Volume 27, Issue 90 And 91 (October ِDecember 2014 2014)
IJN 2014, 27(90 And 91): 83-93 |
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Dinmohammadi M, Peyrovi H, Mehrdad N. Undergraduate Student Nurses’ Experiences in Clinical Environment: Vertical Violence. IJN 2014; 27 (90 and 91) :83-93
URL: http://ijn.iums.ac.ir/article-1-1904-en.html
URL: http://ijn.iums.ac.ir/article-1-1904-en.html
1- Assistant Professor, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran. (Corresponding Author). Tel: +98 09123411908 Email: mdinmohammadi@zums.ac.ir
2- Professor, Center for Nursing Care Research, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3- Associate Professor, Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran
2- Professor, Center for Nursing Care Research, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3- Associate Professor, Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (9108 Views)
Abstract
Background & Aim: Clinical practice is an important part of the educational curriculum of nursing students. Effective and dynamic interactions among the students, health care providers, instructors, and the clinical environment and its elements affect their professional development. The aim of this report as a part of a more extensive research is describing the negative experiences of nursing students in the clinical environment.
Material & Methods: It was a qualitative study. Data was collected by purposeful sampling from two new graduated staff nurses and 12 undergraduate nursing students in two large nursing and midwifery schools through in-depth semi-structured individual interviews during their clinical placements and after graduation. The data was analyzed using the Strauss and Corbin version (1998) of grounded theory method.
Results: Vertical violence was emerged as one of the significant findings of the study. Its manifestations included humiliation, blaming, not being accepted, exploitation, discrimination, bullying, limited learning opportunities and lack of support in the clinical environment. The main origin of these behaviors was mostly nurses and clinical instructors.
Conclusion: The findings revealed the non-supportive climate of clinical settings. Nursing students were vulnerable during learning in the clinical setting. Identification and proper management of the issues and challenges faced by nursing students in the clinical environment can provide a welcoming climate for younger colleagues of the profession.
Keywords: Vertical violence, Clinical education, Learning experience, Student nurse, Qualitative study
Type of Study: Research |
Subject:
nursing
Received: 2014/08/16 | Accepted: 2014/11/15 | Published: 2014/11/15
Received: 2014/08/16 | Accepted: 2014/11/15 | Published: 2014/11/15
References
1. Hartigan-Rogers JA, Cobbett SL, Amirault MA, Muise-Davis ME. Nursing graduates' perceptions of their undergraduate clinical placement. Int J Nurs Educ Scholarsh. 2007;4(1):9. [DOI:10.2202/1548-923X.1276] [PMID]
2. Papp I, Markkanen M, von Bonsdorff M. Clinical environment as a learning environment: student nurses' perceptions concerning clinical learning experiences. Nurse Educ Today. 2003;23(4):262-8. [DOI:10.1016/S0260-6917(02)00185-5]
3. Rose Chapman R, Orb A. The nursing students' lived experience of clinical practice. AEJNE. 2000;5(2).
4. Sharif F, Masoumi S. [A qualitative study of nursing student experiences of clinical practice]. BMC Nursing. 2005;4(1):6. [DOI:10.1186/1472-6955-4-6] [PMID] [PMCID]
5. Cheraghi MA, Salasli M, Ahmadi F. [Factors influencing the clinical preparation of BS nursing student interns in Iran]. Int J Nurs Pract. 2008;14(1):26-33. [DOI:10.1111/j.1440-172X.2007.00664.x] [PMID]
6. Henderson A, Twentyman M, Heel A, Lloyd B. Students' perception of the psycho-social clinical learning environment: an evaluation of placement models. Nurse Educ Today. 2006;26(7):564-71. [DOI:10.1016/j.nedt.2006.01.012] [PMID]
7. Papastavrou E, Lambrinou E, Tsangari H, Saarikoski M, Leino-Kilpi H. Student nurses experience of learning in the clinical environment. Nurse Educ Practice. 2010;10(3):176-82. [DOI:10.1016/j.nepr.2009.07.003] [PMID]
8. Pearcey P, Draper P. Exploring clinical nursing experiences: Listening to student nurses. Nurse Educ Today. 2008;28(5):595-601. [DOI:10.1016/j.nedt.2007.09.007] [PMID]
9. Peyrovi H, Yadavar‐Nikravesh M, Oskouie S, Berterö C. Iranian student nurses' experiences of clinical placement. Int Nurs Rev. 2005;52(2):134-41. [DOI:10.1111/j.1466-7657.2005.00417.x] [PMID]
10. Lash AA, Kulakaç O, Buldukoglu K, Kukulu K. Verbal abuse of nursing and midwifery students in clinical settings in Turkey. Journal Nurs Educ. 2006;45(10):396-403. [PMID]
11. Magnavita N, Heponiemi T. Workplace violence against nursing students and nurses: an Italian experience. J Nurs Scholarsh. 2011;43(2):203-10. [DOI:10.1111/j.1547-5069.2011.01392.x] [PMID]
12. Dong D, Temple B. Oppression: A Concept Analysis and Implications for Nurses and Nursing. Nurs Forum. 2011;46(3):169-76. [DOI:10.1111/j.1744-6198.2011.00228.x] [PMID]
13. Lee MB, Saeed I, editors. Oppression and horizontal violence: The case of nurses in Pakistan. Nursing Forum; 2001;36(1):15-24. [DOI:10.1111/j.1744-6198.2001.tb00236.x]
14. King-Jones M. Horizontal violence and the socialization of new nurses. Creat Nurs. 2011;17(2):80-6. [DOI:10.1891/1078-4535.17.2.80] [PMID]
15. Woelfle CY, McCaffrey R, editors. Nurse on nurse. Nursing Forum; 2007;42(3):123-31. [DOI:10.1111/j.1744-6198.2007.00076.x] [PMID]
16. Embree JL, White AH. Concept analysis: nurse-to-nurse lateral violence. Nurs Forum. 2010;45(3):166-73 [DOI:10.1111/j.1744-6198.2010.00185.x] [PMID]
17. Thomas SP, Burk R. Junior nursing students' experiences of vertical violence during clinical rotations. Nurs Outlook. 2009;57(4):226-31. [DOI:10.1016/j.outlook.2008.08.004] [PMID]
18. Griffin M. Teaching cognitive rehearsal as a shield for lateral violence: An intervention for newly licensed nurses. J Contin Educ Nurs. 2004;35(6):257-63. [PMID]
19. Roberts SJ, Demarco R, Griffin M. The effect of oppressed group behaviours on the culture of the nursing workplace: A review of the evidence and interventions for change. J Nurs Manag. 2009;17(3):288-93. [DOI:10.1111/j.1365-2834.2008.00959.x] [PMID]
20. Bartholomew K. Ending nurse-to-nurse hostility: Why nurses eat their young and each other: HC Pro, Inc.; 2006.
21. Farrell GA. Aggression in clinical settings: nurses' views—a follow‐up study. J Adv Nurs. 1999;29(3):532-41. [DOI:10.1046/j.1365-2648.1999.00920.x]
22. McCall E. Horizontal violence in nursing: the continuing silence. The Lamp. 1996;53(3):28-9, 31. [PMID]
23. Stanley KM, Dulaney P, Martin MM. Nurses' eating our young'--it has a name: lateral violence. S C Nurse. 2007;14(1):17-8.
24. Duchscher JB, Myrick F, editors. The prevailing winds of oppression: understanding the new graduate experience in acute care. Nursing Forum; 2008;43(4):191-206. [DOI:10.1111/j.1744-6198.2008.00113.x] [PMID]
25. Pope BG. Transforming Oppression in Nursing Education: Towards a Liberation Pedagogy: ProQuest; 2008.
26. McKenna BG, Smith NA, Poole SJ, Coverdale JH. Horizontal violence: Experiences of registered nurses in their first year of practice. J Adv Nurs. 2003;42(1):90-6. [DOI:10.1046/j.1365-2648.2003.02583.x] [PMID]
27. Daiski I. Changing nurses' dis‐empowering relationship patterns. J Adv Nurs. 2004;48(1):43-50. [DOI:10.1111/j.1365-2648.2004.03167.x] [PMID]
28. Streubert HJ, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
29. McKenna L, McCall L, Wray N. Clinical placements and nursing students' career planning: A qualitative exploration. Int J Nurs Pract. 2010;16(2):176-82. [DOI:10.1111/j.1440-172X.2010.01827.x] [PMID]
30. Celik SS, Bayraktar N. A study of nursing student abuse in Turkey. J Nurs Educ. 2004;43(7):330-6. [PMID]
31. Dunn SV, Ehrich L, Mylonas A, Hansford BC. Students' perceptions of field experience in professional development: a comparative study. J Nurs Educ. 2000;39(9):393-400. [PMID]
32. Elliott M. The clinical environment: a source of stress for undergraduate nurses. J Adv Nurs. 2002;20(1):34-8.
33. Hoel H, Giga SI, Davidson M. Expectations and realities of student nurses' experiences of negative behaviour and bullying in clinical placement and the influences of socialization processes. Health Serv Managt Res. 2007;20(4):270-8. [DOI:10.1258/095148407782219049] [PMID]
34. Stevens S. Nursing workforce retention: Challenging a bullying culture. Health Aff (Millwood). 2002;21(5):189-93. [DOI:10.1377/hlthaff.21.5.189]
35. Webster S, Lopez V, Allnut J, Clague L, Jones D, Bennett P. Undergraduate nursing students' experiences in a rural clinical placement. Aust J Rural Health. 2010;18(5):194-8. [DOI:10.1111/j.1440-1584.2010.01153.x] [PMID]
36. Shin KR. The Meaning of the Clinical Learning Experience of Korean Nursing Students. J Nurs Educ. 2000;39(6):259-65.
37. Randle J. Bullying in the nursing profession. J Adv Nurs. 2003;43(4):395-401. [DOI:10.1046/j.1365-2648.2003.02728.x] [PMID]
38. Valizadeh S, Abedi H, Zamanzadeh V, Fathi Ae. [Challenges Of Nursing Students During Their Study: A Qualitative Study]. Res J Biological Sci. 2008;3(1):94-108.
39. Foster B, Mackie B, Barnett N. Bullying in the health sector: A study of bullying of nursing students. New Zealand Journal of Employment Relations. 2004;29(2):67.
40. Dinmohammadi M, Hushmand A, Cheraghi M, Peyrovi H. [Oppression in Nursing Profession and The Way of its Management]. Hospital J. 2013;12(2):81-90.
41. Freshwater D. Crosscurrents: against cultural narration in nursing. J Adv Nurs. 2000;32(2):481-4. [DOI:10.1046/j.1365-2648.2000.01499.x] [PMID]
42. Crabbs N, Smith C. Healthy work environments. From oppression to opportunity: eliminating lateral violence and bullying in the workplace Med-Surg Matters. 2011;20(2):8-9.
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