Challenges in clinical learning: experiences of Maldivian nursing students

Abstract

Clinical practice is an essential part of nursing education. It provides opportunity to apply theoretical knowledge, and develop skills. Nursing faculty need to identify ways to improve clinical learning for students. The aim of this paper was to obtain an understanding of experiences of clinical learning environment for Maldivian nursing students. A qualitative descriptive design was used and informed consent was obtained from all students. Data was collected from 20 students of Maldives National University, using four focus group discussions. Focus group interviews that lasted approximately one hour were conducted. The interviews were audio taped and transcribed verbatim. The transcripts were red multiple times to gain an understanding of students experiences. Discussions that related to students clinical experiences were extracted and coded under different themes. Mentors, clinical learning opportunities, clinical evaluation, and student feelings were found to be important components of clinical learning. Interpersonal relationships and communication with mentors were found to be important for motivation of students. Factors in the CLE enabled students to make good use of learning opportunities while other factors hindered their learning. Students felt that clinical evaluation was unfair and not reflective of their achievements. Students experienced a number of positive and negative feelings due to their experiences in the CLE. A number of factors present in the CLE could prevent it from becoming an effective learning environment for student nurses. It is important that nurse educators identify these and find ways to improve the effectiveness of the CLE.