Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23196
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Time, fear and transformation: Student nurses' experiences of doing a practicum (quality improvement project) in practice
Authors: James, Brian
Beattie, Michelle
Shepherd, Ashley
Armstrong, Lorraine
Wilkinson, Joyce E
Contact Email: michelle.beattie@stir.ac.uk
Keywords: Quality improvement
Curriculum
Change
Practice learning
Clinical placement
Qualitative interviews
Thematic analysis
Issue Date: Jul-2016
Publisher: Elsevier
Citation: James B, Beattie M, Shepherd A, Armstrong L & Wilkinson JE (2016) Time, fear and transformation: Student nurses' experiences of doing a practicum (quality improvement project) in practice, Nurse Education in Practice, 19, pp. 70-78.
Abstract: Background  Improving and sustaining quality in healthcare continues to be a global challenge, resulting in the necessity of developing quality improvement (QI) skills and knowledge to use in practice. This paper reports student nurses' experiences of conducting a quality improvement project (Practicum) as a compulsory assessment whilst on clinical placement areas across Scotland.  Methods  Telephone and face-to-face interviews (n=18) were conducted using a semi-structured interview schedule. Discussions were transcribed verbatim and data were analysed thematically. Data were extracted from Practicum assignments (n=50).  Results  Three key themes emerged from the analysis: 1) Time; students highlighted the necessity of time in practice areas to acclimatise, socialise and conduct the Practicum. Timing of the Practicum within the curriculum was also important. 2) Fear; was experienced by many students at the perceived enormity of the assignment, the bravery needed to attempt to change practice and the adjustment to a unique type of assignment. 3) Transformation; students shared their shifted perceptions on completing a Practicum, including a sense of achievement and acknowledgement of key improvement skills for the future.  Conclusions   Student nurses need to be stretched beyond their comfort zones to rise to the challenge of the Practicum, whilst ensuring adequate support mechanisms are in place from a range of sources.
Type: Journal Article
URI: http://hdl.handle.net/1893/23196
DOI Link: http://dx.doi.org/10.1016/j.nepr.2016.05.004
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. Accepted refereed manuscript of: James B, Beattie M, Shepherd A, Armstrong L & Wilkinson JE (2016) Time, fear and transformation: Student nurses' experiences of doing a practicum (quality improvement project) in practice, Nurse Education in Practice, 19, 99. 70-78. DOI: 10.1016/j.nepr.2016.05.004 © 2016, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Affiliation: HS Research - Highland
HS Post Qual - Highland
HS Research - Stirling
HS Health - Stirling
HS UG Regulated - Stirling

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