The Relationship of the Clinical Practice Environment, Supervision and Supervisors with Students' Clinical Experience as an Effort to Prepare Professional Nurse Graduates

Authors

  • Devi Susanti Aceh Ministry of Health Polytechnic, Indonesia
  • Herlitawati Aceh Ministry of Health Polytechnic, Indonesia
  • Taufik Hidayat Aceh Ministry of Health Polytechnic, Indonesia
  • Yusnaini Nurul Hasanah Kutacane University, Indonesia https://orcid.org/0000-0002-6369-552X

DOI:

https://doi.org/10.12928/ijhr.v6i2.9529

Abstract

Background: Learning turns theoretical knowledge into practice for nursing students. The quality of a student's clinical experience is influenced by the practice environment, supervision, and supervisor. The clinical practice environment influences the approach and achievement of student competencies. Supervision is important for quality nursing care, while effective supervisors act professionally and guide students in managing patients. This study aims to analyze the relationship between the clinical practice environment, supervision and supervisors with the clinical experience of students as an effort to prepare professional nurse graduates in the D-III Nursing study program in Kutacane, Poltekkes Kemenkes Aceh, totaling 64 students with a sampling technique, namely total sampling based on inclusive criteria. Methods: Type of research This is a correlational analytical descriptive with a cross sectional approach. Data analysis was carried out via Univariate and Bivariate. Results: The results of this research show that there is a significant relationship between the clinical practice environment, supervision and supervisors with the clinical experience of students in the D-III Nursing study program in Kutacane, Poltekkes Kemenkes Aceh with p-values of 0.033, 0.024 and 0.015. Conclusion:  Therefore, it is recommended that collaboration between educational institutions and health institutions be strengthened to create an optimal clinical practice environment.

References

E. Plante and R. L. Gómez, “Learning without trying: The clinical relevance of statistical learning,” Lang. Speech. Hear. Serv. Sch., vol. 49, no. 3S, pp. 710–722, 2018, doi: 10.1044/2018_LSHSS-STLT1-17-0131.

C. H. Chaou et al., “Clinical learning in the context of uncertainty: A multi-center survey of emergency department residents’ and attending physicians’ perceptions of clinical feedback,” BMC Med. Educ., vol. 19, no. 1, pp. 1–10, 2019, doi: 10.1186/s12909-019- 1597-8.

E. Aliafsari Mamaghani et al., “Experiences of Iranian Nursing Students Regarding Their Clinical Learning Environment,” Asian Nurs. Res. (Korean. Soc. Nurs. Sci)., vol. 12, no. 3, pp. 216–222, 2018, doi: 10.1016/j.anr.2018.08.005.

A. Burgess, C. van Diggele, C. Roberts, and C. Mellis, “Peer Teacher Training in Health Professional Education,” BMC Med. Educ., vol. 20, no. 2, pp. 1–24, 2020, [Online]. Available: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020- 02281-4

R. Dwi Pratiwi, E. Ikhtiarini Dewi, and E. Hadi Kurniyawan, “Relationships SelfRegulation Learning and Academic Stress First Year Students at Faculty of Nursing University of Jember,” Nurs. Heal. Sci. J., vol. 1, no. 1, pp. 81–87, 2021, doi: 10.53713/nhs.v1i1.21.Kementerian Kesehatan Republik Indonesia. (2022). Petunjuk Teknis Bulan Imunisasi Anak Nasional. Kementerian Kesehatan RI.

J. Shinners, M. G. Harper, and M. A. Dolansky, “Creating the optimal clinical learning environment,” J. Contin. Educ. Nurs., vol. 50, no. 11, pp. 485–489, 2019, doi: 10.3928/00220124-20191015-02.

S. Humayun, R. Sultana, A. Ahmad, and S. Chaudhary, “Clinical Learning Environment : What Do House Officers Say ?,” vol. 68, no. 5, pp. 1349–1358, 2018.

H. Banneheke et al., “Student preparedness characteristics important for clinical learning: Perspectives of supervisors from medicine, pharmacy and nursing,” BMC Med. Educ., vol. 17, no. 1, pp. 1–10, 2017, doi: 10.1186/s12909-017-0966-4.

F. A. Ziba, V. N. Yakong, and Z. Ali, “Clinical learning environment of nursing and midwifery students in Ghana,” BMC Nurs., vol. 20, no. 1, pp. 1–8, 2021, doi: 10.1186/s12912-020-00533-8.

S. L. Voldbjerg, G. N. Nielsen, M. O. Klit, K. L. Larsen, and B. Laugesen, “Clinical Supervisors’ Perceptions and Use of the Fundamentals of Care Framework in Supervision of Nursing Students,” J. Adv. Nurs., vol. 78, no. 12, pp. 4199–4209, 2022, doi: 10.1111/jan.15408.

M. H. Keshavarzi, H. R. Koohestani, H. R. Baradaran, A. Asghar, and A. A. Ghorbani, “Exploration the Role of a Clinical Supervisor to Improve the Professional Skills of Medical Students: A Content Analysis Study,” BMC Med. Educ., vol. 22, pp. 1–33, 2022, [Online]. Available: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-022-03473-w

E. Öhman, H. Alinaghizadeh, P. Kaila, H. Hult, G. H. Nilsson, and H. Salminen, “Adaptation and validation of the instrument Clinical Learning Environment and Supervision for medical students in primary health care,” BMC Med. Educ., vol. 16, no. 1, pp. 1–8, 2016, doi: 10.1186/s12909-016-0809-8

S. J. Mosia and A. Joubert, “Primary Healthcare Practice Learning Environment: A Description of Students’ Perspectives,” Int. J. Africa Nurs. Sci., vol. 13, pp. 1–19, 2020, doi: 10.1016/j.ijans.2020.100230.

J. Zhang, L. Shields, Y. Yin, R. Zhang, and X. Hui, “The Clinical Learning Environment, Supervision and Future Intention to Work as a Nurse in Nursing Students: a CrossSectional and Descriptive Study,” BMC Med. Educ., vol. 22, pp. 1–36, 2022, [Online]. Available: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-022- 03609-y

B. Amsalu, T. Fekadu, A. Mengesha, and E. Bayana, “Clinical Practice Competence of Mettu University Nursing Students: A Cross-Sectional Study,” Adv. Med. Educ. Pract., vol. 11, pp. 791–798, 2020, doi: 10.2147/AMEP.S267398.

E. Van Gerven, W. Sermeus, M. Panella, M. Euwema, and K. Vanhaecht, “Clinical Learning Environment of Nursing and Midwifery Students in Ghana,” Heal. Prof. As Second Vict. Patient Saf. Incidents, vol. 14, no. 20, pp. 33–37, 2016, [Online]. Available: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00533-8

A. González-García, A. Díez-Fernández, H. Leino-Kilpi, V. Martínez-Vizcaíno, and C. Strandell-Laine, “The Relationship between Clinical Placement Duration and Students’ Satisfaction with the Quality of Supervision and Learning Environment: A Mediation Analysis,” Nurs. Heal. Sci., vol. 23, no. 3, pp. 688–697, 2021, doi: 10.1111/nhs.12855.

B. M. Zulu, E. du Plessis, and M. P. Koen, “Experiences of Nursing Students Regarding Clinical Placement and Support in Primary Healthcare Clinics: Strengthening Resilience,” Heal. SA Gesondheid, vol. 26, pp. 1–23, 2021, doi: 10.4102/hsag.v26i0.1615.

B. Arkan, Y. Ordin, and D. Yılmaz, “Undergraduate Nursing Students’ Experience Related to their Clinical Learning Environment and Factors Affecting to Their Clinical Learning Process,” Nurse Educ. Pract., vol. 29, no. March, pp. 127–132, 2018, doi: 10.1016/j.nepr.2017.12.005

G. Albinsson, C. Elmqvist, and U. Hörberg, “Nursing Students’ and Lecturers’ Experiences of Learning at a University-Based Nursing Student–Run Health Clinic,” Reflective Pract., vol. 20, no. 4, pp. 423–436, 2019, doi: 10.1080/14623943.2019.1638242.

A. Soroush, B. Andaieshgar, A. Vahdat, and A. Khatony, “The Characteristics of an Effective Clinical Instructor from the Perspective of Nursing Students: a Qualitative Descriptive Study in Iran,” BMC Nurs., vol. 20, no. 1, pp. 1–33, 2021, doi: 10.1186/s12912-021-00556-9.

Downloads

Published

2024-08-29

Issue

Section

Articles