Experiences of senior nursing students in internal medicine clinics: A phenomenological qualitative study

Yıl 2024, Cilt: 11 Sayı: 1, 17 - 27, 31.03.2024

Sevinç Kutlutürkan Elif Sözeri Öztürk Kamile Kırca

https://doi.org/10.52880/sagakaderg.1278731

Öz

Introduction and Aim: Internal medicine clinics are one type of clinic where nursing students do internship. The aim of this study was to gain a better understanding of the senior nursing students’ experiences in internal medicine clinics (IMCs). Methods: This study employed phenomenology, which is a qualitative research design. The study was conducted with 18 nursing students at the nursing department of a public university in Turkey. Three focus group interviews were held with six participants in each group. Data were collected using a demographic characteristics form, and a semi-structured questionnaire developed by the researchers. Results: Three themes evolved during data analysis: (1) description of an internal medicine clinic, (2) benefits of practicing in internal medicine clinics for their professional development, (3) difficulties in practicing in internal medicine clinics. Most students described IMCs as care-focused clinics for complex patients in need of care, especially elderly patients, with comorbidities and specific etiologies. Students stated that practicing in internal medicine clinics provided them with skills related to care practices and postgraduate professional competence. As for difficulty, students stated that they sometimes had difficulty collaborating with the health care team during care. Conclusions: A positive learning environment is important for the development of effective student performance skills, motivation for individual learning, and a successful professional socialization process. Academics should recognize the effect of clinical structure and healthcare professionals’ behavior on students and plan clinical interventions accordingly to make sure that students have positive clinical experiences.

Anahtar Kelimeler

Experience, Internal medicine clinic, Nursing student, Qualitative

Proje Numarası

YOK

Hemşirelik son sınıf öğrencilerinin iç hastalıkları kliniklerindeki deneyimleri: Fenomenolojik nitel bir çalışma

Öz

Giriş ve Amaç: İç hastalıkları klinikleri, hemşirelik öğrencilerinin uygulama yaptıkları kliniklerden biridir. Bu çalışmanın amacı iç hastalıkları kliniklerinde uygulama yapan son sınıf hemşirelik öğrencilerinin deneyimlerinin belirlenmesidir. Materyal ve Metot: Bu çalışmada nitel bir araştırma deseni olan fenomenoloji kullanılmıştır. Araştırma, Türkiye'de bir devlet üniversitesinin hemşirelik bölümünde öğrenim gören 18 hemşirelik öğrencisi ile yapılmıştır. Verilerin toplanması üç odak grup görüşmesi şeklinde, öğrencilerin demografik özelliklerini içeren soru formu ve araştırmacılar tarafından geliştirilen yarı yapılandırılmış soru formu aracılığıyla yapılmıştır. Bulgular: Araştırmada veri analizinde üç tema belirlenmiştir: (1) iç hastalıkları kliniklerine ilişkin tanımlamalar, (2) iç hastalıkları kliniklerinde uygulama yapmanın mesleki gelişimlerine sağladığı yararlar ve (3) iç hastalıkları kliniklerinde uygulama yapmanın güçlükleridir. Çoğu öğrenci, iç hastalıkları kliniklerini bakıma muhtaç karmaşık hastaların olduğu, özellikle komorbiditeleri ve spesifik etiyolojileri olan yaşlı hastalar için bakım odaklı klinikler olarak tanımlamıştır. Öğrenciler iç hastalıkları kliniklerinde çalışmanın kendilerine bakım uygulamalarına ilişkin beceriler ve mezuniyet sonrası mesleki yeterlilik kazandırdığını belirtmişlerdir. Güçlük konusunda ise öğrenciler bazen bakım sırasında sağlık ekibiyle işbirliği yapmakta zorlandıklarını belirtmişlerdir. Sonuç: Olumlu bir öğrenme ortamı, etkili öğrenci performans becerilerinin geliştirilmesi, bireysel öğrenme motivasyonu ve başarılı bir profesyonel sosyalleşme süreci için önemlidir. Akademisyenler, klinik yapının ve sağlık profesyonellerinin davranışlarının öğrenciler üzerindeki etkisini tanımalı ve öğrencilerin olumlu klinik deneyimler yaşamasını sağlamak için klinik müdahaleleri buna göre planlamalıdır.

Anahtar Kelimeler

Deneyim, İç hastalıkları kliniği, Hemşirelik öğrencisi, Kalitatif

Destekleyen Kurum

YOK

Proje Numarası

YOK

Kaynakça

• Alharbi, A.R., & Alhosis, K.F. (2019). The challenges and difficulties of the nursing interns during their clinical internship in Qassim Region, Saudi Arabia. Saudi Journal for Health Sciences, 8(1),6. https://doi.org/10.4103/sjhs.sjhs_143_18
• Aydın Dikmen, Y., Şahin Orak, N., Gürkan, A., Aslan, G.,& Demir, F. (2017). Evaluation of nursing students’ support from nurses during their clinical education. Journal of Academic Research in Nursing, 3(3), 109-115. https://doi.org/10.5222/jaren.2017.109
• Baraz, S., Memarian, R., & Vanaki, Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion, 4,1-9. https://doi.org/10.4103/2277-9531.162345
• Bazrafkan, L., & Najafi Kalyani, M. (2018). Nursing Students Experiences of Clinical Education: A Qualitative Study. Investigacion y educacion en enfermeria, 36(3), 10.17533/udea.iee.v36n3e04. https://doi.org/10.17533/udea.iee.v36n3e04
• Carpentier, M., Van Hoye, G., Stockman, S., Schollaert, E., Van Theemsche, B., & Jacobs, G. (2017). Recruiting nurses through social media: Effects on employer brand and attractiveness. Journal of advanced nursing, 73(11), 2696–2708. https://doi.org/10.1111/jan.13336
• Clavelle, J. T., Goodwin, M., & Tivis, L. J. (2013). Nursing professional attire: probing patient preferences to inform implementation. The Journal of nursing administration, 43(3), 172–177. https://doi.org/10.1097/NNA.0b013e318283dc78
• Çuvalci, B., & Hindistan, S. (2018). Positioning usage features of nurses working in internal medicine clinics. Hacettepe University Faculty of Health Sciences Journal, 5(2),13-30. https://doi.org/10.21020/husbfd.379899
• Demir, S., & Ercan, F. (2018). The first clinical practice experiences of psychiatric nursing students: A phenomenological study. Nurse education today, 61, 146–152. https://doi.org/10.1016/j.nedt.2017.11.019
• 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, 27–32. https://doi.org/10.1016/j.nedt.2016.11.001
• Dönmez, A.A., & Kapucu, S. (2018). Providing care for neurology patients from nursing students’ perspectives: a qualitative study. Acıbadem University Health Sciences Journal, 9(2),124-129. http://journal.acibadem.edu.tr/tr/pub/issue/61320/914515#article_cite
• Dönmez, S., & Weller, B.K. (2019). Examining the views of senior students in nursing school in realation (or that are related) to the two different education systems they have received. Acıbadem University Health Sciences Journal, 10(1),42-48. http://journal.acibadem.edu.tr/tr/pub/issue/61323/914584
• Edmunds, H. (1999). The focus group. Research handbook. Chicago, IL: American Marketing Association and NTC Business Books.
• Ekiz, D. (2003). Introduction to Research Methods and Methods in Education. Ankara: Anı Yayıncılık.
• Enç, N., Alkan, H., Uysal, H., Can, G., & Tülek, Z. (2019). Assessment of Use in Clinical Practice of Internal Medicine Nursing Practice Student Training Module. ARC Journal of Nursing and Healthcare, 5(1),1-8. http://dx.doi.org/10.20431/2455-4324.0501001
• Erdoğan, S. (2014). Qualitative Research. In Erdoğan S., Nahcivan N., & Esin M. N. (Eds.). Nursing research (pp. 131-166). İstanbul: Nobel Tıp Kitabevleri. Erenel, A.Ş., Dal, Ü., Kutlutürkan, S., & Vural, G. (2008). The views of the fourth year students and nurses about internship practices. Journal of Hacettepe University Faculty of Nursing, 15(2),16–25. https://dergipark.org.tr/tr/pub/hunhemsire/issue/7844/103295#article_cite
• Farzi, S., Shahriari, M., & Farzi, S. (2018). Exploring the challenges of clinical education in nursing and strategies to improve it: A qualitative study. Journal of education and health promotion, 7, 115. https://doi.org/10.4103/jehp.jehp_169_17
• Ford, K., Courtney-Pratt, H., Marlow, A., Cooper, J., Williams, D., & Mason, R. (2016). Quality clinical placements: The perspectives of undergraduate nursing students and their supervising nurses. Nurse education today, 37, 97–102. https://doi.org/10.1016/j.nedt.2015.11.013
• Fesci, H., Dogan, N., & Pınar, G. (2008). Nurses working in medical clinics in patients care were faced difficulties and their suggestions for solution. Journal of Atatürk University School of Nursing,11(3),40-50. https://dergipark.org.tr/tr/download/article-file/29421
• Karadağ, G., Kılıç, S.P., Ovayolu, N., Ovayolu, Ö., & Kayaaslan, H. (2013). Difficulties encountered by nursing students in practices and their views about nurses. TAF Prev Med Bull,12, 665–72. https://doi.org/10.5455/pmb.1-1353569323
• Krueger, R.A., & Casey, M.A. (2000). Focus Gruops: A Practical Guide for Applied Research 3rd edition. Thousand Oaks, CA: Sage Pub.
• Krueger, R.A. (1994). Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage Publications Inc.
• Kürtüncü, M., Çınar, N., Kahraman, İ., &Demirbağ, B.C. (2017). Experience in Clinical Pediatric Oncology Nursing Students: Qualitative Study. Journal of Health Science and Profession, 4(1),8-15. https://doi.org/10.17681/hsp.287510
• Lapeña-Moñux, Y. R., Cibanal-Juan, L., Orts-Cortés, M. I., Maciá-Soler, M. L., & Palacios-Ceña, D. (2016). Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry. Revista latino-americana de enfermagem, 24, e2788. https://doi.org/10.1590/1518-8345.1242.2788
• Magilvy, J. K., & Thomas, E. (2009). A first qualitative project: qualitative descriptive design for novice researchers. Journal for specialists in pediatric nursing: JSPN, 14(4), 298–300. https://doi.org/10.1111/j.1744-6155.2009.00212.x
• Mayring, P. (2011). Introduction to Qualitative Social Research: A Guide to Qualitative Thinking, Adnan Gümüş & M. Sezai Durgun (Çev.), BilgeSu, Ankara.
• Nyumba, T.O., Wilson, K., Derrick, C.J., & Mukherjee, N. (2018). The use of focus group discussion methodology: Insights from two decades of application in conservation. Methods Ecol Evol. 9, 20–32. https://doi.org/10.1111/2041-210X.12860
• Patton, M.Q. (2014). Qualitative research and evaluation methods. Translation from 3rd Edition. Bütün, M & Demir, S. B. (Edt.), Ankara: Pegem Akademi.
• Pitkänen, S., Kääriäinen, M., Oikarainen, A., Tuomikoski, A. M., Elo, S., Ruotsalainen, H., Saarikoski, M., Kärsämänoja, T., & Mikkonen, K. (2018). Healthcare students' evaluation of the clinical learning environment and supervision - a cross-sectional study. Nurse education today, 62, 143–149. https://doi.org/10.1016/j.nedt.2018.01.005
• Rafati, F., Nouhi, E., Sabzehvari, S., & Dehghan-Nayyeri, N. (2017). Iranian Nursing Students' Experience of Stressors in Their First Clinical Experience. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 33(3), 250–257. https://doi.org/10.1016/j.profnurs.2016.09.003
• Ramsbotham, J., Dinh, H., Truong, H., Huong, N., Dang, T., Nguyen, C., Tran, D., & Bonner, A. (2019). Evaluating the learning environment of nursing students: A multisite cross-sectional study. Nurse education today, 79, 80–85. https://doi.org/10.1016/j.nedt.2019.05.016
• Sözeri, E., Uysal, N., & Kutlutürkan, S. (2016). Being an oncology nurse from the perspective of second year nursing students. Journal of Education and Research in Nursing,13(1),16-20. https://doi.org/10.5222/HEAD.2016.248
• Sun, F. K., Long, A., Tseng, Y. S., Huang, H. M., You, J. H., & Chiang, C. Y. (2016). Undergraduate student nurses' lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse education today, 37, 21–26. https://doi.org/10.1016/j.nedt.2015.11.001
• Şahsuvaroğlu, T. & Ekşi, H. (2013). Focus group interview and social representations theory. Marmara University Atatürk Education Faculty Journal of Educational Sciences, 28(28), 127-139. https://dergipark.org.tr/tr/pub/maruaebd/issue/367/2097
• Tekindal, M. & Uğuz Arsu, Ş. (2020). Content and process of phenomenological approach within the scope of qualitative research method. Beyond the Horizon Science Journal, 20 (1), 153- 182. https://dergipark.org.tr/en/pub/uobild/issue/58856/813813
• Tuomikoski, A. M., Ruotsalainen, H., Mikkonen, K., & Kääriäinen, M. (2020). Nurses' experiences of their competence at mentoring nursing students during clinical practice: A systematic review of qualitative studies. Nurse education today, 85, 104258. https://doi.org/10.1016/j.nedt.2019.104258
• Vizcaya-Moreno, M.F., Pérez-Cañaveras, R.M., Jiménez-Ruiz, I., & de Juan, J. (2018). Student nurse perceptions of supervision and clinical learning environment: a phenomenological research study. Enfermería Global, 17(3),306-331. https://scielo.isciii.es/pdf/eg/v17n51/en_1695-6141-eg-17-51-306.pdf
• Xie, H., Luo, D., Li, X., Zhang, J., & Kang, B. (2023). Pediatric outpatient experiences of senior nursing students: A qualitative study. Japan journal of nursing science: JJNS, 20(4), e12553. https://doi.org/10.1111/jjns.12553