Abstract
A study using a qualitative descriptive design was undertaken to explore the issue of “failure to fail” in a nursing program. Individual in-depth interviews were conducted with nursing university faculty members, preceptors, and faculty advisors (n=13). Content analysis was used to analyze the data. Results indicate that: (a) failing a student is a difficult process; (b) both academic and emotional support are required for students and preceptors and faculty advisors; (c) there are consequences for programs, faculty, and students when a student has failed a placement; (d) at times, personal, professional, and structural reasons exist for failing to fail a student; and (e) the reputation of the professional program can be diminished as a result of failing to fail a student. Recommendations for improving assessment, evaluation, and intervention with a failing student include documentation, communication, and support. These findings have implications for improving the quality of clinical experiences.
References
Allen, C. (2002). Peers and partners: A stakeholder evaluation of preceptorship in mental health nursing. Nurse Researcher, 9(3), 68–84.10.7748/nr2002.04.9.3.68.c6190Search in Google Scholar PubMed
Barlow, C. A., Phelan, A., Hurlock, D., Russell, S., Rogers, G., & Myrick, F. (2006). Virginia. A story of conflict in social work field education. Affilia: Journal of Women and Social Work, 21(4), 380–390.10.1177/0886109906292175Search in Google Scholar
Billings, D. A., & Halstead, J. A. (2005).Teaching in nursing(2nd ed.). St. Louis: Elsevier Saunders.Search in Google Scholar
Bogo, M., Regehr, C., Power, R., & Regehr, G. (2007). When values collide: Field instructors’ experiences of providing feedback and evaluating competence. The Clinical Supervisor, 26(1/2), 99–117.10.1300/J001v26n01_08Search in Google Scholar
Boley, P., & Whitney, K. (2003). Grade disputes: Considerations for nursing faculty. Journal of Nursing Education, 42(5), 198–203.10.3928/0148-4834-20030501-05Search in Google Scholar PubMed
Bourbonnais, F. F., & Kerr, E. (2007). Preceptoring a student in the final clinical placement: Reflections from nurses in a Canadian hospital. Journal of Clinical Nursing, 16(8), 1543–1549.10.1111/j.1365-2702.2006.01828.xSearch in Google Scholar PubMed
Brown, Y., Neudorf, K., Poitras, C., & Rodger, K. (2007). Unsafe student clinical performance calls for a systematic approach. Canadian Nurse, 103(3), 29–32.Search in Google Scholar
Budgen, C., & Gamroth, L. (2008). An overview of practice education models. Nurse Education Today, 28(3), 273–283.10.1016/j.nedt.2007.05.005Search in Google Scholar PubMed
Chasens, E. R., DePew, D. D., Goudreau, K. A., & Pierce, C. (2000). Legal aspect of grading and student progression. Journal of Professional Nursing, 16(5), 267–272.10.1053/jpnu.2000.9460Search in Google Scholar PubMed
Chui, E. W. T. (2010). Desirability and feasibility in evaluating fieldwork performance: Tensions between supervisors and students. Social Work Education, 29(2), 171–187.10.1080/02615470902912219Search in Google Scholar
Cleland, J. A., Knight, L. V., Rees, C. E., Tracey, S., & Bond, C. M. (2008). Is it me or is it theme? Factors that influence the passing of underperforming students. Medical Education, 42(8), 800–809.10.1111/j.1365-2923.2008.03113.xSearch in Google Scholar PubMed
Courtney-Pratt, H., FitzGerald, M., Ford, K., Marsden, K., & Marlow, A. (2012). Quality of placements for undergraduate nursing students: A cross-sectional survey of undergraduate and supervising nurses. Journal of Advanced Nursing, 68(60), 1380–1390.10.1111/j.1365-2648.2011.05851.xSearch in Google Scholar PubMed
Cowburn, M., Nelson, P., & Williams, J. (2000). Assessment of social work students: Standpoint and strong objectivity. Social Work Education, 19(6), 627–637.10.1080/02615470020002344Search in Google Scholar
Croxon, L., & Maginnis, C. (2009). Evaluation of clinical teaching models for nursing practice. Nurse Education in Practice, 9(4), 236–243.10.1016/j.nepr.2008.06.004Search in Google Scholar PubMed
Diekelmann, N., & McGregor, A. (2003). Students who fail clinical courses: Keeping open a future of new possibilities. Journal of Nursing Education, 42(10), 433–436.Search in Google Scholar
Dudek, N. L., Marks, M. B., & Regehr, G. (2005). Failure to fail: The perspectives of the clinical supervisors. Academic Medicine, 80(Suppl. 10), S84–S87.10.1097/00001888-200510001-00023Search in Google Scholar PubMed
Duffy, K. (2004). A grounded theory investigation of factors which influence the assessment of students’ competence to practice. London: Nursing and Midwifery Council. Retrieved from http://www.nmc-uk.org/Documents/Archived%20Publications/1Research%20papers/Kathleen_Duffy_Failing_Students2003.pdfSearch in Google Scholar
Furness, S., & Gilligan, P. (2004). Fit for purpose: Issues from practice placements, practice teaching and the assessment of students’ practice. Social Work Education, 23(4), 465–479.10.1080/0261547042000245053Search in Google Scholar
Gainsbury, S. (2010). Mentors still “failing to fail” students. Nursing Times.net. Retrieved from http://www.nursingtimes.net/whats-new-in-nursing/acute-care/nursementors-still-failing-to-fail-students/5013926.articleSearch in Google Scholar
Gallant, M., MacDonald, J. A., & Higuchi-Smith, K. A. (2006). A remediation process for nursing students at risk for clinical failure. Nurse Educator, 31(5), 223–227.10.1097/00006223-200609000-00010Search in Google Scholar PubMed
Guba, E., & Lincoln, Y. (1981). Effective evaluation. San Francisco, CA: Jossey-Bass.Search in Google Scholar
Hastings, W. (2010). Expectations of pre-service teacher: Implications of encountering the unexpected. Asia-Pacific Journal of Teacher Education, 38(3), 207–219.10.1080/1359866X.2010.493299Search in Google Scholar
Hawe, E. (2003). “It’s pretty difficult to fail”: The reluctance of lecturers to award a failing grade. Assessment & Evaluation in Higher Education, 28(4), 371–382.10.1080/0260293032000066209Search in Google Scholar
Heaslip, V., &Scammell, J. M. (2012). Failing underperforming students: the role of grading in practice assessment. Nurse Education in Practice, 12(2), 95–100.10.1016/j.nepr.2011.08.003Search in Google Scholar PubMed
Holloway, I. (1997). Basic concepts for qualitative research. Oxford, UK: Blackwell Publications.Search in Google Scholar
Houghton, C., Casey, D., Shaw, D., & Murphy, L. (2013). Rigour in qualitative case-study research. Nurse Researcher, 20(4), 12–17.10.7748/nr2013.03.20.4.12.e326Search in Google Scholar PubMed
Hrobsky, P. E., &Kersbergen, A. L. (2002). Perception of clinical performance failure. Journal of Nursing Education, 41(12), 550–553.10.3928/0148-4834-20021201-12Search in Google Scholar PubMed
Hsieh, S. E., &Shannon, A. L. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288.10.1177/1049732305276687Search in Google Scholar PubMed
Hunt, L. A., McGee, P., Gutteridge, R., & Hughes, M. (2012). Assessment of student nurses in practice: A comparison of theoretical and practical assessment results in England. Nurse Education Today, 32(4), 351–355.10.1016/j.nedt.2011.05.010Search in Google Scholar PubMed
Ilott, I., &Murphy, R. (1997). Feelings and failing in professional training: The assessor’s dilemma. Assessment and Evaluation in Higher Education, 22(4), 307–316.10.1080/0260293970220304Search in Google Scholar
Jervis, A., &Tilki, M. (2011). Why are nurse mentors failing to fail student nurses who do not meet clinical performance standards? British Journal of Nursing, 20(9), 582–587.10.12968/bjon.2011.20.9.582Search in Google Scholar PubMed
Johnson, E. G., & Halstead, J. A. (2005). The academic performance of students: Legal and ethical issues. In D. A. Billings & J. A. Halstead (Eds.),Teaching in nursing(2nd ed.). St. Louis: Elsevier Saunders.Search in Google Scholar
Levett-Jones, T., Fahy, K., Parsons, K., & Mitchell, A. (2006). Mentorship in contemporary practice: The experiences of nursing students and practice mentors. Journal of Clinical Nursing, 17(14), 1834–1842.Search in Google Scholar
Luhanga, F., Myrick, F., & Yonge, O. (2010). The preceptorship experience: An examination of ethical and accountability issues. Journal of Professional Nursing, 26(5), 264–271.10.1016/j.profnurs.2009.12.008Search in Google Scholar PubMed
Luhanga, F., Myrick, F., & Yonge, O. (2008). Failure to assign failing grades: Issues with grading the unsafe student. International Journal of Nursing Education Scholarship, 5(1), 1–14.10.2202/1548-923X.1366Search in Google Scholar PubMed
Mohide, E. A., &Matthew-Maich, N. (2007). Engaging nursing preceptor–student dyads in an evidenced-based approach to professional practice. Evidence Based Nursing, 10(2), 36–40.10.1136/ebn.10.2.36Search in Google Scholar PubMed
Myrick, F., & Yonge, O. (2005). Nursing preceptorship: Connecting practice and education. Philadelphia: Lippincott Williams & Wilkins.Search in Google Scholar
Osinski, K. (2003). Due process rights of students in cases of misconduct. Journal of Nursing Education, 55(2), 55–58.10.3928/0148-4834-20030201-05Search in Google Scholar PubMed
Parker, J. (2010). When things go wrong! Placement disruption and termination: Power and student perspectives. British Journal of Social Work, 40(3), 983–999.10.1093/bjsw/bcn149Search in Google Scholar
Patton, M. Q. (2002). Qualitative research and evaluation methods(3rd ed.). Thousand Oaks, CA: Sage.Search in Google Scholar
Patton, B. I. (2010). The professional practice knowledge of nurse preceptors. Journal of Nursing Education, 29(3), 143–149.10.3928/01484834-20091118-02Search in Google Scholar PubMed
Ralph, E. G., Walker, K., & Wimmer, R. (2008). The clinical/practicum experience in professional preparation: preliminary findings. McGill Journal of Education, 43(2), 157–172.10.7202/019580arSearch in Google Scholar
Ralph, E. G., Walker, K., & Wimmer, R. (2009). Practicum and clinical experience: Postpracticum students’ views. Journal of Nursing Education, 48(8), 434–440.10.3928/01484834-20090518-02Search in Google Scholar
Raths, J., &Lyman, F. (2003). Summative evaluation of student teachers. Journal of Teacher Education, 54(3), 206–216.10.1177/0022487103054003003Search in Google Scholar
Redmond, M., &Bright, E. (2007). Gatekeeping in the academy. Lessons for Canadian social work educators from Young vs Bella. Canadian Social Work Review, 24(2), 167–181.Search in Google Scholar
Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27–37.10.1097/00012272-198604000-00005Search 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-GSearch in Google Scholar
Scanlan, J. M., &Care, E. (2004). Grade inflation: Should we be concerned?Journal of Nursing Education, 43(10), 475–478.10.3928/01484834-20041001-08Search in Google Scholar
Scanlan, J. M., Care, W. D., & Gessler, S. (2001). Dealing with unsafe students in clinical practice. Nurse Educator,26(1), 23–27.10.1097/00006223-200101000-00013Search in Google Scholar
Scholes, J., & Albarran, J. (2005). Failure to fail: Facing the consequences of inaction. Nursing in Critical Care,10(3), 113–115.10.1111/j.1362-1017.2005.00118.xSearch in Google Scholar
Seldomridge, L.A., & Walsh, C.M. (2006). Evaluating student performance in undergraduate preceptorships. Journal of Nursing Education,45(5), 169–176.10.3928/01484834-20060501-06Search in Google Scholar
Shenton, A. K. (2004). Strategies for ensuring trust worthiness in qualitative research projects. Education for Information,22, 63–75.10.3233/EFI-2004-22201Search in Google Scholar
Siebert, C. J., Clark, A., Kilbridge, A., & Peterson, H. (2006). When pre-service teachers struggle or fail: Mentor teachers’ perspectives. Education,126(3), 409–422.Search in Google Scholar
Smith, M., McKoy, Y., & Richardson, J. (2001). Legal issues related to dismissing students for clinical deficiencies. Nurse Educator,26(1), 33–38.10.1097/00006223-200101000-00015Search in Google Scholar PubMed
Speers, A., Strzyzewski, N., & Ziolkowski, L. (2004). Preceptor preparation: an investment in the future. Journal for Nurses in Staff Development,20, 127–133.10.1097/00124645-200405000-00005Search in Google Scholar PubMed
Tanicala, M. L., Scheffer, B. K., & Roberts, M. S. (2011). Defining pass/fail nursing student clinical behaviors phase I: Moving toward a culture of safety. Nursing Education Perspectives,32(3), 155–161.10.5480/1536-5026-32.3.155Search in Google Scholar PubMed
©2013 by Walter de Gruyter Berlin / Boston
Articles in the same Issue
- Masthead
- Masthead
- Cultural Competence and Cultural Safety in Canadian Schools of Nursing: A Mixed Methods Study
- Education Reforms in Nigeria: How Responsive is the Nursing Profession?
- Writing History: Case Study of the University of Victoria School of Nursing
- Fear and Loathing: Undergraduate Nursing Students’ Experiences of a Mandatory Course in Applied Statistics
- How does the Nurse Educator Measure Caring?
- Psychometric Properties of the Lasater Clinical Judgment Rubric
- Arts-Based Learning: Analysis of the Concept for Nursing Education
- Critical Service Learning in Community Health Nursing: Enhancing Access to Cardiac Health Screening
- Collaborative Learning Using Nursing Student Dyads in the Clinical Setting
- The Effect of Social Contingencies on Nursing Students’ Reactions During a Rural Clinical Placement
- Voices of Innovation: Building a Model for Curriculum Transformation
- Bridging the Gap: Clinical Practice Nursing and the Effect of Role Strain on Successful Role Transition and Intent to Stay in Academia
- Resisting, Reaching Out and Re-imagining to Independence: LPN’s Transitioning towards BNs and Beyond
- Exploring the Issue of Failure to Fail in a Nursing Program
- Inclusive Mosaic: Promoting Diversity in Nursing through Youth Mentorship
- Interactive Learning Research: Application of Cognitive Load Theory to Nursing Education
- The Relevance of Indigenous Knowledge for Nursing Curriculum
- The Value of Community-Focused Interprofessional Care in Peru for Developing Cultural Competency in Health Professions Students
- Female Arab-Muslim Nursing Students’ Reentry Transitions
- High Fidelity Simulation Effectiveness in Nursing Students’ Transfer of Learning
- Communities of Practice in Nursing Academia: A Growing Need to Practice What We Teach
- Nurse Educators’ Perspectives on Student Development of Reflection for Psychiatric Mental Health Nursing Practice
- The Emerging Doctor of Education (EdD) in Instructional Leadership for Nurse Educators
- Five Years Later: Are Accelerated, Second-Degree Program Graduates Still in the Workforce?
- Knowledge and Perceptions of HIV/AIDS among Cameroonian Nursing Students
- Educating Nurses for the Twenty-First Century Abilities-Based Outcomes and Assessing Student Learning in the Context of Democratic Professionalism
- In Real Time: Exploring Nursing Students’ Learning during an International Experience
- Educating DNP Students about Critical Appraisal and Knowledge Translation
- 5-Years Later – Have Faculty Integrated Medical Genetics into Nurse Practitioner Curriculum?
- Stress, Depression, and Anxiety among Undergraduate Nursing Students
- Knowing Self and Caring Through Service Learning
- Teaching Experiences of Second Degree Accelerated Baccalaureate Nursing Faculty
- Reading Ella: Using Literary Patients to Enhance Nursing Students’ Reflective Thinking in the Classroom
- Accelerated Baccalaureate Nursing Students Use of Emotional Intelligence in Nursing as “Caring for a Human Being”: A Mixed Methods Grounded Theory Study
- Effective Classroom Teaching Methods: A Critical Incident Technique from Millennial Nursing Students’ Perspective
- Simulation Education Approaches to Enhance Collaborative Healthcare: A Best Practices Review
- Erratum to 5-Years Later – Have Faculty Integrated Medical Genetics into Nurse Practitioner Curriculum?
Articles in the same Issue
- Masthead
- Masthead
- Cultural Competence and Cultural Safety in Canadian Schools of Nursing: A Mixed Methods Study
- Education Reforms in Nigeria: How Responsive is the Nursing Profession?
- Writing History: Case Study of the University of Victoria School of Nursing
- Fear and Loathing: Undergraduate Nursing Students’ Experiences of a Mandatory Course in Applied Statistics
- How does the Nurse Educator Measure Caring?
- Psychometric Properties of the Lasater Clinical Judgment Rubric
- Arts-Based Learning: Analysis of the Concept for Nursing Education
- Critical Service Learning in Community Health Nursing: Enhancing Access to Cardiac Health Screening
- Collaborative Learning Using Nursing Student Dyads in the Clinical Setting
- The Effect of Social Contingencies on Nursing Students’ Reactions During a Rural Clinical Placement
- Voices of Innovation: Building a Model for Curriculum Transformation
- Bridging the Gap: Clinical Practice Nursing and the Effect of Role Strain on Successful Role Transition and Intent to Stay in Academia
- Resisting, Reaching Out and Re-imagining to Independence: LPN’s Transitioning towards BNs and Beyond
- Exploring the Issue of Failure to Fail in a Nursing Program
- Inclusive Mosaic: Promoting Diversity in Nursing through Youth Mentorship
- Interactive Learning Research: Application of Cognitive Load Theory to Nursing Education
- The Relevance of Indigenous Knowledge for Nursing Curriculum
- The Value of Community-Focused Interprofessional Care in Peru for Developing Cultural Competency in Health Professions Students
- Female Arab-Muslim Nursing Students’ Reentry Transitions
- High Fidelity Simulation Effectiveness in Nursing Students’ Transfer of Learning
- Communities of Practice in Nursing Academia: A Growing Need to Practice What We Teach
- Nurse Educators’ Perspectives on Student Development of Reflection for Psychiatric Mental Health Nursing Practice
- The Emerging Doctor of Education (EdD) in Instructional Leadership for Nurse Educators
- Five Years Later: Are Accelerated, Second-Degree Program Graduates Still in the Workforce?
- Knowledge and Perceptions of HIV/AIDS among Cameroonian Nursing Students
- Educating Nurses for the Twenty-First Century Abilities-Based Outcomes and Assessing Student Learning in the Context of Democratic Professionalism
- In Real Time: Exploring Nursing Students’ Learning during an International Experience
- Educating DNP Students about Critical Appraisal and Knowledge Translation
- 5-Years Later – Have Faculty Integrated Medical Genetics into Nurse Practitioner Curriculum?
- Stress, Depression, and Anxiety among Undergraduate Nursing Students
- Knowing Self and Caring Through Service Learning
- Teaching Experiences of Second Degree Accelerated Baccalaureate Nursing Faculty
- Reading Ella: Using Literary Patients to Enhance Nursing Students’ Reflective Thinking in the Classroom
- Accelerated Baccalaureate Nursing Students Use of Emotional Intelligence in Nursing as “Caring for a Human Being”: A Mixed Methods Grounded Theory Study
- Effective Classroom Teaching Methods: A Critical Incident Technique from Millennial Nursing Students’ Perspective
- Simulation Education Approaches to Enhance Collaborative Healthcare: A Best Practices Review
- Erratum to 5-Years Later – Have Faculty Integrated Medical Genetics into Nurse Practitioner Curriculum?