Nursing Clinical Practicum: Integrated Application Process

Transcription

1 Nursing Clinical Practicum: Integrated Application Process Nancy Goldstein DNP, ANP-BC, RN-C Diana Baptiste, DNP, MSN, RN Sibyl Snow, MA 28 th Sigma Theta Tau International Research Congress July 2017

2 Objectives By the end of this presentation, the learner will 1. Recognize at least 2 strategies used to support student decision making for selection of program and practicum site selections. 2. Identify at least 2 common barriers to active involvement of students in their own decision making for program and site selection. 3. Describe the multi-step process used for student site selection for specialty, local, distant, and international programs. Conflict of Interest: The authors declare no conflict of interest. The authors received o financial support or sponsorship for this project.

3 Synthesis Practicum Final capstone practicum or clinical course Nursing Student Nurse Graduate Professional Nurse Transition to Professional Practice (Baptiste & Shaefer, 2015)

4 Decisions, Decisions Where to complete practicum can be difficulty decision: many options Local and distant Specialty programs International program Selection Process improve selection quality integrated application challenging goal for educator

5 Literature Review Nursing students value clinical placements Foster learning needs Help meet professional goals Transition into nursing practice Little evidence to support educators challenges Organizing clinical placement requests Students entering their final practicum Integration of learning needs with skills (Baptiste & Shaefer, 2015; Doyle, et.al., 2017)

6 Purpose/Goals Technology support the application Enabled educators to successfully assign to practicum site of choice students Goal for using this system Reduce student anxiety Increase student satisfaction with placements

7 Paper Application

8 Paper Application Reviews

9 Methods Web-based application Qualtrics survey software Students provided link to complete application Divided options into categories specialty area Students provided text box 250-word narrative Practicum requests received from 106 student applicants Results uploaded to Excel spreadsheet Reviewed by educators to assign all student placements

10 Application Introduction

11 Clinical Selections

12 Optional Placements

13 Electronic Application Reviews

14 Outcomes Enabled educators to successfully organize requests Honor students individual preferences Using technology to support application Enabled educators to assign students to practicum site of choice

15 Survey Questions

16 Survey Results Survey Results N=23

17 Themes Emerged Theme 1 Application well organized and easy to follow Theme 2 Quick and easy to navigate and complete Theme 3 Preferred electronic over paper application

18 Workload Results

19 Discussion Developed process to improve selection quality for integrated application goal Analyzed and reorganized process Focus on functionality and technical capabilities Support wide ranging needs all clinical practicum options Local area, distant, specialty & international Each option had requirements Need for supplemental forms

20 Challenges & Limitations Communicating goals, process and outcomes for development and implementation process Change in workflow for students and educators Challenge: Developing process to improve selection quality for integrated application Limitations identified: Incomplete applications, discrepancies between narrative and dropdown menu selections, and narrative word-length limiting Student difficulty selecting clinical placements: Novice skillsets, modest patient exposure, and limited experiences in clinical areas

21 Conclusions Application by electronic devices (mobile device, or tablets) and by computer enabled direct access for students Maximize choice for learning experiences Further investigation necessary to explore student satisfaction

22 References Baptiste, D., & Shaefer, J. (2015). Online module to assure success as prelicensure nursing students transition to professional practice. Quarterly Review of Distance Education. 16 (4). P 1-5: ISSN Doyle, K., Sainsbury, K., Cleary, S., Parkinson, L., Vindigni, D., McGrath, I., & Cruickshank, M. (2017). Happy to help/happy to be here: Identifying components of successful clinical placements for undergraduate nursing students. Nurse Education Today, 49, Hsu, L.L., Hsieh, S, I., Chiu, H.W., & Chen, Y.L., (2014). Clinical teaching competence inventory for nursing preceptors: Instrument development testing. Contemporary Nurse. 46(2); Moore, P., Schmidt, D., Howington, L. (2014). Interdisciplinary preceptor teams to improve the clinical nurse leader student experience. Journal of Professional Nursing, 30(3), doi: /j.profnurs

23 Contact Information Nancy S. Goldstein, DNP, CRNP Johns Hopkins University School of Nursing Diana Baptiste, DNP, RN Johns Hopkins University School of Nursing Sibyl Snow, MS Johns Hopkins University School of Nursing

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