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Status of knowledge on student‐learning environments in nursing homes: A mixed‐method systematic review

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  • Anne Marie Lunde Husebø
  • Marianne Storm
  • Bodil Bø Våga
  • Adriana Rosenberg
  • Kristin Akerjordet

Abstract

Aim and objective To give an overview of empirical studies investigating nursing homes as a learning environment during nursing students’ clinical practice. Background A supportive clinical learning environment is crucial to students’ learning and for their development into reflective and capable practitioners. Nursing students’ experience with clinical practice can be decisive in future workplace choices. A competent workforce is needed for the future care of older people. Opportunities for maximum learning among nursing students during clinical practice studies in nursing homes should therefore be explored. Design Mixed‐method systematic review using PRISMA guidelines, on learning environments in nursing homes, published in English between 2005–2015. Methods Search of CINAHL with Full Text, Academic Search Premier, MEDLINE and SocINDEX with Full Text, in combination with journal hand searches. Three hundred and thirty‐six titles were identified. Twenty studies met the review inclusion criteria. Assessment of methodological quality was based on the Mixed Methods Appraisal Tool. Data were extracted and synthesised using a data analysis method for integrative reviews. Results Twenty articles were included. The majority of the studies showed moderately high methodological quality. Four main themes emerged from data synthesis: “Student characteristic and earlier experience”; “Nursing home ward environment”; “Quality of mentoring relationship and learning methods”; and “Students’ achieved nursing competencies.” Conclusion Nursing home learning environments may be optimised by a well‐prepared academic‐clinical partnership, supervision by encouraging mentors and high‐quality nursing care of older people. Positive learning experiences may increase students’ professional development through achievement of basic nursing skills and competencies and motivate them to choose the nursing home as their future workplace. Relevance to clinical practice An optimal learning environment can be ensured by thorough preplacement preparations in academia and in nursing home wards, continuous supervision and facilitation of team learning.

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  • Anne Marie Lunde Husebø & Marianne Storm & Bodil Bø Våga & Adriana Rosenberg & Kristin Akerjordet, 2018. "Status of knowledge on student‐learning environments in nursing homes: A mixed‐method systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1344-1359, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1344-e1359
    DOI: 10.1111/jocn.14299
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    References listed on IDEAS

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    1. Laurie Grealish & Kasia Bail & Kristen Ranse, 2010. "‘Investing in the future’: residential aged care staff experiences of working with nursing students in a ‘community of practice’," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(15‐16), pages 2291-2299, August.
    2. Mari Wolff Skaalvik & Hans Ketil Normann & Nils Henriksen, 2011. "Clinical learning environment and supervision: experiences of Norwegian nursing students – a questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(15‐16), pages 2294-2304, August.
    3. Mari W Skaalvik & Hans K Normann & Nils Henriksen, 2010. "To what extent does the oral shift report stimulate learning among nursing students? A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(15‐16), pages 2300-2308, August.
    4. Angela Christiansen & Amelia Bell, 2010. "Peer learning partnerships: exploring the experience of pre‐registration nursing students," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 803-810, March.
    5. Ida T Bjørk & Karin Berntsen & Grethe Brynildsen & Margrete Hestetun, 2014. "Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2958-2967, October.
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    1. Míriam Rodríguez-Monforte & Sofía Berlanga-Fernández & Rosa Rifà-Ros & Anna Martín-Arribas & Cristina Olivé-Adrados & Rosa Villafáfila-Ferrero & Rosa M. Pérez-Cañaveras & María Flores Vizcaya-Moreno, 2023. "Comparing Preferred and Actual Clinical Learning Environments and Perceptions of First-Year Nursing Students in Long-Term Care: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-12, March.

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