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The operating room as a clinical learning environment: An exploratory study.

Rhoda Meyer1, Susan C Van Schalkwyk1, Rosaley Prakaschandra2

  • 1Stellenbosch University, Cape Town, South Africa.

Nurse Education in Practice
|May 29, 2016
PubMed
Summary

Nursing students reported negative experiences in the operating room (OR) clinical learning environment, despite its potential for skill development. Improved preparation and collaboration are recommended for better operating room education.

Keywords:
Clinical learning environmentOperating roomStudents' perceptions

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Area of Science:

  • Nursing Education
  • Surgical Nursing
  • Healthcare Education

Background:

  • Clinical placements are crucial for nursing students to acquire context-specific skills.
  • The operating room (OR) is a unique environment for developing critical perioperative care skills.
  • Limited research exists on the OR as a clinical learning environment within South Africa's private healthcare sector.

Purpose of the Study:

  • To explore nursing students' perceptions of the operating room as a clinical learning environment.
  • To identify factors influencing the learning experience in the OR.
  • To gather recommendations for improving OR clinical placements.

Main Methods:

  • An exploratory, interpretive, and descriptive qualitative design was employed.
  • Data were collected through open-ended questionnaires (n=8) and focus group discussions (n=12).
  • Thematic analysis was used to identify key themes from student feedback.

Main Results:

  • Four major themes emerged: interpersonal factors, educational factors, the private OR context, and recommendations.
  • Students recognized the OR's potential for unique skill acquisition.
  • Key findings indicated predominantly negative perceptions of the OR learning experience.

Conclusions:

  • Despite learning opportunities, nursing students perceive the OR negatively as a clinical learning environment.
  • There is a need to address students' preparatory requirements for OR placements.
  • Enhanced collaboration among educators, mentors, and theatre managers is essential for improving OR education.