An educational programme to support registered nurses during clinical supervision of student nurses in medical and surgical wards at a training health facility in the Oshana region, Namibia
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Date
2015
Authors
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Journal ISSN
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Publisher
University of Namibia
Abstract
The provision of appropriate clinical supervision to nursing students is acknowledged to be problematic for a variety of reasons; i.e. inadequate staffing levels, heavy workloads, poor communication, and a shortage of materials. Furthermore, the need to initiate and assess a more suitable supervision programme to support supervisors is imperative. In this study, the researcher explored and described the views of registered nurses and nursing students about their experiences of clinical supervision of nursing students in medical and surgical wards with the purpose of developing, implementing, and evaluating an educational programme to support clinical supervision of nursing students in the medical and surgical wards at a training health facility in the Oshana region, Namibia.
The study had been designed to be qualitative, explorative, descriptive, and contextual in nature and was conducted in four phases. Phase 1 comprised a situational analysis and was carried out to explore and describe the lived experiences of registered nurses and nursing students about the clinical supervision of nursing students in medical and surgical wards. Data was collected through in-depth individual interviews. Data was analysed according to Tech’s method of qualitative data analysis. The findings revealed the managerial and educational challenges that registered nurses and nursing students encountered; hence the need for registered nurses to support the facilitation of effective clinical supervision for nursing students Phase 2 dealt with the conceptualisation of a framework to guide the development of an educational programme to support registered nurses during the clinical supervision of nursing students. Phase 3 focused on the development of an educational programme to support registered nurses during clinical supervision of nursing students. The development of the programme had been guided by the findings of the situation analysis of this study, as well as by the survey list as suggested by Dickoff and Wiedenbach (1968). Phase 4 comprised the implementation and evaluation of an educational programme that had been developed to support registered nurses during clinical supervision. A two-day training workshop was facilitated at a training institution (UNAM Oshakati Campus) to support registered nurses who were supervising nursing students in medical and surgical wards at health facilities of the Oshana region during their course of study.
The workshop was attended by registered nurses (registered nurses at a training health facility (UNAM Oshakati Campus) and a training hospital (Oshakati Intermediate Hospital) in the Oshana region). The evaluation of the programme was conducted immediately after the implementation of sessions with the aim of assessing the feasibility of the programme implementation. The programme outcome evaluation was conducted three months after the implementation of the programme. The programme implementation was recommended as useful and supportive by the participants while the programme outcome evaluation revealed that as a result of the programme intervention there was a marked positive change in clinical supervision of nursing students.
Description
A dissertation submitted in fulfilment of the requirements for the Degree of Doctor of Nursing Science
Keywords
Clinical supervision, Medical & Surgical wards, Namibia