Quality of Clinical

Nursing Education

By Agezegn Asegid (PhD fellow)

 Outline of
presentation
oObjective

oEssence of CE

oPositive aspect of CE In HFUH

oProblem of CE in HFUH
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Objectives of presentation

1. To provide overview on CE

2. To sensitize on intervention

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Introduction
• Clinical education(CE)
o is the education provided in clinical settings
o is a form of communication
o involve the application of theoretical and
technical knowledge
o interpersonal relationships (Phaneuf M 2005)

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 Essence of CE
• Nursing is a profession
o based on experiential knowledge
o Practice based

• Clinical Education
o can’t be substituted by class room teaching or other
means of learning
o Assure next generation
o Assure proper professional competency

(Gaberson et al. 2015).

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 Ethiopian context
• In Ethiopia Nationally harmonized Nursing curriculum (2014)
o student spent 68.65% of their time for the clinical skill
o preceptorship clinical education model
o teaching strategies
• like problem-based learning, bedside, seminar and various
written portfolio.
o Regarding evaluation, 360 evaluation and OSCE is indicated.
• No study to assess:-
• success and challenges of those methods
• attainment of curriculum competency.

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 Methods
1. Tool : check list developed based on routine clinical
education and Nationally harmonized curriculum
recommendations
2. Observation
 At medical,
 surgical ward
3. Interview
Students
Clinical nursing staffs
Department head

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 Positive aspect of HFUH
• Clinical staffs are happy to teach and coach
students
• Permissive environment for students
• Student can use resource available
• Clinical staff aware of being working in teaching
hospital
• High patient flow
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 What is current practice of Clinical nursing education?

Area Actual data

 Time spent : 4hr/2wk
 Visit: Every Monday and Friday
 Round with student : Two times/wk/15 minute/room
 Student evaluation based on clinical evaluation format  
 Bed side Not evaluated
 Seminar Not evaluated
 Nursing care plan Evaluated
 Ward management Not evaluated
 No Actual patient contact with student
 No Feedback
Link not created

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What is current practice of Clinical nursing education?
o No skill performed by Clinical teacher
o Not Using first impression: Came at 3rd day
of the attachment after student lost interest

o No Orientation
o Student not assigned to room and to
specific patient/room

o No Communication of clinical teacher with

clinical staffs

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Student related problems
o Less motivated to learn
o Not eager to know status of patients
o Less collaborate in care
o No deliberate contact of patient
o No patient monitoring
o Browsing mobile at bedside and patient
room
o Worn incomplete uniform
o Complete NCP at TV station and at
Corridor
o Doesn't know objective, requirements of
clinical course
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 System related challenges
• Student monitoring responsibility shifted to
medical intern
o Difficult to link student with clinical staff
o Difficult for staff to act as role model
o Difficult to have nurse initiated care
o Less holistic care
o Educational requirements takes priority

• Nurse role and recognition degraded

o Difficult to show proper image of profession
o Difficult to show when and how consultation

• Nurses are not at bedside

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 Problems

No Less Insignifican
philosophi Clinical attention, t
cal or instructor mysterious involvemen
methodolo role was evaluation
and feedback t of clinical
gical alarming system staff
approach

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 Problems

Students
Requirements less
was not Not obeying
comparable to ethical issue motivated
student level and lacks
passion

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Evaluation against major phases of clinical
education

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 Recommend
1. Establish empowered system for leading clinical
education

2. Good orientation and preparation for clinical

practice
3. Conducting proper clinical teaching

4. Proper evaluation and feedback practice

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 Limitation
1. less on Scientific rigor

2. Short observation

3. Not using standard tool

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 Thank you
for attending

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