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Exploring nurses' role in guiding residents' workplace learning: A mixed-method study.

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Nurses provide more guidance to residents than perceived, highlighting a gap in recognizing their role in workplace learning. Encouraging resident engagement with nurses can optimize team-based patient care.

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Area of Science:

  • Medical Education
  • Nursing Practice
  • Interprofessional Collaboration

Background:

  • Understanding residents' workplace learning is crucial for optimizing patient care.
  • Previous research has focused on attending physicians' roles, with limited exploration of nurses' contributions to resident education.
  • Nurses play a significant role in guiding residents' learning, yet their contributions are not fully understood or perceived by residents.

Purpose of the Study:

  • To explore the alignment between residents' and nurses' perceptions of nurses' guiding role in residents' workplace learning.
  • To identify the reasons behind these perceptions using the educational concept of guidance.
  • To enhance understanding of interprofessional dynamics in medical education.

Main Methods:

  • A mixed-method study involving 103 residents and 401 nurses was conducted at four Dutch university medical centers.
  • Quantitative data were collected via a theory-informed questionnaire with Likert-scale items, analyzed using ANOVA.
  • Qualitative data from open-ended questions were thematically analyzed to explore reasons for perceptions.

Main Results:

  • Nurses reported providing significantly more support and guidance in learning from patient care than residents perceived (p < 0.01).
  • A discrepancy exists regarding nurses' involvement in guiding residents: nurses felt they were not always involved by physicians, while residents perceived they were (p < 0.001).
  • Two themes emerged: one emphasizing guidance as integral to interprofessional collaboration and patient care, the other viewing the guiding role as limited by distinct professional expertise.

Conclusions:

  • Both residents and nurses acknowledge the importance of nurses in guiding workplace learning.
  • A gap exists where some residents do not consistently perceive the guidance provided by nurses.
  • Encouraging residents to actively engage with learning opportunities offered by nurses can improve team-based patient care and optimize educational outcomes.