IMPLEMENTING CLINICAL LEARNING IN HEALTH CARE STUDIES IN HIGHER EDUCATION INSTITUTIONS OF LATVIA: THE STUDENT PERSPECTIVE

Ilze Briza; Anita  Pipere

doi:10.17770/eid2024.1.7773

Authors

Ilze Briza Daugavpils University Agency Daugavpils Medical College (LV)
Anita Pipere Daugavpils University (LV)

DOI:

https://doi.org/10.17770/eid2024.1.7773

Keywords:

clinical learning, health care studies, students’ views

Abstract

The purpose of this study was to disclose the opinions of the students on the implementation of clinical learning in health care studies in Latvian higher education institutions (HEIs). The study focusses on the awareness, evaluation, and recommendations of students for the effective adoption of clinical learning in their curricula. The volunteer sample (N=41) was composed of students from two HEIs (82% women) mostly from aesthetic cosmetology and medical massage programmes. A mixed-type structured questionnaire was used to collect the data. To analyse the data, the integration of thematic analysis of qualitative data with the frequency analysis of the data elicited by quantitative questions was applied. The students admitted that clinical learning is implemented in their curricula and explained it as the training in knowledge and practical skills in the workplace. The development of theoretical knowledge, practical skills, and communication with experienced tutors was recognised as the greatest benefit, while the lack of time for this study form was observed as the major hindrance to clinical learning. It was also recommended to prepare clinical tutors for pedagogical work, improve the availability of teaching materials, and increase the opportunities to deal with clinical practice situations. Students also stressed the need for feedback from clinical teaching lecturers, experience of different clinical situations, and support of the team during clinical learning. The results of the given exploration coincide with the results of similar studies conducted in other countries, indicating that experience in the clinical environment and practical work during clinical learning ensure the best study results for future healthcare professionals. The results of this pilot study will pave the way for a larger study on the topic and will have an impact on the implementation of clinical learning in health care curricula in Latvia.

References

AlHaqwi, A., & Van der Molen, HT. (2010) Achieving clinical competence. Saudi Medical Journal, 31(4), 357-358.

Alnaami, N., Haqwi, A.A., & Masuadi, E. (2022). Clinical learning evaluation questionnaire: a confirmatory factor analysis. Advances in Medical Education and Practice, 11, 953-961.

DOI: https://doi.org/10.2147/AMEP.S243614

Alnaami, N., Haqwi, A.A., & Masuadi, E. (2020). Clinical learning evaluation questionnaire: a confirmatory factor analysis. Advances in Medical Education and Practice, 1, 953-961.

DOI: https://doi.org/10.2147/AMEP.S243614

Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2). 77 - 101.

Croxon, L., & Maginnis, C. (2009). Evaluation of clinical teaching models for nursing practice. Nurse Education in Practice 9(4), 236-243. DOI: https://doi.org/10.1016/j.nepr.2008.06.004

Dafogianni, C., Alikari, V., Galanis, P., Gerali, M., & Margari, N. (2015) Nursing students’ views on their clinical placement in pediatric hospitals of Athens, Greece. International Journal of Caring Sciences, 8(3), 673.

Retrieved from: http://internationaljournalofcaringsciences.org/docs/19_Dafogianni_original_8_3.pdf

Deatrick, J. A., Lipman, T. H., Gennaro, S., Sommers, M., de Leon Siantz, M.L., Mooney-Doyle, K., Hollis, G., & Jemmott, L. S. (2015). Fostering health equity: clinical and research training strategies from nursing education. Kaohsiung Journal of Medical Sciences, 25(9), 479-485.

DOI: https://doi.org/10.1016/S1607-551X(09)70554-6

Dobrowolska, B., Mcgonagle, I. M., Jackson, C., & Palese A. (2015). Clinical practice models in nursing education: implication for students’ mobility. International Nursing Review, 62(1), 36-46.

DOI: https://doi.org/10.1111/inr.12162

Duarte, I., Costa, C., Cristina, S., Santos, C., Gil-Santos, I., & Environ, J. (2022). Medical education: patients perspectives on clinical training and informed consent. International Journal of Environmental Research and Public Health, 19(13), 7611. DOI: https://doi.org/10.3390/ijerph19137611

Hoff, T. J., Pohl, H., & Bartfield, J. (2004). Creating a learning environment to produce competent residents: the roles of culture and context. Academic medicine: journal of the Association of American Medical Colleges, 79(6), 532–539. DOI: https://doi.org/10.1097/00001888-200406000-00007

Janusheva, V., Pejchinovska, M., Dimitrija, J., & Talevski, J. D. (2018). Students’ survey for assessing HE teachers’ work – advantages and disadvantages. Educação, 43(3), 369-391.

DOI: https://doi.org/10.5902/1984644430084.

Johansson, N., Vardinghus-Nielsen, H., & Nøhr, S. (2022) Clinical problem-based medical education: a social identity perspective on learning. Dansk Universitetspædagogisk Tidsskrift Pædagogiske eksperimenter, 17(33), 79-96. DOI:10.7146/dut.v17i33.132130

Krūmiņa, A., & Mihailovs, I. (2020). Izglītības organizācijas pamatjautājumi un izglītošanās iespējas Latvijā. Rīga: NordLynx.

Latvijas Vēstnesis (1997). Ārstniecības likums. Latvijas Vēstnesis 167/168, 1997.

Retrieved from: https://www.vestnesis.lv/ta/id/44108-arstniecibas-likums

Latvijas Vēstnesis (2017). Konceptuālais ziņojums "Par veselības aprūpes sistēmas reformu". Ministru kabineta rīkojums Nr. 394. Rīgā 2017. gada 7. augustā (prot. Nr. 37 34. §). Retrieved from: https://www.vestnesis.lv/op/2017/157.1

Latvijas Vēstnesis (2019). Par konceptuālo ziņojumu “Par māsas profesijas turpmāko attīstību”. Ministru kabineta rīkojums Nr. 537. Rīgā 2019. gada 29. oktobrī (prot. Nr. 50 25. §).

Retrieved from: https://www.vestnesis.lv/op/2019/222.2

Latvijas Vēstnesis (2022). Grozījumi Profesionālās izglītības likumā. Latvijas Vēstnesis 2022/187.6.

Retrieved from: https://www.vestnesis.lv/op/2022/187.6

Masha, R., Malana, R., Blitza, J. & Edwardsa J. (2009) Improving the quality of clinical training in the workplace: implementing formative assessment visits. South African Family Practice, 61(6). 264–272.

DOI: https://doi.org/10.1080/20786190.2019.1647639

Mæland, M. K., Tingvatn, B.S., Rykkje, L., & Drageset, S. (2021) Nursing education: students’ narratives of moral distress in clinical practice. Nursing Reports, 11, 291–300.

DOI: https://doi.org/10.3390/nursrep11020028

Mitchell, M., Srinivasan, M., West, D. C., Franks, P., Keenan, C., Henderson, M., & Wilkes, M. (2005). Factors affecting resident performance: development of a theoretical model and a focused literature review. Academic medicine: journal of the Association of American Medical Colleges, 80(4), 376–389. DOI: https://doi.org/10.1097/00001888-200504000-00016

Nordquist, J., Hall J., Caverzagie, K., Snell, L., Chan, M., Thoma, B., Razack, S., & Philibert, I. (2019). The clinical learning environment. Medical Teacher, 41(4), 366-372.

DOI: https://doi.org/10.1080/0142159X.2019.1566601

Olle, C., Hart, D., Ankel, F., Busari, J., Englander, R., Glasgow, N., Holmboe, E., Iobst, W., Lovell, E., Snell, L., Touchie, C., Van Melle, E., & Wycliffe-Jones, K. (2016). Entrustment decision making in clinical training. Journal of the Association of American Medical Colleges, 91(2), 191-198.

DOI: https://doi.org/10.1097/ACM.0000000000001044

Parvan, K., Shahbazi, S., Ebrahimi, H., Valizadeh, S., Rahman, A., Jabbarzadeh, F., & Esmaili, F. (2018). Nurses' lived experience of working with nursing students in clinical wards: a phenomenological study. Journal of Caring Sciences, 7(1), 41-45. DOI:10.15171/jcs.2018.007

Ramani, S., & Leinster, S. (2018). AMEE guide no. 34: teaching in the clinical environment. Medical Teacher, 30(4), 347-364. DOI: https://doi.org/10.1080/01421590802061613

Roberts, R., Cleland, J., Strand, P., & Johnston, P. (2018). Medical students' views of clinical environments. The clinical teacher, 15(4), 325–330. DOI: https://doi.org/10.1111/tct.12691

Serena, P., & Brugnolli, A. (2009). Italian nursing students' perception of their clinical learning environment as measured with the CLEI tool. Nurse Education Today, 29(8), 886-90.

DOI: https://doi.org/10.1016/j.nedt.2009.05.016

Tore, K., Hall-Lord, M.L., Wangensteen, S., & Ballangrud, R. (2022). Bachelor of nursing students' attitudes toward teamwork in healthcare: the impact of implementing a team STEPPS® team training program — a longitudinal, quasi-experimental study. Nurse Education Today, 108, 105180.

DOI: https://doi.org/10.1016/j.nedt.2021.105180

Valsts izglītības satura centrs (2022). Obligāti piemērojamo profesiju standartu un profesionālās kvalifikācijas prasību (ja profesijai nav nepieciešams izstrādāt profesijas standartu) saraksts. Retrieved from: https://www.visc.gov.lv/lv/obligati-piemerojamo-profesionalo-kvalifikaciju-saraksts%C2%A0

Vieira, A., Batista, Franco, T., & Silveira, L. (2011). Clinical training and the production care in health and nursing. Trabalho Educacao Saúde, 9(1), 9-24. DOI: 10.1590/S1981-77462011000100002