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Establishing and maintaining the clinical learning environment for nursing students: a qualitative study
Michael Hegenbarth1, Svea Rawe1, Louise Murray2
1Ingram School of Nursing, McGill University, Room 204, Wilson Hall, 3506 University Street, Montreal, Quebec H3A 2A7, Canada.
Nurse Education Today
|December 3, 2014
Summary
Unit culture and contextual factors significantly influence the clinical learning environment for nursing students. A unit's willingness to invest in students, including openness and structured support, shapes their educational experience.
Area of Science:
- Nursing Education
- Clinical Learning Environments
- Healthcare Management
Background:
- Clinical experience is vital for nursing education, yet students face varied acceptance levels.
- Preceptor beliefs and unit management perspectives on student integration are understudied.
Purpose of the Study:
- To describe unit-level beliefs and processes shaping the clinical learning environment for nursing students.
- To explore factors influencing student acceptance and integration within clinical units.
Main Methods:
- Multiple case study design across four urban university health center units.
- Purposive sampling of nurse managers, assistant nurse managers, advanced practice nurses, and staff nurses.
- Semi-structured focus group interviews and content analysis of interview data.
Main Results:
- Two themes emerged: influencing factors (cultural and contextual) and willingness to invest in students.
- Influencing factors form the basis for accommodating students.
- Willingness includes openness, mentorship, and goal-oriented structuring.
Conclusions:
- Unit management of contextual factors determines the quality of the student environment.
- A strong unit culture regarding student hosting enhances staff engagement and the learning experience.
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