Clinical experiences of third-year student nurses in a public college in the Eastern Cape
- Authors: Tyanti, Mandisa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11912 , http://hdl.handle.net/10353/d1016097
- Description: Clinical experience has always been an important part of nursing education. Nursing colleges require students to be placed in clinical areas in order to acquire new knowledge and skills. The purpose of the study was to explore and describe the clinical experiences during their clinical placement of the third-year student nurses at a public college in the Eastern Cape. The objectives of this study were: to explore and describe the experiences of the third-year student of a public nursing college in the Eastern Cape, and to describe strategies for the improvement of student learning during clinical practice. A qualitative, explorative and descriptive research design was used to describe the clinical experiences of these student nurses and the strategies for the improvement of student learning during clinical practice. Data were collected from focus group interviews, using a purposive and convenience sample from one college campus in the Eastern Cape. Tesch’s method of data analysis (in Creswell, 2003) was used to analyse data. Trustworthiness was ensured in this research by using Guba’s model (in Lincoln & Guba, 1985) of qualitative research. Ethical approval was obtained from the University of Fort Hare Research Ethics Committee, the Department of Health, Eastern Cape, the Head of the Nursing College, the Campus Head and the participants and ethical consideration was ensured throughout the research process. Themes and sub-themes emerged from data collected about the clinical experiences of the nurses. The study brought to light the experiences of third-year student nurses during allocation to clinical areas. The findings from this study revealed the need for proper clinical accompaniment by college staff to ensure that clinical learning is taking place. Strategies to improve learning in the clinical areas are described. and recommendations for nursing education and nursing practice are made. If this is applied, it will help the student nurses to be better professionals.
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Experiences of agency nurses regarding their placement in private hospitals in East London, Eastern Cape
- Authors: Muller, Jennifer
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11911 , http://hdl.handle.net/10353/d1016054
- Description: The general Australian workforce is becoming increasingly reliant on agency staff due to the diminishing of full-time jobs and the rise in part-time jobs since the recession of 1991-1992. This pattern is also seen in Western countries such as America and the United Kingdom (Peerson et al., 2002:505). The excessive costs of health service adopting a 100% staffing model has created the use of agency nursing to help meet fluctuating and unpredictable health care demands in Australia and overseas; agency staff are used to meet the shortfalls in staff-patient ratios (Peerson et al., 2002:505). Hurst & Smith (2011:287) agree that agency nurse staffing form a large part of the health service in the UK and state that this was unlikely to change because of recruitment and retention problems, high absenteeism, and staff wanting to work casually. In their study, they identified three types of agency nurses: A bank nurse – the hospital’s own employees or those supplied by NHS Professionals, who work when required, usually at short notice; agency nurses provided by commercial organisations, who are equally flexible but less familiar with the ward patients and procedures; and permanent ward staff working paid overtime. In South Africa, this also remains a problem in public and private institutions. The World Health Organization (WHO) states that the minimum ratio for nurses to population is 200:100 000 or 500 people per nurse. According to South African Nursing Council statistics of nursing manpower as at the end of 2008, South Africa has 437 nurses for every 100 000 people. This assumed that all nurses registered with SANC are working in South Africa at the time. Therefore, if the assumed number of staff not working in South Africa is subtracted, the ratio can increase to between 600 and 678 people per nurse (WHO, 2006). Joubert (2009:2) shows that a shortage of nurses contributes to deaths in hospitals in South Africa that would otherwise have been avoidable. The use of agency staff is becoming an appropriate means of providing cost-effectiveness and flexibility to staffing needs.
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Experiences of college students, regarding the mentoring role of registered nurses in the public services of the Eastern Cape, South Africa
- Authors: Lundall, Kasthuri
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11918 , http://hdl.handle.net/10353/d1016159
- Description: Fifty percent of the learning of student nurses takes place within the clinical learning environment. It is in this environment that nursing students are expected to apply their knowledge, learn new skills, and achieve the required learning outcomes and proficiencies. Nursing program Me s differ significantly, so students ‟practice will vary depending on where they are studying and their practice will develop as the level of proficiency increases, and may also vary depending on the context of placement. Gopee (2008:7) elaborates on the fact that mentoring enables student nurses to gain clinical skills during placements and serves a formal role whereby teaching and practice facilitate professional learning within the healthcare system. The study was undertaken with the aim to describe experiences of college students regarding the mentoring role by registered nurses in the Public Services of the Eastern Cape. The objectives of the study were to explore and describe experiences of college students, regarding the mentoring role of registered nurses in Public Services of the Eastern Cape, to analyse the results and to make suggestions from findings that were obtained. A qualitative, exploratory, descriptive and contextual design was used for this study to explore and describe the experiences of the college students regarding the mentoring role of registered nurses in the Public Services of the Eastern Cape, South Africa. The researcher studied the population of student nurses in the public nursing college in the Eastern Cape at the East London Campus. Purposive sampling which is referred to as a judgmental approach was used. Data were collected by means of focus group interviews. An interview schedule with an unstructured questionnaire was used to investigate and explore information gained from the participants. This study consisted of a total of five focus groups that were recruited from fourth-year nursing students at the East London campus who volunteered to be part of the study. The total number of participants was 31. Data were analysed using v Tesch‟s method of analysis for qualitative research. Two major themes emerged, revealing positive experiences of students with regard to mentoring and negative experiences of students regarding mentoring. After exploring and describing the experiences of college students regarding the mentoring role played by registered nurses in the Public Services of the Eastern Cape, it was concluded that that there is a lack of mentoring, coupled with negativity, by registered nurses which results in many challenges. Recommendations included: Motivation for integration and collaboration; interactive working relationships; introducing a well-established orientation programme; a well-structured clinical teaching programme and procedure manuals; reinstatement of clinical preceptors, clinical objectives and time frames; identify in clinical staff who will mentor student nurses; instituting in-service training programmes and workshops; introduction of peer mentoring; and establishment of set times for routine clinical ward rounds.
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