EVALUATION OF NURSING STUDENTS' FIRST CLINICAL EXPERIENCE ON THE WAY TO BECOMING A NURSE: A DIARY STUDY

Yıl 2025, Cilt: 6 Sayı: 1, 1 - 9, 21.03.2025

Betül Bal , Mehmet Korkmaz , Derya Öztürk Özen

Öz

Abstract
Introduction: Clinical practice is an important educational environment in which nursing students acquire professional socialization. Positive first clinical experiences of nursing students will ensure the development of professional identity and value systems.
Purpose: This study was conducted to examine the first clinical practice experiences of nursing students.
Method: The study was conducted in a qualitative design with 27 nursing students studying in the Department of Nursing of a university and who had their first clinical practice. The data were collected between December 18 and 29, 2023 using the Student Information Form and a diary. Frequency and percentage analyses were used in the evaluation of demographic data and content analysis method was used in the evaluation of qualitative data.
Results: The data obtained from the diaries were classified under three main themes and three sub-themes: '(1) First Step (First Interaction with the Profession, Interaction with Nurses, and Interaction with the Patient), (2) Process, and (3) End-of-Clinic Evaluation.
Conclusion: In this study, it was determined that nursing students experienced emotional reactions during their first clinical practice. Journal writing helps students to express and relive their emotions, identify problems and understand themselves better. Therefore, future research should focus on studies that address students' professional and personal development through diaries and long-term follow-up.

Anahtar Kelimeler

Experience, Diary, Nursing Student, Nursing Education, Clinical Practice

Hemşirelik Öğrencilerinin Hemşire Olma Yolundaki İlk Klinik Deneyimlerinin Değerlendirilmesi: Bir Günlük Çalışması

Öz

Giriş: Klinik uygulama, hemşirelik öğrencilerinin profesyonel sosyalizasyonunu edindiği önemli bir eğitim ortamıdır. Hemşirelik öğrencilerinin ilk klinik deneyimlerinin olumlu yönde olması, profesyonel kimliğin ve değer sistemlerinin gelişimini sağlayacaktır.
Amaç: Bu araştırma, hemşirelik öğrencilerinin ilk klinik uygulama deneyimlerini incelemek amacıyla yapılmıştır.
Yöntem: Araştırma bir üniversitenin Hemşirelik Bölümü’nde öğrenim gören ve ilk kez klinik uygulamaya çıkan 27 hemşirelik öğrencisi ile nitel tasarımda yürütülmüştür. Araştırmanın verileri Öğrenci Bilgi Formu ve günlükler aracılığı ile 18- 29 Aralık 2023 tarihleri arasında toplanmıştır. Araştırmada demografik verilerinin değerlendirilmesinde frekans ve yüzde analizlerinden faydalanılmış olup nitel verilerinin değerlendirilmesinde de içerik analizi yöntemi kullanılmıştır.
Bulgular: Günlüklerden elde edilen veriler; ‘(1) İlk adım (Meslekle İlk Etkileşim, Hemşirelerle Etkileşim ve Hasta ile Etkileşim), (2) Süreç ve (3) Klinik Sonu Değerlendirme olmak üzere üç ana tema ve üç alt tema altında sınıflandırılmıştır.
Sonuç: Bu araştırmada, hemşirelik öğrencilerinin, ilk klinik uygulamaları sırasında duygusal tepkiler yaşadıkları belirlenmiştir. Günlük yazmak öğrencilerin duygularını ifade etmelerine, yeniden yaşamalarına, sorunları tanımlamalarına ve kendilerini daha iyi anlamalarına yardımcı olmaktadır. Bu nedenle gelecekteki araştırmalar, günlükler vasıtasıyla öğrencilerin mesleki ve kişisel gelişimlerinin ele alındığı ve uzun süreli takibinin yapıldığı çalışmalara odaklanmalıdır

Anahtar Kelimeler

Deneyim, Günlük, Hemşirelik Eğitimi, Hemşirelik Öğrencisi, Klinik Uygulama

Kaynakça

• Yükseköğretim Kurulu. Doktorluk, hemşirelik, ebelik, diş hekimliği, veterinerlik, eczacılık ve mimarlık eğitim programlarının asgari eğitim koşullarının belirlenmesine dair yönetmelik. Erişim Tarihi: 10.01.2024. Erişim adresi: https://www.resmigazete.gov.tr/eskiler/2008/02/20080202-9.htm. 2008.
• İbrahimoğlu Ö, Mersin S, Saray Kılıç H. Nursing education curriculum and learning outcomes. Journal of Higher Education & Science, 2019: 9: 12-16.
• Özsaban A, Bayram A. Türkiye’de hemşirelik öğrencilerinin klinik uygulama deneyimlerini etkileyen faktörler: sistematik derleme. Ankara Sağlık Bilimleri Dergisi, 2020: 9(2): 124-145.
• Reljić NM, Pajnkihar M, Fekonja Z. Self-reflection during first clinical practice: The experiences of nursing students. Nurse Education Today, 2019: 72: 61-66.
• Sun FK, Long A, Tseng YS, Huang HM, You JH, Chiang CY. Undergraduate student nurses' lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse education today, 2016: 37: 21-26.
• Teskereci G, Boz İ. “I try to act like a nurse”: A phenomenological qualitative study. Nurse Education in Practice, 2019: 37: 39-44.
• McCloughen A, Levy D, Johnson A, Nguyen H, McKenzie H. Nursing students’ socialisation to emotion management during early clinical placement experiences: A qualitative study. Journal of Clinical Nursing, 2020: 29(13-14): 2508-2520.
• Cheung T, Wong SY, Wong KY, Law LY, Ng, K, Tong MT et al. Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: a cross-sectional study. International Journal of Environmental Research and Public Health, 2016: 13(8): 779.
• Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 2021: 21(1): 1-11.
• Albloushi M, Ferguson L, Stamler L, Bassendowski S, Hellsten L, Kent-Wilkinson A. Saudi female nursing students experiences of sense of belonging in the clinical settings: A qualitative study. Nurse Education in Practice, 2019: 35: 69-74.
• Kurt Ş, Öztürk H. Hemşirelik Birinci Sınıf Öğrencilerinin Klinik Uygulama Yaşantıları: Günlük İncelemesi-Nitel Bir Araştırma. Hemşirelikte Araştırma Geliştirme Dergisi 2019; 21(3): 104-116.
• Baraz S, Memarian R, Vanaki Z. Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of education and health promotion, 2014: 4.
• Zarshenas L, Sharif F, Molazem Z, Khayyer M, Zare N, Ebadi A. Professional socialization in nursing: A qualitative content analysis. Iranian Journal of Nursing and Midwifery Research, 2014: 19(4): 432-8.
• Arabacı LB, Korhan EA, Tokem Y, Torun R. Hemşirelik birinci sınıf öğrencilerinin ilk klinik deneyim öncesi-sırası ve sonrası anksiyete ve stres düzeyleri ve etkileyen faktörler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2015: 2(1), 1-16.
• Bayar K, Çadır G, Bayar B. Hemşirelik öğrencilerinin klinik uygulamaya yönelik düşünce ve kaygı düzeylerinin belirlenmesi. 2009: 8 (1): 37.
• Ten Hoeve Y, Kunnen S, Brouwer J, Roodbol PF. The voice of nurses: Novice nurses’ first experiences in a clinical setting. A longitudinal diary study. Journal of Clinical Nursing, 2017: 27(7-8): 1612-1626. Creswell JW. Research design: Qualitative, quantitative and mixed methods approaches (4th ed.). Thousand Oaks: Sage; 2014.
• Patterson C, Moxham L, Brighton R, Taylor E, Sumskis S, Perlman D, et al. Nursing students' reflections on the learning experience of a unique mental health clinical placement. Nurse Education Today, 2016: 46: 94-98.
• Taşdelen S, Zaybak A. Hemşirelik öğrencilerinin ilk klinik deneyim sırasındaki stres düzeylerinin incelenmesi. Florence Nightingale Hemşirelik Dergisi, 2013: 21(2): 101-106.
• Levett-Jones T, Pitt V, Courtney-Pratt H, Harbrow G, Rossiter R. What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience? Nurse Education in Practice, 2015: 15(4): 304-309.
• Omansky GL. Staff nurses' experiences as preceptors and mentors: an integrative review. Journal of Nursing Management, 2010: 18(6): 697-703.
• Bradbury C, Shakespeare P. Judgements about mentoring relationships in nurse education. Nurse Education Today, 2008: 28(5): 563-571.
• Vinales JJ. The mentor as a role model and the importance of belongingness. British Journal of Nursing, 2015: 24(10): 532-535.
• Grobecker PA. A sense of belonging and perceived stress among baccalaureate nursing students in clinical placements. Nurse Education Today, 2016: 36: 178-183.
• Liang HF, Wu KM, Wang YH. Nursing students' first-time experiences in pediatric clinical practice in Taiwan: A qualitative study. Nurse Education Today, 2020: 91: 104469.
• Manninen K, Henriksson EW, Scheja M, Silén C. Authenticity in learning–nursing students’ experiences at a clinical education ward. Health Education. 2013: 113(2): 132-143.
• Currie K, Bannerman S, Howatson V, MacLeod F, Mayne W, Organ C et al. ‘Stepping in’or ‘stepping back’: How first year nursing students begin to learn about person-centred care. Nurse Education Today, 2015: 35(1): 239-244.
• Kermansaravi F, Navidian A, Yaghoubinia F. Nursing students’ views of nursing education quality: a qualitative study. Global Journal of Health Science, 2015: 7(2): 351.
• Bazrafkan L, Najafi Kalyani M. Nursing students' experiences of clinical education: A qualitative study. Investigacion y Educacion en Enfermeria, 2018: 36(3).
• Akram AS, Mohamad A, Akram S. The role of clinical instructor in bridging the gap between theory and practice in nursing education. International Journal of Caring Sciences, 2018: 11(2): 876-882.
• Salah AA, Aljerjawy M, Salama A. Gap between theory and practice in the nursing education: the role of clinical setting. Emergency, 2018: 24(17.18).
• Günay U, Kılınç G. The transfer of theoretical knowledge to clinical practice by nursing students and the difficulties they experience: A qualitative study. Nurse Education Today, 2018: 65: 81-86.
• Shoghi M, Sajadi M, Oskuie F, Dehnad A, Borimnejad L. Strategies for bridging the theory-practice gap from the perspective of nursing experts. Heliyon, 2019: 5(9): 02503.