Postgraduate Medical-Surgical Nursing Students' Learning Experiences Through Focused Clinical Learner-Centered Teaching: A Case Study Using Kolb’s Experiential Learning Theory (ELT)

Jean Claude Twahirwa^1, , Nsegiyumva Jean Paul¹, Hitayezu Elisee¹ and Ndabarora Eleazar¹

¹School of Nursing and Midwifery Sciences ,College of Medicine and Health Sciences, University of Rwanda and Department of General Nursing and Midwifery,Faculty of Health Sciences, Kibogora Polytechnic, Rwanda

Cite this paper:
Jean Claude Twahirwa, Nsegiyumva Jean Paul, Hitayezu Elisee and Ndabarora Eleazar. Postgraduate Medical-Surgical Nursing Students' Learning Experiences Through Focused Clinical Learner-Centered Teaching: A Case Study Using Kolb’s Experiential Learning Theory (ELT). American Journal of Cancer Prevention. 2024; 11(1):6-11. doi: 10.12691/ajcp-11-1-2

Abstract

Background: This study applies Kolb’s Experiential Learning Theory (ELT) which employed to involve Concrete Experience, Reflective Observation, abstract Conceptualization, Active Experimentation, to explore how postgraduate nursing students at the University of Rwanda experience clinical learning. Focusing on three learning styles—Assimilating, Converging, and Accommodating—it underscores the need for tailored educational strategies in clinical settings. Emphasizing self-directness, self-regulation, and emotional engagement, our approach aims to cultivate clinical expertise. Through reflection, mentorship, and hands-on experiences, we create an environment fostering both clinical competencies and personal development. Engaging with real clinical cases prepares students for future practice. The study documents insights from a medical-surgical nursing student in the Master of Science in Nursing program during clinical rotations at Rwandan referral hospitals. Peer mentorship between students from different cohorts enhances learning outcomes, supported by Human Resources for Health Staff. This comprehensive approach nurtures clinical skills and holistic professional growth in nursing students. Methods: This research employs a qualitative design, integrating qualitative analyzing of clinical learning experiences of postgraduate nursing students at the University of Rwanda. It focuses on two clinical rotations in Rwandan referral hospitals to observe changes over time. Participants include second cohort students paired with first cohort graduates for peer-mentorship. Quantitative data from pre- and post-rotation surveys and performance evaluations measure clinical competencies, self-regulation, and emotional engagement. Qualitative data from reflective journals, focus group discussions, and interviews provide detailed insights. Statistical methods analyze survey results, while thematic analysis identifies key themes in qualitative data. The study includes pre-rotation orientation, tailored learning activities, continuous mentorship, and post-rotation review. This comprehensive approach aims to understand and enhance the clinical learning process for nursing students.Results： The results of this study reveal significant insights into the clinical learning experiences of postgraduate nursing students at the University of Rwanda during their successive clinical rotations. The mixed-methods approach provided a comprehensive understanding of how tailored educational strategies based on Kolb’s Experiential Learning Theory (ELT) impacted student development and learning outcomes.Conclusions: The teaching strategies and processes employed in this study significantly supported students in achieving their clinical learning objectives by promoting self-organization and self-assessment. These methods fostered ownership of the learning process through inter-professional collaboration, commitment, and active engagement in self-learning and research, thereby enhancing students' knowledge. Facilitators provided timely feedback and support, which further facilitated student development. The strong collaboration between universities and hospitals, along with the dedication of health professionals to mentor new practitioners, contributed to the success of this approach. This model not only advances specialization in medical-surgical nursing in Rwanda but also establishes a robust framework for ongoing enhancement in clinical education.

Keywords:
Master’s Clinical learning experiences medical surgical nursing student focused clinical learner centered teaching referral hospital Kolb’s Experiential Learning Theory

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References:

[1]	Chua, I. S., Olmsted, M., Plotke, R., Turk, Y., Trotter, C., Rinaldi, S., Kamdar, M., Jackson, V. A., Gallagher-Medeiros, E. R., El-Jawahri, A., Temel, J. S., & Greer, J. A. (2022). Video and In-Person Palliative Care Delivery Challenges before and during the COVID-19 Pandemic. Journal of Pain and Symptom Management, 64(6), 577–587.
[2]	Mafinejad, M. K., Aghili, R., Emami, Z., Malek, M., & Baradaran, H. (2014). Study Guides : Effective Tools to Improve Self-Directed Learning Skills of Medical Students.
[3]	Alexis Harerimana1*, N.G Mtshali1, Donatilla Mukamana2, Julie Kimonyo3, Camille N. Kayihura4, J. M. (2015). Historical Overview of Nursing and Midwifery Education and Nursing Workforce in Rwanda. 2(December).
[4]	Sciences, N. A. (2020). Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program. Washington, DC: The National Academies Press.
[5]	Jeanine Condo, C. M. (2014). Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives. BMC.
[6]	Agnes Binagwaho, P. E. (2014). Rwanda 20 years on: Investing in life. PubMed.
[7]	Mukamana, D., Uwiyeze, G., & Sliney, A. (2015). Nursing and Midwifery Education in Rwanda : Telling our Story. 2(2), 9–12.
[8]	Serrano-gallardo, P., Martínez-marcos, M., & Espejo-matorrales, F. (2016). Factors associated to clinical learning in nursing students in primary health care : an analytical cross-sectional study.
[9]	Shirke, R. P., Rawat, A., Chandar, V., Walia, J., Wasim, S., & Bhat, N. K. (2016). Evaluation of the self-directed learning readiness of medical undergraduates in pediatrics department : a study from medical college in Uttarakhand state of India. 5(12), 2610–2614.
[10]	Jony, M. S. (2016). Student Centered Instruction for Interactive and Effective Teaching Learning: Perceptions of Teachers in Bangladesh. International Journal of Advanced Research.
[11]	H. Ösp Egilsdottir, L. G. (2023). Factors associated with changes in students’ self-reported nursing competence after clinical rotations: a quantitative cohort study. BMC.
[12]	Carlson, M. B. (2015). Knowledge and skills needed to improve as preceptor: development of a continuous professional development course – a qualitative study part I. BMC Nurs.
[13]	ony, M. S. (2016). Student Centered Instruction for Interactive and Effective Teaching Learning : Perceptions of Teachers in Bangladesh. 3(3).
[14]	Tawalbeh, T. (2015). Instructors’ Perceptions and Barriers of Learner-Centered Instruction in English at the University Level. Higher Education Studies .
[15]	Mirna A. Fawaz a, A. M.-M. ( 2018). Challenges facing nursing education in the advanced healthcare environment. International Journal of Africa Nursing Sciences,Volume 9.
[16]	Siyabonga Mhlongo a, K. M. (2023). Challenges, opportunities, and prospects of adopting and using smart digital technologies in learning environments: An iterative review. Volume 9, Issue 6,heliyon .
[17]	Konstantinos Koukourikos, 1. ,. (2021). Simulation in Clinical Nursing Education. Acta Inform Med.
[18]	Julia L. Mafumo, c. a. (2022). Facilitators of professional socialisation of learners in the clinical learning areas: A qualitative systematic review. PMC Disclaimer.
[19]	Juxia Zhang, L. S. (2022). The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Medical Education.
[20]	Mohammed Hussein, M. P. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research volume.
[21]	Arja Suikkala, L. T.-K.-L. (2021). Healthcare student-patient relationship and the quality of the clinical learning environment – a cross-sectional study.
[22]	Mandlenkosi Mlambo, C. S. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing volume.
[23]	B. C. Mbakaya, F. W. (2020). Nursing and midwifery students’ experiences and perception of their clinical learning environment in Malawi: a mixed-method study. BMC Nursing.