Students’ Perceptions Regarding Clinical Practice: A Quasi-Experimental Metaphor Study

Yıl 2024, Sayı: 5, 9 - 16, 05.07.2024

Betül Uncu , Elif Doğan , Nurten Kaya

https://doi.org/10.26650/CURARE.2024.1435720

Öz

Objective: This study aims to use metaphors to reveal students’ perceptions of clinical practice and the change in their perceptions after starting practice.
Methods: The study’s population consists of 98 students in the midwifery department of a health sciences faculty in Istanbul, and the sample consists of 86 students (87.75% of the population). The data of the study were obtained using the a student information form and the Clinical Practice Perception Form (CPPF) created by the authors. The CPPF asks the students to fill in the blanks for such phrases as “Clinical practice is like … because …”, “Lecturer/research assistant/mentor in the clinic is like … because ...”, “Healthcare team members in the clinic are like … because ...”, “Patients are like … because ...” before and after going into clinical practice. The study uses the descriptive analysis technique to analyze the completed metaphor statements.
Results: The students were observed to compare the clinic to the “school” the most before and after the clinical practice. The clinic’s lecturer/ research assistant/mentor was most likened to a “mother” before going into practice; after entering practice, they were determined to mostly compared it to “light.” Before and after clinical practice, healthcare team members were most likened to “friends,” and patients were most likened to a “flower.”
Conclusion: The midwifery students were observed to have positive perceptions about clinical practice before and after their first clinical practice. The study allowed students’ perceptions of clinical practice to be determined, as these constitute an important part of midwifery education . In this way, the study is thought to shed light on how to identify the deficiencies in clinical practice and how to arrange future training needs.

Anahtar Kelimeler

Clinical practice, education, teacher, metaphor, midwifery student

Kaynakça

• 1. Minicuci N, Giorato C, Rocco I, Lloyd-Sherlock P, Avruscio G, Cardin F. Survey of doctors’ perception of professional values. PloS One 2020;15(12):e0244303. https://doi.org/10.1371/ journal.pone.0244303 google scholar
• 2. Arnal-Gomez A, Munoz-Gomez E, Espi-Lopez GV, Juarez-Vela R, Tolsada-Velasco C, Marques-Sule E. Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study. Medicine 2022;101(35):e30181. https://doi.org/10.1097/ MD.0000000000030181 google scholar
• 3. Dyer JM, Latendresse G. Identifying and addressing problems for student progression in midwifery clinical education. J Midwifery Womens Health 2026;61(S1):28-36. https://doi.org/10.1111/ jmwh.12507 google scholar
• 4. Woodside JM. Organizational health management through metaphor: A mission-based approach. J Health Organ Manag 2018;32(3):374—93. https://doi.org/10.1108/JHOM-05-2017-0098 google scholar
• 5. Oxford Learner’s Dictionaries. Internet Adress: https:// www.oxfordlearnersdictionaries.com/definition/english/ metaphor?q=metaphor Access Date: 08.11.2023 google scholar
• 6. Cambridge P, Brockenshire N, Bridge N, Jarden RJ. Entry to practice nursing students’ experiences of debriefing during clinical practice: A qualitative meta-synthesis. Nurse Education Today, 2023;128:105871. https://doi.org/10.1016/j. nedt.2023.105871 google scholar
• 7. Miyamasu F. Metaphor analysis as a window into how japanese entry-level medical students conceptualize their future profession as physicians. Med Sci Educ 2020;30(3):1083-94. https://doi.org/10.1007/s40670-020-01019-7 google scholar
• 8. Miller CJ, Smith SN, Pugatch M. Experimental and quasiexperimental designs in implementation research. Psychiatry Res 2020;283:112452. https://doi.org/10.1016/j.psychres.2019.06.027 google scholar
• 9. Gökçek Aİ, Boyacıoğlu NE. A Metaphor analysis of women’s perception of motherhood. Fenerbahce Univ J Health Sci 2923;3(2):205-19. https://doi.org/10.56061/fbujohs.1184420 google scholar
• 10. Özsaban A, Bayram A. Factors affecting the clinical experience of nursing students in Turkey: A systematic review. J Ankara Health Sci 2020;9(2);124-45. https://doi.org/10.46971/ausbid.750585 google scholar
• 11. Chan ZC, Tong CW, Henderson S. Power dynamics in the studentteacher relationship in clinical settings. Nurse Educ Today 2017;49:174-9. https://doi.Org/10.1016/j.nedt.2016.11.026 google scholar
• 12. Saban A, Kocbeker BN, Saban A. Prospective teachers’ conceptions of teaching and learning revealed through metaphor analysis. Learn and Instr 2007;17:123-39. http:// dx.doi.org/10.1016/j.learninstruc.2007.01.003 google scholar
• 13. Baltacı A. A conceptual review of sampling methods and sample size problems in qualitative research. J Bitlis Eren Univ Soc Sci 2018;7(1):231-74. google scholar
• 14. Cho HJ, Ahn S. Middle-aged women’s experiences of physical activity for managing menopausal symptoms: a phenomenological study. Korean J Women Health Nurs, 2023;29(2):104-14. https://doi.org/10.4069/kjwhn.2023.06.15 google scholar
• 15. Heydarikhayat N, Ghanbarzehi N, Shahkaramzehi Z, Sabagh K, Rohani C. Nurses’ lived experiences of caring for patients with COVID-19: a phenomenological study. J Res Nurs, 2022;27(4):313-27. https://doi. org/10.1177/17449871221079175 google scholar
• 16. La Sala R, Ruozi C, Gavagni S, Martelli M, Marletta G, Primosa F. Nursing students’ perception of the quality of clinical learning: a mixed methods inquiry. Acta Biomed 2010;990(6-S):78-86. https://doi.org/10.23750/abm.v90i6-S.8641 google scholar
• 17. Kaur G, Chernomas WM, Scanlan JM. Nursing students’ perceptions of and experiences coping with stress in clinical practice. Int J Nurs Educ Scholarsh 2020;17(1). https://doi. org/10.1515/ijnes-2020-0005 google scholar
• 18. Omer TY, Suliman WA, Thomas L, Joseph J. Perception of nursing students to two models of preceptorship in clinical training. Nurse Educ Pract 2013;13(3):155-60. https://doi.org/10.1016/j. nepr.2013.02.003 google scholar
• 19. Nabizadeh S, Hajian S, Sheikhan Z, Rafiei F. Prediction of academic achievement based on learning strategies and outcome expectations among medical students. BMC Med Educ 2019;19(1):99. https://doi.org/10.1186/s12909-019-1527-9 google scholar
• 20. Chan ZCY, Chien WT, Henderson S. Metaphorical interpretations of the educator-student relationship: An innovation in nursing educational research. Nurse Educ Pract 20108;28:46-53. https://doi.org/10.1016/j.nepr.2017.09.012 google scholar
• 21. Aydin Er R, Sehiralti M, Akpinar A. Attributes of a good nurse. Nurs Ethics 2017;24(2):238-50. https://doi.org/ 10.1177/0969733015595543 google scholar
• 22. Happell B, Waks S, Bocking J, Horgan A, Manning F, Greaney S, et al. “But I’m not going to be a mental health nurse”: nursing students’ perceptions of the influence of experts by experience on their attitudes to mental health nursing. J Ment Health 2021;30(5):556-63. https://doi.org/10.1080/09638237.2019.16 77872 google scholar
• 23. Adkoli BV, Al-Umran KU, Al-Sheikh M, Deepak KK, Al-Rubaish AM. Medical students’ perception of professionalism: a qualitative study from Saudi Arabia. Med Teach 2011;33(10):840-5. https:// doi.org/10.3109/0142159X.2010.541535 google scholar
• 24. Ekstedt M, Lindblad M, Lofmark A. Nursing students’ perception of the clinical learning environment and supervision in relation to two different supervision models - a comparative crosssectional study. BMC Nurs 2019;18:49. https://doi.org/10.1186/ s12912-019-0375-6 google scholar
• 25. Ortega G, Smith C, Pichardo MS, Ramirez A, Soto-Greene M, Sánchez JP. Preparing for an academic career: The significance of mentoring. MedEdPORTAL 2018;14:10690. https://doi. org/10.15766/mep_2374-8265.10690 google scholar
• 26. Minton C, Batten L. Nurses’ experiences of caring for patients during a prolonged critical illness. Nurs Crit Care 2021;26(6):485-92. https://doi.org/10.1111/nicc.12571 google scholar
• 27. Brooks IA, Morphet J. The defining characteristics of newly graduated nurses - A Delphi study. Nurse Educ Pract 2021;51:102985. https://doi.org/10.1016/j.nepr.2021.102985 google scholar