Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 4 Issue 5

The Role of Preceptors in Clinical Practice: Student Midwives' Knowledge, Perspectives and Challenges in Koforidua and St. Patricks Nursing and Midwifery Training Colleges, Eastern and Ashanti Regions of Ghana

Alberta David Nsemo*, Odei-Opoku, Hannah Durowaa, Daisy Afra Lumour, Josephine Opokua Osei, Juliet Dwomoh and Evita Ama Serwah

Department of Nursing Science, Garden City University College, Kenyase, Kumasi, Ghana (on Sabbatical); University of Calabar, Calabar, Nigeria

*Corresponding Author: Alberta David Nsemo, Department of Nursing Science, Garden City University College, Kenyase, Kumasi, Ghana (on Sabbatical); University of Calabar, Calabar, Nigeria.

Received: April 06, 2022; Published: April 26, 2022

Abstract

Midwifery is a practice-based discipline, therefore learning experiences in the clinical setting are integral to the preparation of registered midwives. Preceptors are experienced nurses and midwives who work in a variety of clinical and academic settings. They are assigned to a new or a novice midwife to guide them through an orientation process and a transition to their new role. Hence, their primary responsibility to the midwifery student in the clinical setting is to provide meaningful and relevant learning experiences. This study sought to examine student midwives' knowledge and perspectives of the role of the preceptor as well as the challenges faced by the students in Koforidua and St. Patricks Nursing and Midwifery Training Colleges, Eastern and Ashanti Regions of Ghana. Social learning theory was used to guide the study. The study utilized the descriptive survey design with simple random sampling to get information from 269 second and third-year midwifery students from both schools using a structured questionnaire. Data was analysed using the SPSS version 22 and presented in frequency tables and Bar charts. The study findings revealed the majority of midwifery students (60.0%) have knowledge of the preceptorship and encounters preceptors during their clinical work. Most of them (57.3%) perceived that it is the role of a preceptor to help them bridge the gap between classroom and clinical areas. Majority (68.8%) of the student midwives expectations of their preceptors was to help them develop midwifery skills and knowledge. They however faced some challenges with the preceptors in the course of the clinical practice such as lack of student-preceptor relationship, unavailability and inaccessibility of some preceptors, inadequate time to spend with the preceptors and inadequate supervision form preceptors during clinical practice. The study concluded that preceptorship might be a new concept in midwifery education, it is a module that is known to most students and is perceived as an integral part of their training. Based on the findings, the recommendations included Training of more clinical preceptors on their roles for improvement of students' clinical learning outcome among others.

Keywords: Student Midwives; Preceptors; Preceptee; Preceptorship; Role; Clinical Practice; Midwifery; Perspectives; Challenges

References

  1. Budgen C and Gamroth L. “An overview of practice education models”. Nurse Education Today3 (2008): 273-283.
  2. Killam LA and Heerschap C. “Challenges to student learning in the clinical setting: A qualitative descriptive study”. Nurse Education Today 6 (2013): 684-691.
  3. Koontz AM., et al. “Staff nurses and students: the good, the bad, and the ugly”. Medsurg Nursing4 (2010): 240.
  4. Cooper K. “The role of the sign-off mentor in the community setting”. British Journal of Community Nursing 4 (2014): 192-196.
  5. Fitzgerald M., et al. “Contemporary issues relating to assessment of pre-registration nursing students in practice”. Nurse Education in Practice 10 (2010): 158-163.
  6. Chaun OL and Barnett T. “Student, tutor and staff nurse perceptions of the clinical learning environment”. Nurse Education in Practice 12.4 (2012): 192-197.
  7. “Preceptorship model” (2002).
  8. Papastavrou E., et al. “Student nurses experience of learning in the clinical environment”. Nurse Education in Practice 3 (2010): 176-182.
  9. Lambert V and Glecken M. “Clinical education facilitators. A literature review issues in clinical nursing”. Nurse Education in Clinical Practice 14 (2005): 644-673.
  10. Ulrich BT. “Mastering precepting: A nurse’s handbook for success”. Indianapolis, Ind: Sigma Theta Tau International (2012).
  11. Murphy F., et al. “Nursing students’ experiences and preferences regarding hospital and community placements”. Nurse Education in Practice12 (2012): 170-175.
  12. Henderson A., et al. “Creating supportive clinical learning environments: an intervention study”. Journal of Clinical Nursing1‐2 (2010): 177-182.
  13. Nash R., et al. “Enhancing transition: An enhanced model of clinical placement for final year nursing students”. Nurse Education Today 29 (2009): 48-56.
  14. Msiska G., et al. “Where Is the Grade Coming from? Problems and Challenges in Evaluating the Clinical Performance of Nursing Students”. Open Journal of Nursing 5 (2015): 470-481.
  15. Awuah-Peasah D., et al. “The attitudes of student nurses toward clinical work”. International Journal of Nursing and Midwifery2 (2013): 22-27.
  16. McSharry E., et al. “The role of the nurse lecturer in clinical practice in the Republic of Ireland”. Nurse Education in Practice4 (2010): 189-195.
  17. Ashurst A. “Career development: the preceptorship process”. Nursing and Residential Care 6 (2008): 307-309.
  18. Mills J., et al. “Getting to know a stranger-rural nurses' experiences of mentoring: A grounded theory”. International Journal of Nursing Studies4 (2008): 599-607.
  19. Bukhari E. “Nature of preceptorship and its impact on clinical nursing care from the perspectives of relevant nursing staff”. (Doctoral Thesis, University of Manchester) (2012).
  20. Kelly C. “Student’s perceptions of effective clinical teaching revisited. Nurse Education Today 27.8 (2007): 885-892.
  21. Lawal J., et al. “Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing”. Journal of Nursing Education and Practice 4 (2016): 32-35.
  22. Lorraine V., et al. “Preceptorship: exploring the experiences of final year student nurses in an acute hospital setting”. Journal of Hospital Administration 2 (2012): 42-44.
  23. Shabana IA., et al. “Undergraduate nursing students’ stress sources and coping behaviours during their initial period of clinical training: A Jordanian perspective”. Nurse Education in Practice 12.4 (2012): 204-209.
  24. Iwasiw C., et al. “Authentic leadership of preceptors: Predictor of new graduate nurses’ work engagement and job satisfaction”. Journal of Nursing Management 8 (2010): 993-1003.
  25. Nielsen K., et al. “The art of preceptorship. A qualitative study”. Nurse Education in Practice 26 (2017): 39-45.
  26. Pasila K., et al. “Newly graduated nurses’ orientation experiences: A systematic review of qualitative studies”. International Journal of Nursing Studies 71 (2017): 17-21.
  27. Ke YT., et al. “The effects of nursing preceptorship on new nurses’ competence, professional socialization, job satisfaction, and retention: A systematic review”. Journal of Advanced Nursing 10 (2017): 2296-2305.
  28. Asirifi MA., et al. “Preceptorship in the Ghanaian context:'Coaching for a winning team”. Journal of Nursing Education and Practice12 (2013): 168.
  29. De Wolfe JA., et al. “Strategies to prepare and support preceptors and students for preceptorship: A systematic review”. Nurse Educator 3 (2010): 98-100.
  30. Lofmark A., et al. “Nursing students’ satisfaction with supervision from preceptors and teachers during clinical practice”. Nurse Education in Practice3 (2012): 164-169.
  31. Teferra AA and Mengistu D. “Knowledge and attitude towards nursing clinical preceptorship among Ethiopian nurse educators: An institution-based cross-sectional study”. International Journal of Africa Nursing Sciences 7 (2017): 82-88.
  32. Burns C., et al. “Mastering the preceptor role: challenges of clinical teaching”. Journal of Pediatric Health Care3 (2006): 172-183.
  33. Vallant S and Neville S. “The relationship between student nurse and nurse clinician: Impact on student learning”. Nursing Praxis in New Zealand3 (2006): 23-34.
  34. Hardyman R and Hickey G. “What do newly qualified nurses expect from preceptorship? Exploring the perspective of the preceptee”. Nurse Education Today 1 (2001): 58-64.
  35. Hartigan-Rogers JA., et al. “Nursing graduates' perceptions of their undergraduate clinical placement”. International Journal of Nursing Education Scholarship1 (2007).
  36. Jonsén E., et al. “Finnish and Swedish nursing students' experiences of their first clinical practice placement-A qualitative study”. Nurse Education Today3 (2013): 297-302.
  37. Carlson, et al. “Teaching during clinical practice: Strategies and techniques used by preceptors in nursing education”. Nurse Education Today 29.5 (2009): 522-526.
  38. McClure E and Black L. “The role of the clinical preceptor: an integrative literature review”. Journal of Nursing Education 6 (2013): 335-341.
  39. Charleston R and Happell B. “Attempting to accomplish connectedness within the preceptorship experience: The perceptions of mental health nurses”. International Journal of Mental Health Nursing1 (2005): 54-61.
  40. Elmers CR. “The role of preceptor and nurse leader in developing intensive care unit competency”. Critical Care Nursing Quarterly1 (2010): 10-18.
  41. Nisbet H. “A model for preceptorship-the rationale for a formal, structured programme developed for newly qualified radiotherapy radiographers”. Radiography1 (2008): 52-56.
  42. Lee TY., et al. “Effects of a preceptorship programme on turnover rate, cost, quality and professional development”. Journal of Clinical Nursing8 (2009): 1217-1225.
  43. Kilcullen NM. “Said another way: the impact of mentorship on clinical learning”. Nursing Forum2 (2009): 95-104.
  44. Kilminster S., et al. “AMEE Guide No. 27: Effective educational and clinical supervision”. Medical Teacher 1 (2007): 2-19.
  45. Smith JA., et al. “Interpretative Phenomenological Analysis: Theory, Method and Research (2009).
  46. Harrison-White K and Simons J. “Preceptorship: ensuring the best possible start for new nurses”. Nursing Children and Young People1 (2013).
  47. Kelly J and McAllister M. “Lessons students and new graduates could teach: A phenomenological study that reveals insights on the essence of building a supportive learning culture through preceptorship”. Contemporary Nurse2 (2013): 170-177.
  48. Bandura A and Walters RH. “Social learning theory (Vol 1). Prentice Hall: Englewood cliffs 01 (1977).
  49. Creswell JW. “Educational research: planning. Conducting, and Evaluating 260 (2012): 375-382.
  50. Varley MC., et al. “Validity and reliability of GPS for measuring instantaneous velocity during acceleration, deceleration, and constant motion”. Journal of Sports Sciences2 (2012): 121-127.
  51. et al. “Relationship between Educational Level and Incidence of Obesity among Adults in Abeokuta, Ogun State, Nigeria". Acta Scientific Medical Sciences8 (2020): 136-142.

Citation

Citation: Alberta David Nsemo., et al. “The Role of Preceptors in Clinical Practice: Student Midwives' Knowledge, Perspectives and Challenges in Koforidua and St. Patricks Nursing and Midwifery Training Colleges, Eastern and Ashanti Regions of Ghana". Acta Scientific Women's Health 4.5 (2022): 48-60.

Copyright

Copyright: © 2022 Alberta David Nsemo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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