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American Journal of Nursing Research. 2020, 8(3), 379-391
DOI: 10.12691/ajnr-8-3-8
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Training Program for Improving Clinical Teaching Knowledge as a Competence of Clinical Instructors

Sally Shaapan Mallek1, and Wafaa Abd El-Azeem El-Hosany1

1Nursing Administration, Faculty of Nursing, Suez Canal University, Egypt

Pub. Date: April 16, 2020

Cite this paper:
Sally Shaapan Mallek and Wafaa Abd El-Azeem El-Hosany. Training Program for Improving Clinical Teaching Knowledge as a Competence of Clinical Instructors. American Journal of Nursing Research. 2020; 8(3):379-391. doi: 10.12691/ajnr-8-3-8


Background: The clinical teaching is a complex interaction between students and teachers. The quality of the student- teacher interaction in the clinical field can either facilitate or hinder the students' integration of theory to practice. The study aimed to assess the effect of training program on clinical teaching knowledge of the clinical instructors at faculty of nursing, Suez Canal University. Design: A quasi-experimental study design. Setting: The study was conducted in Faculty of Nursing, Suez Canal University. Sample: Convenient sample were included all clinical instructors (43) who participate in students' clinical teaching during the academic years 2016/2017 and 2017/2018.Tools: Tool (1): Self-Need Assessment Sheet which included two parts. Part I: personnel data of clinical instructors, Part II: it contains question about the needs related to clinical teaching knowledge. Tool (2): Self-administered clinical teaching knowledge questionnaire. The results: There was statistical significant difference (p≤0.01) between mean scores of the clinical instructors in relation to their total clinical teaching knowledge throughout the three phases of the program (pre, post & follow up).Also, there were statistically significant relations between clinical instructors' characteristics of specialty and their knowledge level. Conclusion: the clinical teaching knowledge of clinical instructors was improved post and follow- up implementation of the program compared to pre implementation of the program. Recommendation: Continuous assessment of clinical instructors' learning needs and monitoring their performance and develop a clinical teaching efficacy scale to evaluate clinical nursing instructors based on the attributes of rules and their capabilities.

training program clinical teaching clinical instructors

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[1]  Heidari, Mohammad Reza, and Reza Norouzadeh. “Nursing students' perspectives on clinical education.” Journal of advances in medical education & professionalism vol. 3, 1 (2015): 39-43.
[2]  Oermann, M.H., & Gaberson, K.B. (2013). Evaluation and Testing in Nursing Education (3rd ed.). New York:Springer Publishing.
[3]  Kube, M. (2010). The Relationship of Nursing Faculty Clinical Teaching Behaviors to Student Learning. Ed.\D.Dissertation, College of Saint Mary, United States -- Nebraska. Retrieved on: 22 September 2012.
[4]  Basavanthappa, BT. (2012). Nursing Education (2nded) Japee brother's medical publisher (p) LTD, p.140-142.
[5]  Sudh,R. (2013). Nursing education; principles and concepts; nursing educational programs, japee brother's medical publishers. LTD, p208-213.
[6]  Badran, F.M. (2014). The effect of the training program on clinical teaching skills for faculty assistant. Doctorate Thesis, Faculty of Nursing, Ain Shams University.
[7]  Tanner, C. (2004). On Clinical Teaching. Journal of Nursing Education; 302, 387.
[8]  Toelke, L.D. (2012). The Clinical Nurse Instructor: Best Practices in Operating Newly Hired Clinical Faculty, Master Thesis, Washington State University College, pp.2-15.
[9]  Basavanthappa, B.T. (2009). Nursing Education (1sted) Japee Brothers. New Delhi: Medical Publishers, p. 278.
[10]  Brink, Y., & Louw, Q. (2012). clinical instruments : reliability and validity critical appraisal ,J Eval Clin pract.18(2): p1126-1132.
[11]  Bulechek. (2013). nursing interventions classification (NIC). jakarta: EGC.
[12]  Billings, D.M. & Halastead, J.A. (2005). Teaching In Nursing. /A Guide for Faculty, (2nd ed.,) London: W.B.S. Saunders Company: U.S.A. pp. 1-16, 54-60. Graduate and Postdoctoral Studies, University of Western Ontario, p. 1.
[13]  Gaberson, Kathleen B. & Marilyn H.Oermann, (2010). Clinical Teaching Strategies in Nursing, (3rd ed.pp.,.231-249).
[14]  Tang, F., Chou, S. & Chiang, H. (2005). Students' Perceptions of Effective and Ineffective Clinical Instructors. Journal of Nursing Education; 44(4):187-192 Retrieved November 10, 2008, from CINAHL with Full text.
[15]  Mahfouz, H.E. (2011). Developing Clinical Teaching Skills of the Assisting Teaching Staff at Benha Faculty of Nursing. Doctorate Thesis, Faculty of Nursing, Benha University.
[16]  Robinson, C. (2009). Teaching and Clinical Educator Competency: Bringing Two Worlds Together. International Journal of Nursing Education Scholarship; 6(1): 2-13.
[17]  Lapeña-Moñux YR, Cibanal-Juan L, Orts-Cortés MI, Maciá-Soler ML, Palacios-Ceña D. (2016). Nurses’ experiences working with nursing students in a hospital: a phenomenological enquiry. Rev. Latino-Am. Enfermagem. 2016; 24: e2788.
[18]  Etway, E.A. (2007). Designing and Implementing a Clinical Teaching Program for Preparing Hospital Preceptors in Cairo University Hospitals Doctorate Thesis, Faculty of Nursing, Cairo University p.\40.
[19]  Kelly, S., Harrison, Henry R., Williams S., (2019). Using Debriefing Methods in the Postclinical Conference AJN, American Journal of Nursing. 119(9): 56-60, SEPTEMBER 2019
[20]  O’Connor, A. (2015). Clinical instruction and evaluation. Burlington, MA: Jones & Bartlett.
[21]  Bulman C., Schutz S., (2013). Reflective Practice in Nursing John Wiley & Sons (2013),(5th ed ).
[22]  Scheel, L.S., Peters, M.D., A.C.M. (2017). Major Reflection in the training of nurses in clinical practice settings: a scoping review protocol Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, 15 (2017), pp. 2871-2880.
[23]  Zhang, W., (2014). Problem Based Learning in Nursing Education Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA, Volume 2014, Article ID 125707, 5 pages.
[24]  Factor EMR, de Guzman AB. (2017). Explicating Filipino student nurses’ preferences of clinical instructors’ attributes: a conjoint analysis. Nurse Educ Today 2017; 55: 122-7.
[25]  Sabog RV, Caranto LC, David JT. (2015). Effective characteristics of a clinical instructor as perceived by BSU student nurses. Int J Nurs Sci 2015; 5: 5-19.
[26]  Hart, J. (2009). Attributes of Effective Clinical Instructors as Perceived by Students in Accelerated and Traditional BSN Nursing Programs. Published Master Thesis. Highland Heights, Kentucky, at Norther Kentucky University United States.
[27]  Dahlke S., Baumbusch J., Affleck F., & Kwon J., (2012). The Clinical Instructor Role in Nursing Education: A Structured Literature Review, Journal of Nursing Education • Vol. 51, No. X, 2012.
[28]  El Sayed, S.M. (2013). The Effect of Implementing SBAR Shift Report on Quality of Reporting of Patient Care,Doctorate Thesis, Faculty of Nursing, Ain Shams University, pp. 61.
[29]  Hussein A.H.M., & Hussein G. R.(2014). Nursing Educators' Knowledge, Skills in Evidence-Based Practice and their Critical Thinking Skills: Self Report Study Journal of Education and Practice- www.iiste.orgISSN 2222-1735 (Paper) ISSN 2222-288X (Online)Vol.5, No.27, 2014 86, DNS.
[30]  Zygmont, D., & Schaefer, K. (2006). Assessing the critical thinking skills of faculty: What do the findings mean for nursing education? Nursing Education Perspectives, 27(5), 260–268.
[31]  Soliman, M.E., EL Sawi, K.A., Mohamed, L.A., Hashem, H.Y.& El-Sebaee, H.A. (2006). Promoting Clinical Teaching Skill among Nursing Instructor at Faculties of Nursing, Faculty of Nursing, Cairo University. The Third annual International Scientific Conference of Maternal Health Nursing Department, pp. 56-67.