Fulfilment
The findings of training, facilitation and mentoring by the clinical nurse has been reflected as not as effective as set out by the South African Nursing Council. Students’ feedback given was that they don’t receive the facilitation and mentoring to empower them to act as independent nurses after completion of their qualifications.
Commitment
According to the participants the clinical nurse are not committed to give mentoring and facilitation as per South African Nursing Council. In the participants’ view the amount of training and facilitation received by the clinical nurse are not enough to better their experience as learners in training.
5.6 LIMITATIONS OF THE STUDY
The following limitations were identified:
The researcher found it difficult to find participants willing to take part in the online survey.
The online survey initially only gave 7 days of a free trial to do the survey and the time needed was 21 days. The researcher managed to receive more time to be able to get feedback in time.
45 e-mails were sending to participants willing to participate and 32 participants gave feedback.
The study was limited to the Nelson Mandela Metropolitan area and therefore cannot be generalised to all student nurses in South Africa.
5.7 RECOMMENDATIONS
The study found that the students’ experience in training was not positive at all times and they are in need for mentoring and facilitation by a clinical nurse to enable them to function as a confident, independent nurse practitioner. Based on the findings, the
researcher makes the following recommendations for nurse educators, clinical nurses, the SANC and further research.
5.7.1 Nurse educators
Nurse educators to be involved in the role of the clinical nurse in mentoring and facilitation of the learner whilst in training.
Convincingly lobby the SANC to be more specific on mentoring and facilitation hours to be received by a clinical nurse or registered nurse while in clinical training.
Monitor students’ clinical progress on an ongoing basis on the amount of mentoring and facilitation received while in clinical training and ensure that they receive it before completion of training.
Ensure the clinical nurse has the qualifications according to the SANC.
Ensure that qualified nurses trained longer than five (5) years to be updated on their skills according to the SANC requirements.
Convincingly lobby institutions to have students not part of the workforce, daily, but to give them an opportunity to work with a mentor a certain amount of hours while in training.
5.7.2 Clinical nurses
The findings reflect that clinical nurses are part of the workforce and don’t give mentoring and facilitation as per SANC regulations. In this regard, the researcher recommends that clinical nurses:
Ensure their qualifications are according to the SANC.
Ensure facilitation and mentoring to students to better the learner experience and to enable them to function as independent nurses.
Do in-service training as per institution policy.
Encourage students to ask where assistance needed and monitor them on a daily basis for competency.
Facilitate and mentor already qualified nurses to be able to assist with mentoring of students in training.
5.7.3 The SANC
The researcher recommends that the SANC should:
Review clinical requirements of students in training not to be part of the workforce in institutions.
Have clear guidelines to institutions to ensure all clinical nurses to have additional qualifications as per SANC regulations.
5.7.4 Further research
Further research should be conducted on the following topics:
The clinical nurse – the learner experience in training in other provinces.
Challenges encountered by clinical nurses to mentor and facilitate students in training.
5.8 CONCLUSION
The study focused on the learners’ experience of mentoring and facilitation by the clinical nurse while in training. Through the study the researcher gained a deeper insight in the learners’ experience and feelings while in training. The findings stressed that learners’ don’t receive enough mentoring and facilitation while in clinical training to ensure independent practitioners with confidence. One of the biggest challenges in mentoring and facilitation seem to be that students and clinical nurses are part of the daily workforce and therefore don’t have time to render mentoring as it should be done in the clinical setting. The experience of the students are, that they are not orientated in a department, and need to work as a skill lower than the year of training. It is the hope that the findings and recommendations of the researcher will contribute to a better learner experience of the learner while in training and more mentoring and facilitation by the clinical nurse. Recommendations have been made to nurse educators and clinical nurses to have qualifications as per the SANC, who need to enforce nurses to have the qualifications. The researcher would suggest clinical institutions look at their allocation of students to be able to receive proper mentoring and facilitation as part of their training to improve the standard of nursing.
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ANNEXURE B: ONLINE SURVEY QUESTIONNAIRE
Instructions
This survey will take 10 minutes to complete - as a Research student I need your assistance to complete the survey on or before the 10th of September 2016.
This survey is anonymous and part of research on the learner experience as a student nurse.
Please answer the questions in an honest way.
The focus is on the experience of the learner of the Clinical nurse as a mentor in the hospital.
No hospital will be named.
A current student nurse in training may take part in this survey as well as a qualified nurse within a year.
Please send back to [email protected].
Thank you for your participation.
1. Age of the participant: Select the appropriate age.
Age in years 18 – 30 31 – 40 41- 50 51 – 65
2. Qualification of the participant.
Student in training
Qualified ENA within a year Qualified EN within a year Qualified R/N within a year Other (please specify)
3. Do you work according to your scope of practise every day?
Strongly disagree Disagree
Neutral Agree
Strongly agree
4. Do you have a mentor in the department you work?
Very unlikely Unlikely Neutral Likely Very likely
5. On a monthly basis, do you receive training in the ward by the clinical nurse?
Very unlikely Unlikely Neutral Likely Very likely
6. What is your experience as a student or previous student regarding the amount of facilitation by a clinical nurse?
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
7. As a student or previous student, did you work in departments as per year of study, e.g. 2nd year student worked as an enrolled nurse?
Very likely Unlikely Neutral Likely Very likely
8. What is your experience of qualified nurses – do they function as independent nurses? Strongly disagree Disagree Neutral Agree Strongly agree
9. What would you change as a student or qualified nurse to ensure a better outcome of the learner experience?
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
10. Do you feel competent to do your procedures and work as an independent nurse? Strongly disagree Disagree Neutral Agree Strongly agree
11. Did you attend monthly in-service training to better the outcome as an independent nurse? Strongly disagree Disagree Neutral Agree Strongly agree
12. Did you receive training, facilitation and mentoring from a clinical nurse? Strongly disagree Disagree Neutral Agree Strongly agree
13. According to the South African Nursing Council a clinical nurse should have an additional qualification – would this better the outcome of the standard of nurses?
Strongly disagree Disagree
Neutral Agree
Strongly agree
14. I am satisfied in the current position I am appointed.
Strongly disagree Disagree
Neutral Agree
Strongly agree
15. My experience as a nursing student is or was positive regarding mentoring by a Clinical Nurse. Strongly disagree Disagree Neutral Agree Strongly agree
16. What is your overall experience as a student nurse?
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
17. I will recommend nursing as a career.
Strongly disagree Disagree
Neutral Agree