The barriers of clinical education in nursing: A systematic review

Shadadi, Hosien; Sheyback, Mahmood; Balouchi, Abbas; Shoorvazi, Maryam

doi:10.4066/biomedicalresearch.29-18-1064

Cited by 29 publications

(18 citation statements)

References 30 publications

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“…[ 29 ] In a study, discrimination between nursing students and other students in the field of medical sciences, as well as the reluctance of staff to collaborate with nursing educators, have been suggested as supportive barriers for students. [ 30 ]…”

Section: Resultsmentioning

confidence: 99%

The challenges of supporting nursing students in clinical education

Jafarian_amiri

Zabihi

Qalehsari

2020

J Edu Health Promot

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Clinical education requires creating a supportive atmosphere for learners and nursing students, who need support to be prepared for their future profession. The purpose of this study is to investigate the challenges of supporting the nursing students in clinical education. This article reviewed studies conducted between 2009 and 2019 with the keywords including support, challenge, students, education, and nursing using SID, Magiran, IranMedex, Google Scholar, Elsevier, and PubMed as databases. Among the 926 articles obtained during the two review stages, which were based on the inclusion and exclusion criteria and the first one analyzed the title and the abstract and the second one analyzed the whole article, ultimately 32 articles were selected for the study. The types of articles used in this study are as follows: qualitative (16 articles), descriptive analytical and cross-sectional (12 articles), review (3 articles), and mixed-methods (1 article). The focus of all studies was on the students' clinical education environment. The participants of the studies were undergraduate nursing students (in 22 articles), graduate students (in 2 articles), nursing instructors and students (in 4 articles), and nursing instructors and managers (in 1 article). Most of the challenges of supporting the students included violence, fear, and anxiety; socio-cultural challenges, environmental-organizational stresses; and ineffective clinical education. The findings of this study showed that nursing students face many challenges in the clinical setting. Therefore, the managers of educational and health-care centers should give a high priority to their students' support programs.

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Section: Resultsmentioning

confidence: 99%

The challenges of supporting nursing students in clinical education

Jafarian_amiri

Zabihi

Qalehsari

2020

J Edu Health Promot

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“…An extensive training, however, may not be possible from a logistical perspective, especially if these measurement instruments to be implemented and used national wide [ 38 ]. Thus, developing an instrument that is simple and can meet the caregivers’ level of oral health knowledge and skills could be an alternative approach that may establish sufficient reliability without the need for prior training.…”

Section: Discussionmentioning

confidence: 99%

Measurement properties, interpretability and feasibility of instruments measuring oral health and orofacial pain in dependent adults: a systematic review

et al. 2022

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Background Dependent adults have been shown to have a greater experience of oral health deterioration and orofacial pain. This is partly because their non-dental caregivers may not easily identify oral health problems and orofacial pain experienced by them. Thus, this systematic review aimed to investigate measurement properties, interpretability and feasibility of instruments assessing oral health and orofacial pain in dependent adults, which can be used by the non-dental caregivers to establish oral care plans for those who are dependent upon them. Methods Seven bibliographic databases were searched: MEDLINE, Embase, CINAHL, CENTRAL, HTA, OATD and OpenGrey. Citations and reference lists of the included studies were also manually searched. Two authors independently screened titles and abstracts, and then full texts. A quality assessment of included studies was conducted independently by two authors using the COSMIN Risk of Bias checklist. The best evidence synthesis method was used to synthesise results from different studies for each measurement property per measurement instrument by integrating the overall rating for each measurement property per measurement instrument with its quality level of evidence. Results Nineteen eligible studies were included, which reported the development, measurement properties’ evaluation, interpretability and feasibility of nine oral health and three orofacial pain measurement instruments. Methodological quality of the included studies ranged from very good to inadequate. None of the identified measurement instruments has been adequately and comprehensively tested. Conclusions While several measurement instruments were identified in this systematic review, more evidence is needed to be able to more comprehensively evaluate these instruments. Among those identified, the OPS-NVI demonstrated sufficient construct validity, while the OHAT and the THROAT demonstrated sufficient reliability. These instruments therefore have potential for future use with more confidence once other measurement properties, interpretability and feasibility have been sufficiently tested and evaluated.

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“…The findings indicated the peak medical dominance and physician-centered atmosphere in clinical education due to the presence of physicians managing all clinical centers, so most clinical resources and facilities were available to them and nursing students were not allowed to use them. Numerous studies have confirmed severe discrimination between nursing and medical students in terms of distribution of welfare and educational facilities, including libraries, the Internet, and training classes (6,18,29). Asirifi (2017) reported in a study in Ghana that students must purchase their own equipment such as a thermometer, gloves, a stethoscope, and hand towels for clinical learning (30).…”

Section: Physician-centered University Educationmentioning

confidence: 99%

Medical Dominance in Nursing Education: Qualitative content analysis

Moosaeifard¹,

Zarea²,

Nir³

et al. 2020

IJAM

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Background: Training specialist manpower requires social justice in higher education and inequality leads to the emergence of hierarchies of power and types of dominant or dominated groups. Aim: The aim of the present study was to explain the perceptions and experiences of the heads of nursing departments of Iranian nursing schools regarding medical dominance in nursing education. Methods: The present study was a conventional content analysis. Data collection was carried out using purposeful sampling and in-depth semi-structured interviews with 24 participants. The data analysis process was performed according to Graneheim and Lundman’s qualitative content analysis (2004). Findings: Data analysis led to the emergence of the theme of "Medical dominance in nursing education" and the three main categories of “physician-centered university education", "weakened educational status", and "belittling nursing education in medical system”. Conclusion: The findings of the present study indicated that physicians enjoy special and superior position in the structure of the Ministry of Health and Medical Education of Iran. Physicians manage the entire system including medical education due to their greater power in managing the system at all micro and macro levels. Thus, other disciplines including nursing education, which are closely related to medicine, are highly ignored.

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The barriers of clinical education in nursing: A systematic review

Cited by 29 publications

References 30 publications

The challenges of supporting nursing students in clinical education

The challenges of supporting nursing students in clinical education

Measurement properties, interpretability and feasibility of instruments measuring oral health and orofacial pain in dependent adults: a systematic review

Medical Dominance in Nursing Education: Qualitative content analysis

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