.: ORİJİNAL ARAŞTIRMA
Experiences Regarding the First Year Nursing Students' Initial Clinical Practice: A Qualitative Study
Hemşirelik Birinci Sınıf Öğrencilerinin İlk Klinik Deneyiminde Yaşananlar: Nitel Bir Çalışma
Turkiye Klinikleri J Nurs Sci. 2021;13(3):629-36
doi: 10.5336/nurses.2020-80294
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The research was carried out to determine the experiences of first year nursing students in their first clinical practices. Material and Methods: The study was carried out in the spring term of 2019-2020 using the phenomenology pattern, which is among the qualitative research methods. The population of the study consisted of the students enrolled in the first year of the nursing department of Çankırı Karatekin University. With the purposeful sampling method from the universe, 20 students who comply with the inclusion criteria and who agreed to participate in the study formed the sample of the study. Necessary permissions were obtained before starting the work. Interviews with the 'Semi-structured Interview Form', which was used in the collection of the research data, took an average of 30-45 minutes. The program MAXQDA was used in the analysis of the data. Results: Of the 20 students participating in the research; 5 of them were men, 15 of them were women and the average age of the participants were 19.3. It was determined that the students measured mostly vital signs and communicated with the patient in their first clinical application, while they faced many problems such as the fear of harming the patient, the patients' aggressive attitude and denying the application, and the patients' desire to seek help from the nurses. It was found that nurses approached the students as a teacher within a context of positive attitude and some of them were indifferent towards the students within a context of negative attitude. Conclusion: As a result of the study; it is recommended to support laboratory practices with different methods; in order to increase the support of nurses towards students in clinical education and to provide cooperation between schools and hospitals.
Keywords: Nursing students; clinical experience; qualitative research
Objective: The research was carried out to determine the experiences of first year nursing students in their first clinical practices. Material and Methods: The study was carried out in the spring term of 2019-2020 using the phenomenology pattern, which is among the qualitative research methods. The population of the study consisted of the students enrolled in the first year of the nursing department of Çankırı Karatekin University. With the purposeful sampling method from the universe, 20 students who comply with the inclusion criteria and who agreed to participate in the study formed the sample of the study. Necessary permissions were obtained before starting the work. Interviews with the 'Semi-structured Interview Form', which was used in the collection of the research data, took an average of 30-45 minutes. The program MAXQDA was used in the analysis of the data. Results: Of the 20 students participating in the research; 5 of them were men, 15 of them were women and the average age of the participants were 19.3. It was determined that the students measured mostly vital signs and communicated with the patient in their first clinical application, while they faced many problems such as the fear of harming the patient, the patients' aggressive attitude and denying the application, and the patients' desire to seek help from the nurses. It was found that nurses approached the students as a teacher within a context of positive attitude and some of them were indifferent towards the students within a context of negative attitude. Conclusion: As a result of the study; it is recommended to support laboratory practices with different methods; in order to increase the support of nurses towards students in clinical education and to provide cooperation between schools and hospitals.
Keywords: Nursing students; clinical experience; qualitative research
ÖZET
Amaç: Araştırma hemşirelik 1. sınıf öğrencilerinin ilk klinik uygulama deneyimlerinde yaşananların belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma, nitel araştırma yöntemleri içerisinde yer alan fenomenoloji deseni kullanılarak 2019 ve 2020 bahar döneminde gerçekleştirilmiştir. Araştırmanın evrenini Çankırı Karatekin Üniversitesi hemşirelik bölümü 1. sınıfına kayıtlı olan öğrenciler oluşturmuştur. Evren içerisinden amaçlı örnekleme yöntemiyle, çalışmaya alınma ölçütüne uygun ve araştırmaya katılmayı kabul eden 20 öğrenci çalışmanın örneklemini oluşturmuştur. Çalışmaya başlamadan önce gerekli izinler alınmıştır. Araştırma verilerinin toplanmasında 'Yarı Yapılandırılmış Görüşme Formu' ile yapılan görüşmeler ortalama 30-45 dk sürmüştür. Verilerin analizinde, MAXQDA programından faydalanılmıştır. Bulgular: Araştırmaya katılan 20 öğrencinin; 5'i erkek, 15'i kadın ve yaş ortalamaları 19,3'tür. Öğrencilerin ilk klinik uygulamada daha çok yaşamsal bulguları ölçtükleri ve hastayla iletişime geçtikleri, hastaya zarar verme korkusu, hastaların agresif tutumu ve uygulama yaptırmak istememeleri gibi birçok sorunla karşılaştıkları ve daha çok hemşirelerden yardım istedikleri belirlenmiştir. Hemşirelerin öğrencilere sıklıkla pozitif tutum kapsamında öğretici yaklaştığı, bazılarının ise negatif tutum kapsamında ilgisiz davrandığı bulunmuştur. Sonuç: Çalışmanın sonucunda; laboratuvar uygulamalarının farklı yöntemlerle desteklenmesi, hemşirelerin klinik öğretimde öğrencilere desteğinin artırılması ve okul hastane iş birliğinin sağlanması önerilmektedir.
Anahtar Kelimeler: Hemşirelik öğrencileri; klinik deneyim; nitel araştırma
Amaç: Araştırma hemşirelik 1. sınıf öğrencilerinin ilk klinik uygulama deneyimlerinde yaşananların belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma, nitel araştırma yöntemleri içerisinde yer alan fenomenoloji deseni kullanılarak 2019 ve 2020 bahar döneminde gerçekleştirilmiştir. Araştırmanın evrenini Çankırı Karatekin Üniversitesi hemşirelik bölümü 1. sınıfına kayıtlı olan öğrenciler oluşturmuştur. Evren içerisinden amaçlı örnekleme yöntemiyle, çalışmaya alınma ölçütüne uygun ve araştırmaya katılmayı kabul eden 20 öğrenci çalışmanın örneklemini oluşturmuştur. Çalışmaya başlamadan önce gerekli izinler alınmıştır. Araştırma verilerinin toplanmasında 'Yarı Yapılandırılmış Görüşme Formu' ile yapılan görüşmeler ortalama 30-45 dk sürmüştür. Verilerin analizinde, MAXQDA programından faydalanılmıştır. Bulgular: Araştırmaya katılan 20 öğrencinin; 5'i erkek, 15'i kadın ve yaş ortalamaları 19,3'tür. Öğrencilerin ilk klinik uygulamada daha çok yaşamsal bulguları ölçtükleri ve hastayla iletişime geçtikleri, hastaya zarar verme korkusu, hastaların agresif tutumu ve uygulama yaptırmak istememeleri gibi birçok sorunla karşılaştıkları ve daha çok hemşirelerden yardım istedikleri belirlenmiştir. Hemşirelerin öğrencilere sıklıkla pozitif tutum kapsamında öğretici yaklaştığı, bazılarının ise negatif tutum kapsamında ilgisiz davrandığı bulunmuştur. Sonuç: Çalışmanın sonucunda; laboratuvar uygulamalarının farklı yöntemlerle desteklenmesi, hemşirelerin klinik öğretimde öğrencilere desteğinin artırılması ve okul hastane iş birliğinin sağlanması önerilmektedir.
Anahtar Kelimeler: Hemşirelik öğrencileri; klinik deneyim; nitel araştırma
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