Teaching and Learning of Clinical Competence in Ghana: Experiences of Students and Post-Registration Nurses.

Autor: Salifu DA; Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroo Campus, Building PC-G16, Office 101,11 Hoffman St., Potchefstroom 2520, South Africa.; School of Nursing and Midwifery, University for Development Studies, Box TL 1350, Tamale 00233, Ghana., Heymans Y; Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroo Campus, Building PC-G16, Office 101,11 Hoffman St., Potchefstroom 2520, South Africa., Christmals CD; Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroo Campus, Building PC-G16, Office 101,11 Hoffman St., Potchefstroom 2520, South Africa.
Jazyk: angličtina
Zdroj: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2022 Mar 15; Vol. 10 (3). Date of Electronic Publication: 2022 Mar 15.
DOI: 10.3390/healthcare10030538
Abstrakt: Despite the growing demand for competent nurses to fill the shortage gap, nursing education institutions have not always been able to equip students with the requisite clinical competence needed in the practice setting. Several studies have described the experiences of undergraduate nursing students in the clinical learning environment. No study was found on the experiences of diploma nursing students and post-registration nurses regarding the teaching and learning of clinical competence in Ghana. This study, therefore, sought to describe the experiences and perceptions of diploma nursing students and post-registration nurses regarding the teaching and learning of clinical competence in Ghana. A qualitative descriptive research design was employed in this study. Fifty-five (55) participants, comprising 40 students and 15 post-registration diploma nurses, from six research sites were recruited into focus group discussions (FGDs) using a maximum variation purposive sampling technique. A thematic framework method was used to analyze the data with the aid of ATLAS.ti software. Three themes emerged from the focus group discussions: nursing education institutional factors; clinical placement design, implementation, and system challenges; challenges of clinical teaching and learning. We conclude that the current approach to clinical nursing education, such as the overreliance on clinical placement and the use of more teacher-centered teaching approaches, are ineffective in facilitating the development of clinical competence. A review of the nursing curriculum, inculcating evidence-based simulation modalities, and an adequate investment in nursing education may be required to ensure effective nursing education in the study setting.
Databáze: MEDLINE