Startseite Clinical instruction in mental health nursing: students’ perceptions of best practices
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Clinical instruction in mental health nursing: students’ perceptions of best practices

  • Chris Wenzel EMAIL logo , Sherri Melrose , Annette Lane und Arlene Kent-Wilkinson
Veröffentlicht/Copyright: 18. April 2022

Abstract

Objectives

Negative clinical educational experiences for student nurses are predictors of negative attitudes and perceptions towards mental health. In clinical education, instructors take on this important role often with little to no formal training. This study explored nursing students’ perceptions of instructional best practices in mental health clinical education.

Methods

A qualitative descriptive design was used, and 10 Canadian baccalaureate nursing (BN) students were interviewed. These students had completed a six-week practicum on an acute inpatient psychiatric unit in either their second, third or fourth year of study.

Results

Through thematic analysis, three themes were identified: (1) Students valued feeling prepared at the beginning of the clinical placement. (2) Students felt empowered when instructors encouraged self-direction. (3) Students appreciated positive role modeling by their instructors.

Conclusions

Suggestions for clinical teaching strategies are made to mitigate student stress, increase confidence, and address the influence of mental health stigma on learning.


Corresponding author: Chris Wenzel, Athabasca University, Athabasca, AB, Canada, E-mail:

  1. Research funding: Athabasca University Graduate Student Research Fund (GSSRF) that covered the costs related to transcription, and incentives for participants.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Ethical approval was obtained from both Athabasca University and Mount Royal University research ethics boards.

References

Abraham, S. P., Cramer, C., & Palleschi, H. (2018). Walking on eggshells: Addressing nursing students’ fear of the psychiatric clinical setting. Journal of Psychosocial Nursing and Mental Health Services, 56(9), 5–8. https://doi.org/10.3928/02793695-20180322-01.Suche in Google Scholar

Adom, D., Yeboah, A., & Ankrah, K. A. (2016). Constructivism philosophical paradigm: Implications for research, teaching, and learning. Global Journal of Arts Humanities and Social Sciences, 4(10), 1–9. https://www.academia.edu/download/60883069/Constructivism-Philosophical-Paradigm-Implication-for-Research-Teaching-and-Learning20191012-85439-1fft6xx.pdf.Suche in Google Scholar

Akinyode, B., & Khan, T. (2018). Step by step approach for qualitative data analysis. International Journal of Built Environment and Sustainability, 5(3), 163–174. https://doi.org/10.11113/ijbes.v5.n3.267.Suche in Google Scholar

Alase, A. (2017). The interpretative phenomenological analysis (IPA): A guide to a good qualitative research approach. International Journal of Education and Literacy Studies, 5(2), 9–19. https://doi.org/10.7575/aiac.ijels.v.5n.2p.9.Suche in Google Scholar

Alhojailan, M. I. (2012). Thematic analysis: A critical review of its process and evaluation. West East Journal of Social Sciences, 1(1), 39–47. https://fac.ksu.edu.sa/sites/default/files/ta_thematic_analysis_dr_mohammed_alhojailan.pdf.Suche in Google Scholar

Booth, T. L., Emerson, C. J., Hackney, M. G., & Souter, S. (2016). Preparation of academic nurse educators. Nurse Education in Practice, 19, 54–57. https://doi.org/10.1016/j.nepr.2016.04.006.Suche in Google Scholar PubMed

Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4, 1–8. doi:https://doi.org/10.1177/2333393617742282.Suche in Google Scholar PubMed PubMed Central

Canadian Association of Schools of Nursing & Canadian Federation of Mental Health Nurses. (2015). Entry-to-practice mental health and addiction competencies for undergraduate nursing education. http://www.casn.ca/wp-content/uploads/2015/11/Mental-health-Competencies_EN_FINAL-3-Oct-26-2015.pdf.Suche in Google Scholar

Choi, H., Hwang, B., Kim, S., Ko, H., Kim, S., & Kim, C. (2016). Clinical education in psychiatric mental health nursing: Overcoming current challenges. Nurse Education Today, 39, 109–115. https://doi.org/10.1016/j.nedt.2016.01.021.Suche in Google Scholar PubMed

Collier, A. D. (2018). Characteristics of an effective nursing clinical instructor: The state of the science. Journal of Clinical Nursing, 27(1–2), 363–374. doi:https://doi.org/10.1111/jocn.13931.Suche in Google Scholar PubMed

Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Thousand Oaks, CA: Sage Publications.Suche in Google Scholar

Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443–455. https://doi.org/10.1177/1744987119880234.Suche in Google Scholar PubMed PubMed Central

Faulkner, S. L., & Trotter, S. P. (2017). Data saturation. Hoboken, NJ: Wiley Online Library.10.1002/9781118901731.iecrm0060Suche in Google Scholar

Galvin, J., Suominen, E., Morgan, C., O’Connell, E. J., & Smith, A. P. (2015). Mental health nursing students’ experiences of stress during training: A thematic analysis of qualitative interviews. Journal of Psychiatric and Mental Health Nursing, 10, 773. https://doi.org/10.1111/jpm.12273.Suche in Google Scholar PubMed

Goh, Y., Owyong, J. Q. Y., Seetoh, Y. M., Hu, Y., Chng, M., & Li, Z. (2021). Exploring pedagogies used in undergraduate mental health nursing curriculum: An integrative literature review. International Journal of Mental Health Nursing, 1, 47. https://doi.org/10.1111/inm.12816.Suche in Google Scholar PubMed

Grav, S., Juul, L. M. E., & Heilzen, O. (2010). Undergraduate nursing student experiences of their mental health clinical placement. Nordic Journal of Nursing Research & Clinical Studies, 30(1), 4–8. https://doi.org/10.1177%2F010740831003000102.10.1177/010740831003000102Suche in Google Scholar

İnan, F. Ş., Günüşen, N., Duman, Z. Ç., & Ertem, M. Y. (2019). The impact of mental health nursing module, clinical practice and an anti-stigma program on nursing students’ attitudes toward mental illness: A quasi-experimental study. Journal of Professional Nursing, 35(3), 201–208. https://doi.org/10.1016/j.profnurs.2018.10.001.Suche in Google Scholar PubMed

Ismail, M-N. L., Aboushady, M-N. R., & Esw, A. (2015). Clinical instructor’s behavior: Nursing student’s perception toward effective clinical instructor’s characteristics. Journal of Nursing Education and Practice, 6(2), 96–105. https://doi.org/10.5430/jnep.v6n2p96.Suche in Google Scholar

Jack, K., Hamshire, C., & Chambers, A. (2017). The influence of role models in undergraduate nurse education. Journal of Clinical Nursing, 26(23–24), 4707–4715. https://doi.org/10.1111/jocn.13822.Suche in Google Scholar PubMed

Janse van Rensburg, E. S. (2019). Educators: Are you adequately supporting nursing students during mental health placements? International Journal of Africa Nursing Sciences, 10, 43–48. https://doi.org/10.1016/j.ijans.2019.01.002.Suche in Google Scholar

Johnson, J., & Hall, E. (1988). Job strain, workplace social support, and cardiovascular disease: A cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health, 78, 1136–1342. https://doi.org/10.2105/ajph.78.10.1336.Suche in Google Scholar PubMed PubMed Central

Knaak, S., Karpa, J., Robinson, R., & Bradley, L. (2016). “They are Us-We are Them”: Transformative learning through nursing education leadership. Healthcare Management Forum, 29(3), 116–120. https://doi.org/10.1177/0840470416628880.Suche in Google Scholar PubMed PubMed Central

Knaak, S., Mantler, E., & Szeto, A. (2017). Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions. Healthcare Management Forum, 30(2), 111–116. https://doi.org/10.1177/0840470416679413.Suche in Google Scholar PubMed PubMed Central

Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: Past, present, and future. Canadian Journal of Psychiatry, 61(3), 154–158. https://doi.org/10.1177/0706743715616609.Suche in Google Scholar PubMed PubMed Central

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Thousand Oaks, CA: Sage Publications.10.1016/0147-1767(85)90062-8Suche in Google Scholar

Melrose, S., Park, C., & Perry, B. (2021). Creative clinical teaching in the health professions. Edmonton, AB, Canada: Athabasca University Press. https://www.aupress.ca/books/120303-creative-clinical-teaching-in-the-health-professions/.10.15215/aupress/9781771993319.01Suche in Google Scholar

Meyer, G. M., Nel, E., & Downing, C. (2016). Basic student nurse perceptions about clinical instructor caring. Health SA Gesondheid, 21, 444–452. https://doi.org/10.1016/j.hsag.2016.09.004.Suche in Google Scholar

Niederriter, J., Eyth, D., & Thoman, J. (2017). Nursing students’ perceptions on characteristics of an effective clinical instructor. SAGE Open Nursing, 3, 1–8. https://doi.org/10.1177/2377960816685571.10.1177/2377960816685571Suche in Google Scholar

Oner Altiok, H., & Ustun, B. (2013). The stress sources of nursing students. Educational Sciences: Theory and Practice, 13(2), 760–766. https://files.eric.ed.gov/fulltext/EJ1017246.pdf.Suche in Google Scholar

Padagas, R. (2020). Nursing students’ expectations of their clinical instructors: Practical implications in nursing education. Romanian Journal for Multidimensional Education/Revista Romaneasca Pentru Educatie Multidimensionala, 12(4), 393–410. https://doi.org/10.18662/rrem/12.4/353.Suche in Google Scholar

QSR International Pty Ltd. (2018). NVivo. https://www.qsrinternational.com/nvivo-qualitative-data-analysis-software/home. Version 12.Suche in Google Scholar

Registered Nurses Association of Ontario. (2017). RNAO nurse educator: Mental health and addiction resource -Integrating mental health and addiction into the undergraduate nursing curriculum (202 pages). http://rnao.ca/sites/rnao-ca/files/Nurse_Educator_MHA_Resource.pdf.Suche in Google Scholar

Reising, L. D., James, B., & Morse, B. (2018). Student perceptions of clinical instructor characteristics affecting clinical experiences. National League of Nursing, 39(1), 4–9. https://doi.org/10.1097/01.NEP.0000000000000241.Suche in Google Scholar

Sadeghi, A., Oshvandi, K., & Moradi, Y. (2019). Explaining the inhibitory characteristics of clinical instructors on the process of developing clinical competence of nursing students: A qualitative study. Journal of Family Medicine and Primary Care, 8(5), 1664–1670. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559080/.10.4103/jfmpc.jfmpc_34_19Suche in Google Scholar

Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340.10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GSuche in Google Scholar

Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 73–84. https://doi.org/10.1002/nur.20362.Suche in Google Scholar

Slemon, A., Jenkins, E., Bungay, V., & Brown, H. (2020). Undergraduate students’ perspectives on pursuing a career in mental health nursing following practicum experience. Journal of Clinical Nursing, 29(1–2), 163–171.10.1111/jocn.15074Suche in Google Scholar

Snyder, B. L. (2020). Practicing what we preach: Teaching psychiatric-mental health student nurses to care for themselves. Journal of Psychosocial Nursing and Mental Health Services, 58(6), 40–45. https://doi.org/10.3928/02793695-20200406-02.Suche in Google Scholar PubMed

Stuhlmiller, C., & Tolchard, B. (2019). Understanding the impact of mental health placements on student nurses’ attitudes towards mental illness. Nurse Education in Practice, 34, 25–30. https://doi.org/10.1016/j.nepr.2018.06.004.Suche in Google Scholar PubMed

Sweet, L., & Broadbent, J. (2017). Nursing students’ perceptions of the qualities of a clinical facilitator that enhance learning. Nurse Education in Practice, 22, 30–36. https://doi.org/10.1016/j.nepr.2016.11.007.Suche in Google Scholar PubMed

Torbjørnsen, A., Hessevaagbakke, E., Grov, K., & Bjørnnes, A. (2021). Enhancing students learning experiences in nursing programmes: An integrated review. Nurse Education in Practice, 52, 103038. https://doi.org/10.1016/j.nepr.2021.103038.Suche in Google Scholar PubMed

Tsimane, T., & Downing, C. (2020). A model to facilitate transformative learning in nursing education. International Journal of Nursing Science, 7, 269–276. https://doi.org/10.1016/j.ijnss.2020.04.006.Suche in Google Scholar PubMed PubMed Central

Vuckovic, V., Carlson, E., & Sunnqvist, C. (2021). ‘Working as a real nurse’: Nursing students’ experiences of a clinical education ward in psychiatric care. Issues in Mental Health Nursing, 42, 1038–1047. https://doi.org/10.1080/01612840.2021.1929595.Suche in Google Scholar PubMed

Received: 2021-11-04
Accepted: 2022-02-23
Published Online: 2022-04-18

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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