience regarding her son's dyslexia diagnosis. For her family, a nurse was a valuable resource. The impact the struggle had not only on her son, but also her family, and the changes brought about by getting a diagnosis and treatment, demonstrate the impact that nurses can have when family-focused care is provided. [Journal of Psychosocial Nursing and Mental Health Services, 55(8), 27-30.].
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