Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sağlık Disiplini Öğrencilerinin Klinik Uygulama Alanlarında Sorun Yaşama Durumları ve Beklentilerinin Belirlenmesi
Determining the Problems and Expectations of Health Discipline Students in Clinical Practice Areas
Cemile SAVCIa, Gülser ŞERBETÇİb, Ümmühan KILIÇc
aHemşirelik Bölümü AD, İstanbul Medeniyet Üniversitesi,
bSağlık Bilimleri Üniversitesi Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi,
cSağlık Bilimleri Üniversitesi Okmeydanı Eğitim ve Araştırma Hastanesi, İstanbul, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2019;4(3):315-22
doi: 10.5336/healthsci.2018-64261
Article Language: TR
Full Text
ÖZET
Amaç: Çalışmanın amacı, sağlık kurumlarında klinik uygulama eğitimi için kabul edilen sağlık disiplini öğrencilerinin klinik beceri eğitimi süresince klinik uygulama alanlarında karşılaştıkları sorunları, beklentilerini ve çözüm önerilerini belirlemektir. Gereç ve Yöntemler: Kesitsel tanımlayıcı nitelikte olan çalışmaya, 23.11.2016 - 23.02.2017 tarihleri arasında İstanbul ilinde bir Kamu Hastaneleri Birliği Genel Sekreterliğine bağlı 12 sağlık tesisinde klinik uygulama eğitimine devam eden 3426 öğrenci arasından, 0,05 örnekleme hatası ile 18 yaş ve üzerinde olan, gönüllü 416 sağlık disiplini öğrencisi dahil edilmiştir. Veriler literatür rehberliğinde geliştirilen ve toplam 11 sorudan oluşan anket formu kullanılarak toplanmış ve veriler SPSS programı kullanılarak analiz edilmiştir. Bulgular: Çalışmada, öğrencilerin %74'ünün (n=308) klinik uygulama süresince sorun yaşadığı belirlenmiştir. Öğrencilerin klinik uygulama alanlarında yaşadığı sorunlar içerisinde 'görev dışı sorumluluk alma', 'hastaların öğrenciyi ciddiye almaması', 'teorik bilgileri klinikte/ birimde uygulayamama', 'öğrenci sayısının fazla olması nedeniyle öğrenciyi klinikte istihdam edecek yerin olmaması' ifadeleri bulunmuştur. Katılımcıların klinik uygulama alanlarına yönelik beklentilerine bakıldığında ise; 'öğrenciye değer verilmesi', 'öğretmen/öğretim elemanlarının uygulamaya katılması', 'ekip iletişiminin iyi olması' ve 'dinlenme ve giyinme odasının olması' ifadelerinin ilk sıralarda yer aldığı görülmüştür. Sonuç: Klinik uygulama ortamlarının iyileştirilmesinde, sağlık disiplini öğrencilerinin klinik beceri eğitimi süresince klinik uygulama alanlarında karşılaştıkları sorunların ve beklentilerinin belirlenmesinin katkı sağlayabileceği düşünülmektedir.

Anahtar Kelimeler: Klinik uygulama; öğrenci; sorun; beklenti; çözüm önerisi
ABSTRACT
Objective: The aim of the study is to determine the problems, expectations and solution suggestions of the health discipline students who are accepted for clinical practice training in health institutions during their clinical skills training. Material and Methods: A cross-sectional descriptive study was conducted in Istanbul between 23.11.2016 and 23.02.2017 by the Secretary General of a Public Hospitals Association among the 3426 students attending clinical practice training in 12 health facilities, 416 health discipline students, aged 18 years or older, with a sampling error of 0.05 were included. The data were collected using a questionnaire form consisting of 11 questions developed by literature guidance and analyzed using SPSS program. Results: In the study, it was determined that 74% (n=308) of the students experienced problems during the clinical practice. It was found statements that the problems experienced by the students in clinical practice 'taking the responsibility out of the task', 'patients do not take the student seriously', 'not applying the theoretical information in the clinic/unit', 'lack of student employment in the clinic due to the high number of students'. When the statements of the clinical applications were evaluated, 'it was seen that the values of the students', 'the participation of the teachers/instructors in the application', 'the good communication of the team' and 'the rest and the dressing room' were in the first places. Conclusion: It is thought that the development of clinical practice environments may contribute to determining the problems and expectations of health discipline students in clinical practice areas during clinical skill education.

Keywords: Clinical practice; student; problem; expectation; solution suggestion
REFERENCES:
  1. Atay S, Yilmaz F. [The first stress levels of the students of vocational higher school of health]. Anadolu Hemsirelik ve Saglik Bilimleri Dergisi. 2011;14(4):32-7.
  2. Eskimez Z, Alparslan N, Oztunc G, Torun S. [Nurse's opinions about the students and academic staffs of Adana health college]. Anadolu Hemsirelik ve Saglik Dergisi. 2005;8(3):30-9.
  3. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nurs. 2005;4(1):6. [Crossref]  [PubMed]  [PMC] 
  4. Yenal S, Celikli S. [Difficulties faced by first and emergency program students in clinical practice and ambulance stations]. Saglik Hizmetleri Meslek Yuksekokulu Dergisi. 2013;4(2):1-9.
  5. Bicer S, Ceyhan YS, Sahin F. [Opinions of clinic nurses and nursing students about the guiding to the students in nursing practice]. F.N Hem Derg. 2015;23(3):215-23. [Crossref] 
  6. Karagozoglu S, Ozden D, Yildiz TF. [Clinical stress levels of nursing students participating in an integrated program and the factors affecting the levels]. Anadolu Hemsirelik ve Saglik Bilimleri Dergisi. 2013;16(2):89-95.
  7. Tasdelen S, Zaybak A. [The determination the level of stress of nursing students during their first clinical experience]. F.N Hem Derg. 2013;1(2):101-6.
  8. Tiwaken SU, Caranto LC, David JJT. The real world: lived experiences of student nurses during clinical practice. International Journal of Nursing Science. 2015;5(2):66-75.
  9. Karadag G, Kilic SP, Ovayolu N, Ovayolu O, Kayaaslan H. [Difficulties encountered by nursing students in practices and their views about nurses]. TAF Prev Med Bull. 2013;12(6):665-72. [Crossref] 
  10. Kayacan Keser I, Caliskan M, Keskin TZ, Gordebil E. [Determination of opinions of midwifery and nursing students on the school-hospital collaboration]. Ataturk Universitesi Hemsirelik Yuksekokulu Dergisi. 2008;11(4):1-9.
  11. Baraz S, Memarian R, Vanaki Z. Learning challenges of nursing students in clinical environments: a qualitative study in Iran. J Educ Health Promot. 2015;4:52. [Crossref]  [PubMed]  [PMC] 
  12. Burns I, Paterson IM. Clinical practice and placement support: supporting learning in practice. Nurse Educ Pract. 2005;5(1):3-9. [Crossref]  [PubMed] 
  13. Tastekin A, Turkdonmez B, Guler M, Yilmaz A, Ersahan T. [Related factors and satisfaction levels of nursing students in clinical settings]. F.N Hem Derg. 2016;24(1):24-9. [Crossref] 
  14. Baysan Arabaci L, Akin Korhan E, Tokem Y, Torun R. [Nursing students' anxiety and stress levels and contributed factors before-during and after first clinical placement]. Hacettepe Universitesi Hemsirelik Fakultesi Dergisi. 2015;2(1):1-16.
  15. Aydin MF, Argun MS. [The expectations of hospital practices and faced problems of the students in Bitlis Eren University, health school, department of nursing]. Acibadem Universitesi Saglik Bilimleri Dergisi. 2010;1(4):209-13.
  16. Bilgin Z, Ozkan HA, Bas M. [Effects of motivation level the midwifery students in clinical practice expectations]. Online Turk Saglik Bilimleri Dergisi. 2016;1(4):38-53.
  17. Atasoy I, Sututemiz N. [A group of final year students views on nursing education]. F.N Hem Derg. 2014;24(2):94-104. [Crossref] 
  18. Allari RS, Farag MK. Nursing students' expectations regarding clinical training: a qualitative study. International Journal of Nursing Science. 2017;7(3):63-70.
  19. Aytekin S, Ozer FG, Beydag KDT. [The difficulties encountered by Denizli Health College students during clinical applications]. Firat Saglik Hizmetleri Dergisi. 2009;4(10):137-49.
  20. Celikkalp U, Aydin A, Temel M. [The views of students in the nursing department of a high school regarding to the education received]. MU Hemsirelik Bilim ve Sanati Dergisi. 2010;3(2):2-14.
  21. Karaoz S. [General overwiew of clinical evaluation in nursing education: challenges and recommendations]. DEUHYO ED. 2013;6(3): 149-58.
  22. Kumcagiz H, Koyuncu S, Yilmaz A, Uzun A, Gunestas I. [The determination of problems seen in the theoretical lessons and practical applications of the students in nursing department of Samsun Higher School of Health]. Journal of Experimental and Clinical Medicine. 2005;22(2):71-7.
  23. Elcigil A, Yildirim Sari H. [Facilitating factors in clinical education in nursing]. DEUHYO ED. 2011;4(2):67-71.
  24. Grace S, O'Neil R. Better prepared, better placement: an online resource for health students. Asia-Pacific Journal of Cooperative Education. 2014;15(4):291-304.
  25. Keser IK, Caliskan M, Gordebil E, Keskin TS. [Determination of opinions of midwifery and nursing students on the school-hospital collaboration]. Ataturk Universitesi Hemsirelik Yuksekokulu Dergisi. 2008;11(4):1-9.
  26. Akgun Kostak M, Aras T, Akarsu O. [Opinions of nursing students about clinic nurse' contributions related to their clinical education]. Cumhuriyet Nurs J. 2012;2:39-46.
  27. Gidman J, McIntosh A, Melling K, Smith D. Student perceptions of support in practice. Nurse Educ Pract. 2011;11(6):351-5. [Crossref]  [PubMed] 

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