Clinical supervision in the integration of nursing students in paediatric clinical education: an experience report
DOI:
https://doi.org/10.29352/mill0218e.35550Keywords:
preceptorship; nursing students; thinking; learningAbstract
Introduction: To ensure a positive and enriching clinical experience for nursing students, it is essential to reflect on how to make their integration into practice more welcoming and educational.
Objective: To reflect on the clinical supervision practices used during the integration of students in a paediatric setting, aiming to identify facilitating factors and areas for improvement.
Methods: Experience report based on Donald Schön’s reflective concepts. A nurse specialised in child health supervised students in a paediatric hospital unit, collecting and analysing data through a supervision diary.
Results: Facilitating factors included the presence and support of teachers and clinical supervisors, clear communication, defined expectations, and a welcoming, well-organised physical environment. Opportunities for improvement included the need for greater emotional preparation, more effective communication strategies, and stronger orientation during the first days of the placement.
Conclusion: Based on the barriers and facilitating factors identified through reflective analysis, the implementation of a structured clinical supervision programme is recommended. This should include clear objectives, individualised support, and continuous feedback to enhance student integration into paediatric clinical education. Although this report reflects a single supervisory context, the insights gained may inform future improvements in supervision strategies and contribute to the development of safe, competent, and emotionally prepared nursing professionals.
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Alsalamah, Y., Albagawi, B., Babkair, L., Alsalamah, F., Itani, M. S., Tassi, A., & Fawaz, M. (2022). Perspectives of nursing students on promoting reflection in the clinical setting: a qualitative study. Nursing Reports, 12(3), 545–555. https://doi.org/10.3390/nursrep12030053
Amaral, G., & Figueiredo, A. S. (2023). How to choose a preceptor: aspects to consider based on a grounded theory study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01240-w
Connor, J. A., Mott, S., DeGrazia, M., Lajoie, D., Dwyer, P., Reed, M. P., Porter, C., & Hickey, P. A. (2020). Nursing science fellowship at Boston Children’s Hospital. Applied Nursing Research, 55. https://doi.org/10.1016/j.apnr.2020.151292
European Federation of Nurses Associations. (2022). EFN Report on education, workforce and quality & safety, including digitalization. European Federation of Nurses Associations. https://efn.eu/wp-content/uploads/2023/01/EFN-Report-on-Education-Workforce-Quality-Safety-July-2022.pdf
Gomes, A. R. (2023). Comunicação, conflitos e negociação: uma perspetiva teórica e implicações práticas. Revista Pesquisa Em Psicologia Aplicada, 1(1), 1–24. https://abrir.link/iWeCH
McKenzie, R., Miller, S., Cope, V., & Brand, G. (2021). Transition experiences of newly qualified registered graduate nurses employed in a Neonatal Intensive Care Unit. Intensive and Critical Care Nursing, 67. https://doi.org/10.1016/j.iccn.2021.103112
Menezes, T. N. de, Santos, J. M. de J., Camarço, M. F. de S., Soares, J. N. dos S., Jesus, M. V. S. de, Gomes, A. L. F., Mariano, N. F., & Góis, R. M. O. de. (2021). Processo de supervisão dos enfermeiros no ambiente hospitalar e sua influência na qualidade assistencial. Research, Society and Development, 10(10), e465101018875. https://doi.org/10.33448/rsd-v10i10.18875
National Association of Neonatal Nurse Practitioners. (2023). Education standards: curriculum guidelines and education competencies for neonatal nurse practitioner Programs. National Association of Neonatal Nurse Practitioners. https://abrir.link/iKLlS
Ordem dos Enfermeiros. (2015). Estatuto da Ordem dos Enfermeiros e REPE. Ordem dos Enfermeiros. https://abrir.link/PkEsA
Pa, E., & Musharyanti, L. (2024). The role of clinical advisors in clinical nursing education: a literature review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 9(2), 602–612. https://dx.doi.org/10.30604/jika.v9i2.2485
Regulamento no 366/2018 da Ordem dos Enfermeiros. (2018). Diário da República: II série, nº 113. https://diariodarepublica.pt/dr/detalhe/regulamento/366-2018-115504842
Schön, D. A. (2017). The reflective practitioner: how professionals think in action. Routledge.
Schuler, E., Paul, F., Connor, L., Doherty, D., & DeGrazia, M. (2020). Cultivating evidence-based practice through mentorship. Applied Nursing Research, 55. https://doi.org/10.1016/j.apnr.2020.151295
Sérgio, M. S. S. B. B., Carvalho, A. L. R. F. de, & Pinto, C. M. C. B. (2023). Percepção dos enfermeiros portugueses: supervisão clínica e indicadores de qualidade na assistência de enfermagem. Revista Brasileira de Enfermagem, 76(3). https://doi.org/10.1590/0034-7167-2022-0656pt
Shahzeydi, A., Farzi, S., Tarrahi, M. J., & Babaei, S. (2023). Exploring internship nursing students’ experiences regarding the effect of supervision model implementation on medication safety: a descriptive qualitative study. Journal of Education and Health Promotion, 12(1), 1–6. https://doi.org/10.4103/jehp.jehp_1250_22
Teixeira, A. (2021). Supervisão clínica em enfermagem: contributo para a prática baseada na evidência e competência emocional [Dissertação de Mestrado, Universidade do Porto]. Repositório da Universidade do Porto. https://repositorio-aberto.up.pt/handle/10216/136599
Teixeira, A., Teixeira, L. O. L. S. M., Pereira, R. P. G., Barroso, C., Carvalho, A. L. R. F. de, & Püschel, V. A. de A. (2021a). Development of nurses’ evidence-based practice skills: contributions of clinical supervision. Rev Rene, 22, e67980. https://doi.org/10.15253/2175-6783.20212267980
Teixeira, L., Pinto, C., Carvalho, A. L., Teixeira, A. I., & Augusto, M. C. (2021b). Supervision of clinical practice indicators: evidence-based practice in the context of the surgical patient. RevSALUS - Revista Científica Da Rede Académica Das Ciências Da Saúde Da Lusofonia, 3(2). https://doi.org/10.51126/revsalus.v3i2.49
Tomey, A. M., & Alligood, M. R. (2021). Nursing theorists and their work (10th ed.). Mosby.
World Health Organization. (2020). State of the world’s nursing 2020: investing in education, jobs and leadership. World Health Organization. https://www.who.int/publications/i/item/9789240003279
World Health Organization. (2021). The WHO Global strategic directions for nursing and midwifery. World Health Organization. https://www.who.int/publications/i/item/9789240033863
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