Reconceptualising preceptorship in clinical nursing education in Ghana

Asirifi, Mary Asor; Ogilvie, Linda; Barton, Sylvia; Aniteye, Patience; Stobart, Kent; Білаш, Оленка; Eliason, Cecilia; Achempim-Ansong, Gloria; Kwashie, Atswei Adzo; Aziato, Lydia

doi:10.1016/j.ijans.2019.04.004

Cited by 18 publications

(14 citation statements)

References 25 publications

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“…Therefore, the need to improve clinical nursing education is an important aspect of training of nurses. Thematic areas of importance in improving clinical nursing education include having positive clinical environment, effective clinical supervision, adequate assessment of students and clinical-academic collaborations [20]. However, there are no current studies reporting the student evaluation of their clinical placement experience in Ghana.…”

Section: Introductionmentioning

confidence: 99%

Clinical learning environment of nursing and midwifery students in Ghana

2021

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Background Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience. Methods This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA. Results Most of the sampled students were Nurses (67%) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001). Conclusion Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

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Section: Introductionmentioning

confidence: 99%

Clinical learning environment of nursing and midwifery students in Ghana

2021

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“…Although this definition is from a western country, it fits the description of a preceptor within the Ghanaian context. A representative from the Nursing and Midwifery Council of Ghana (N&MCG) in an earlier study explained that the preceptor's role is expected to focus on collaboration between clinical agencies and training institutions in clinical teaching, organization of clinical conferences, and provision of feedback to students, although there was uncertainty about the extent of implementation [ 6 ]. Consequently, preceptors have a responsibility to offer guidance and support to nursing students in the practice setting by creating an environment that enables students to make sense of their experience by applying theory to practice; providing constructive feedback; and facilitating and enhancing reflection on experiences, performance, and practice [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A Multisite Study on Knowledge, Perceived Motivators, and Perceived Inhibitors to Precepting Nursing Students within the Clinical Environment in Ghana

Enyan

Amoo

Boso

et al. 2021

Nursing Research and Practice

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Background. Preceptorship constitutes an important component of the educational process of training nursing students. The purpose of this study was to assess the knowledge, perceived motivators, and perceived inhibitors to precepting nursing students at the clinical placement sites in the Cape Coast Metropolis of the Central Region of Ghana. Methods. A descriptive cross-sectional study was conducted among 442 nurses and midwives aged 27–56 years with at least three years of work experience. Data were collected with a questionnaire and analyzed using frequency counts, percentages, exploratory factor analysis, and point biserial correlation. Results. The results indicate that the participants had a high knowledge of preceptorship of up to 91.2% (n = 404). A significant proportion of up to 88.2% (n = 390) had an intention to precept nursing students in the near future. The three important perceived motivational factors to precepting nursing students were the learning and professional needs of students, helping students to develop skills, and experience and formal recognition of the role of preceptorship. The main perceived inhibitors to engage in a preceptorship role were lack of preparation for the role, lack of support from faculty and nurse managers, and additional work burden. The results further indicate a significant strong positive correlation between experience and professional recognition of preceptorship and the intention to precept nursing students in the near future (r = 0.99, p = 0.037 ). Conclusions. The nurses and midwives who participated in the study are knowledgeable about preceptorship and have the intention to precept nursing students. Having enough experience on the job and being formally recognized as a preceptor may motivate these professionals to precept nursing students. However, there are critical perceived barriers that need to be addressed, to enable more nurses and midwives with the desire to precept students to engage in the preceptorship role.

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“…For instance, in South Africa, nursing students are reported to receive limited support from clinical instructors or professional nurses and sometimes experience varied forms of 'bullying' [17]. In Ghana, resource constraints are some of the challenges nursing students face during clinical placements [20].…”

Section: Why It Mattersmentioning

confidence: 99%

Nursing Students’ First Clinical Experience with a Dying Patient or the Dead: A Phenomenological Study

Kwakye

Antwi²,

Essel³

et al. 2020

JESBS

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Aim: The aim of the study was to explore nursing students’ first clinical experience with a dying patient or the dead. Study Design: The study employed a qualitative case study design involving six students, homogenous in nature and purposively selected from the nursing department of a private university in Accra. We used in-depth interviews to solicit for lived experiences of the participants and the field data were analysed using Interpretative Phenomenological Analysis technique. Results: Seven themes emerged from the analysis; reasons for choosing nursing as a profession, emotional and psychological effects, coping strategies, preparation of the student before clinical placement, access to counselling and future thoughts about nursing. Productive and unproductive forces are used to illustrate the experiences of the students. The results showed that nursing students were inadequately prepared for their first clinical practice and experienced varied negative emotional and psychological effects such as fear and stress. Some of the students were unable to cope with their experiences and as a result wanted to quit the training while others were able to accept the situation due to their personal disposition. Conclusion: The authors recommend that students should be given adequate orientation or preparation before clinical placement and where possible, counselling services should be made available to them before, during and after their clinical placement both at the hospital and in the school.

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Reconceptualising preceptorship in clinical nursing education in Ghana

Cited by 18 publications

References 25 publications

Clinical learning environment of nursing and midwifery students in Ghana

Clinical learning environment of nursing and midwifery students in Ghana

A Multisite Study on Knowledge, Perceived Motivators, and Perceived Inhibitors to Precepting Nursing Students within the Clinical Environment in Ghana

Nursing Students’ First Clinical Experience with a Dying Patient or the Dead: A Phenomenological Study

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