[논문]South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study

Sim, In Ok; Bae, Ok Yeon; Kim, Tae Hoon

doi:10.4094/chnr.2021.27.1.3

South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study 원문보기

CHNR : Child health nursing research, v.27 no.1, 2021년, pp.3 - 12

Sim, In Ok (Red Cross College of Nursing, Chung-Ang University) , Bae, Ok Yeon (School of Nursing, Sahmyook Health University) , Kim, Tae Hoon (Red Cross College of Nursing, Chung-Ang University)

Abstract ▼ AI-Helper

Purpose: While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education. Methods: Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978). Results: The nursing students' experiences were grouped into four categories: "expectations for and anxiety about clinical practice", "acquisition of a wide range of knowledge regarding neonatal nursing", "challenges faced in clinical practice", and "experiencing interpersonal changes". Conclusion: The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.

주제어

표/그림 (1)

표 Table 1. Classification of Nursing Students' Clinical Experiences in Neonatal Units

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문제 정의

The purpose of this study was to understand nursing stu- dents' clinical experiences at newborn nurseries and NICUs and to provide basic data for the establishment of strategies for effective clinical education.
hours. The purpose of this was to reduce the risk of infection by limiting the number of people present in the unit. Thus, I could neither observe the parents' behavior and responses, nor build a rapport with them.
This study was intended to investigate students' experiences of clinical practice in the newborn nursery and NICU. Our main research question was: What was your experience of attending clinical practice as a nursing student in the newborn nursery and NICU? The probing questions were: (1) What(how) have you experienced in the newborn nursery and NICU? (2) What has changed for you before and after clinical practice in the newborn nursery and NICU?

제안 방법

In the present study, using Colaizzi's [13] phenomenological analysis method, we categorized nursing students' clinical practice experiences into four main themes and 10 sub-themes based on the collected significant statements. The students' responses included various insights and experiences and showed some positive and negative aspects of the current clinical education system.
The study participants were recruited by advertising on the nursing school website's announcements section. The data collection process included in-depth interviews of the students wherein they shared their experiences and insights about clinical practice. To ensure a comforting and pleasant environment and thus facilitate high-qual- ity communication, the interviews were conducted at the re- searcher's lab or in other places based on the participants' requests.
The data collected from the participants were not used for non-research purposes, and the terms of confidentiality and anonymity were explained to the participants in detail. The study was conducted only after the participants received an adequate verbal explanation of the study's purpose and signed a written consent form. Confidentiality of the participants was guaranteed, and leakage of personal information under any circumstances was prevented.
The data collection process included in-depth interviews of the students wherein they shared their experiences and insights about clinical practice. To ensure a comforting and pleasant environment and thus facilitate high-qual- ity communication, the interviews were conducted at the re- searcher's lab or in other places based on the participants' requests.

대상 데이터

A total of 15 students (12 females, 3 males) from the School of Nursing at J University were selected as the study parti- cipants. The participants were aged 21~26 years.
The data were collected among nursing students at the J University School of Nursing. The participants were in their junior or senior year and had completed and experienced clinical practice in both the newborn nursery and NICU from March 2019 to November 2019.
The participants were aged 21~26 years. All students were either in their junior year (n=9) or senior year (n=6) and had passed "Clinical Lab: Neonate Nursing", a core course in the Bachelor's degree in nursing.
School of Nursing. The participants were in their junior or senior year and had completed and experienced clinical practice in both the newborn nursery and NICU from March 2019 to November 2019. The study participants were recruited by advertising on the nursing school website's announcements section.
Despite the lack of stringent guidelines, a qualitative study usually requires 5~8 units of homogenous data and 12~20 units of heterogeneous data [15]. Therefore, 15 nursing students were selected as participants. The interviews took approximately 30 minutes to an hour or more.

이론/모형

This study used a qualitative research design using Colaizzi's [13] phenomenological analysis method to obtain an in-depth understanding of the research phenomenon and to describe nursing students' clinical experiences in the newborn nursery and NICU.
We analyzed the collected data using Colaizzi's [13] phenomenological analysis method. First, all the participants' statements were reviewed in order to obtain an overall understanding of their experiences and circumstances.

성능/효과

The principal limitation of this study is that the results only partially confirmed the suitability of nursing students' clinical practice environment and newborn clinical cases. Given the recent decrease in the pregnancy and birth rate in South Korea, this study's results reflect students' clinical practice experiences with limited clinical cases and aspects of the clinical environment that students can observe.

후속연구

Given the recent decrease in the pregnancy and birth rate in South Korea, this study's results reflect students' clinical practice experiences with limited clinical cases and aspects of the clinical environment that students can observe. Thus, it is difficult to interpret these findings as objective descriptors generalizable to neonatal practice experience, and further research is therefore needed to explain students' diverse experiences and differences in neonatal clinical practices experienced by nursing students at other institutions.

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