Evaluating Hub and Spoke models of practice learning in Scotland, UK: a multiple case study approach

Area of Science:

• Nursing Education
• Healthcare Pedagogy
• Clinical Placements

Background:

• Traditional UK student nurse clinical placements often utilize a rotational model.
• This model can lead to student anxiety and a lack of confidence in complex care settings.

Purpose of the Study:

• To evaluate the impact of Hub and Spoke clinical placement models.
• Focus on enhancing the student practice learning experience across diverse geographical locations.

Main Methods:

• A multiple case study design was employed.
• Undergraduate student nurses from Adult, Learning Disability, and Mental Health programs in Scotland participated.
• A mixed-methods approach incorporated quantitative and qualitative data collection.

Main Results:

• Hub and Spoke models facilitated a continuum of student-led learning, encouraging innovation and creativity.
• Deep learning was achieved through structured Hub placements and empathetic, person-centered care.
• Placement capacity was increased, with a review of placement classifications and enhanced student-mentor relationships.

Conclusions:

• Clinical practice learning should be viewed as an academic pursuit.
• Emphasis should be on promoting deep, meaningful, and person-centered learning.
• Shift away from superficial, placement-centered learning is recommended.