Question

Discuss the major issues in teaching and supervising students in clinical practice.

Answer 1

Following are the major issues in teaching and supervising students in a clinical practice:

Students are active participants in the learning process and are required to come to a clinical setting prepared in a way that enables to them to adapt fairly smoothly to the high demands of health care. However, Students who for some reason may join the clinical setting short of the basic skills obtainable in the simulation laboratory, are likely to fall behind the others since experienced staff in the clinical setting are too occupied to go into what the student ought to have learnt at the college. There are also many challenges when students begin working with clients in the clinical setting, including the preference by most clients for staff nurses, leaving the students to miss the opportunities of learning to practice the health care services.

After having rendered client care in the clinical setting, students are required to write a detailed reflection of a particular case of interest. The student would normally need to delve into the literature to deepen their knowledge about the specific case received, observed, and/or managed. The reflection also involves a self-evaluation of the applied healthcare techniques compared to the evidence based practice (EBP) standards. The discipline needs ongoing access to evidence base for required competences to be realized during the training and eventually for the students to qualify as registered healthcare professionals or nurses. While to some students it may seem to be unnecessary or optional, the regular use of skills checklist, or completion of the clinical logbook indicating proof of observed/practiced techniques or procedures is mandatory as it forms the basis for evaluation by supervisors, and hence must be diligently complied with.

Other issues are following:

• Balancing the different learning needs of students.
• Respecting expectations from clinical admins.
• Helping parents and students meet long-term goals.
• Dealing with modalities of student care such as support, comfort, prevention of stress, promotion of recovery.
• Understanding and working for health screening, appraisal and/or assessment, health education, and coordination of health care.

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