Nursing Skills Laboratory as Milieu of Clinical Learning and Practice

Joyce Toriente Relloso^1, , Nada Abdullah AbuAlula², Jocelyn Magtalas Medina¹ and Edgar Gatioan Manood¹

¹Medical Surgical Department, Taibah University, Saudi Arabia

²Psychiatric Department, Taibah University, Madinah, KSA

Cite this paper:
Joyce Toriente Relloso, Nada Abdullah AbuAlula, Jocelyn Magtalas Medina and Edgar Gatioan Manood. Nursing Skills Laboratory as Milieu of Clinical Learning and Practice. American Journal of Nursing Research. 2021; 9(4):112-117. doi: 10.12691/ajnr-9-4-2

Abstract

Objective: The study's objective is to assess the effectiveness of the university nursing skills laboratory if it functions as the milieu of clinical learning and practice. Methods: The research employed a mixed-method approach that included both quantitative and qualitative components. Results: The study revealed that most nursing students are still female and have already long experienced using nursing laboratories. The nursing skills laboratory assists in developing the psychomotor skills of the students (3.34) and builds confidence and overcome fear in performing nursing procedures' (3.26). The checklist used in the nursing skills laboratory is essential. The rubrics of the checklist provided accurately measure student skills (3.21); however, it should be based on or designed after the hospital setting (2.86). The respondents stressed that an additional time for an open laboratory hour enhances their nursing skills (3.06.). Some respondents feel the insufficient time to practice specific nursing skills for a particular session (2.78). Respondents stated that the availability of equipment and supplies affects the quality of their nursing skills performance (3.08). There was a significant difference in the assessment of the respondents when the year level was considered. Lastly, respondents stated that the challenges they face in the nursing laboratory are a lack of sufficient equipment and materials and a lack of time to practice the skills they have learned. Conclusions: Based on the study's findings, the nursing skills laboratory should have sufficient equipment and supplies in the simulation to use during the nursing skills demonstration and re-demonstration. Additional time should be given to the students to practice the skills they have learned, and the checklist should be designed after the hospital setting to reduce the risk and ensure patient safety.

Keywords:
nursing skills laboratory clinical learning clinical practice

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References:

[1]	Bugaj, T. J., & Nikendei, C. (2016). Practical Clinical Training in Skills Labs: Theory and Practice. GMS journal for medical education, 33(4), Doc63.
[2]	Kirwa, L., & Gakere, Z. (2016). Clinical skills competence of nursing students. Retrieved at https://www.semanticscholar.org/paper/Clinical-skills-competence-of-nursing-students-Kirwa-Gakere/a8aad2c3432df1b251d0d630d6ac1e136f7a0aba#citing-papers.
[3]	Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi Kalyani, M. (2016). The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal, 2016.
[4]	Hannafin, NM. & Phillips, R. (2017) The Flipped Classroom Applied to the Clinical Skills Lab Setting. J Healthc Commun. 2: 44.
[5]	Cant, R. P., & Cooper, S. J. (2010). Simulation‐based learning in nurse education: systematic review. Journal of advanced nursing, 66(1), 3-15.
[6]	Durham, C. F., & Baker, D. E. (2014). Learning laboratories as a foundation for nursing excellence. Teaching in Nursing and Role of the Educator: The Complete Guide to Best Practice in Teaching, Evaluation, and Curriculum Development, 183.
[7]	Alfes, C. M. (2011). Evaluating the use of simulation with beginning nursing students. Journal of Nursing Education, 50(2), 89-93.
[8]	Brookhart, S. M (2013). How to create and Use Rubrics for Formative and Assessment and Grading. Retrieved at http://www.ascd.org/publications/books/112001/chapters/What-Are-Rubrics-and-Why-Are-They-Important%C2%A2.aspx.
[9]	Winters, B. D., Gurses, A. P., Lehmann, H., Sexton, J. B., Rampersad, C. J., & Pronovost, P. J. (2009). Clinical review: checklists - translating evidence into practice. Critical care (London, England), 13(6), 210.
[10]	Mc Laughlin, A. C, (2010). What Makes a Good Checklist. Retrieved at https://psnet.ahrq.gov/perspective/what-makes-good-checklist.
[11]	Lisko, S. A., & O'dell, V. (2010). Integration of theory and practice: Experiential learning theory and nursing education. Nursing Education Perspectives, 31(2), 106-108.
[12]	Yun, S. Y., & Choi, S. H. (2016). Effects of open laboratory self-directed practice on knowledge, self-confidence, and skill competency of intramuscular injection. Journal of the Korea Academia-Industrial cooperation Society, 17(5), 412-420.
[13]	Masenga, H. H. (2015). Assessment of The Factors Influencing Low Academic Performance in Final Nursing Examinations: A Case of Certificate and Diploma Programmes in Eastern Zone, Tanzania (Doctoral dissertation, The Open University of Tanzania).
[14]	Kirwa, L., & Gakere, Z,. (2016). Clinical skills competence of nursing students. Retrieved at https://core.ac.uk/download/pdf/38139172.pdf
[15]	Katcha, M. A., & Wushishi, D. I. (2015). Effects of laboratory equipment on secondary school students’ performance and attitude change to biology learning in federal capital territory, Abuja, Nigeria. Journal of Education Research and Behavioral Sciences, 4(9), 250-256.
[16]	Nyanda, F.(2011), Effects Of Teaching Science Subjects In Absence Of Science Laboratory: A Case Study Of Community Secondary School Morogoro Municipal.
[17]	Moyimane, M. B., Matlala, S. F., & Kekana, M. P. (2017). Experiences of nurses on the critical shortage of medical equipment at a rural district hospital in South Africa: a qualitative study. The Pan African medical journal, 28, 100.
[18]	Gemuhay, H. M., Kalolo, A., Mirisho, R., Chipwaza, B., & Nyangena, E. (2019). Factors affecting performance in clinical practice among preservice diploma nursing students in Northern Tanzania. Nursing Research and Practice, 2019.
[19]	Joolaee, S., Amiri, S. R. J., & Farahani, M. A. (2015). Iranian nursing students' preparedness for clinical training: A qualitative study. Nurse Education Today, 35(10), e13-e17.
[20]	Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi Kalyani, M. (2016). The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal, 2016.
[21]	Ajaz, K. (2018). The Importance of wEquipment Efficiency for the Healthcare Sector. Retrieved at https://electronichealthreporter.com/the-importance-of-equipment-efficiency-for-the-healthcare-sector/.
[22]	Fortis, (2015). Why Hands-on Training is Essential to Becoming a Good Nurse. Retrieved at https://compliance.fortis.edu/blog/nursing/why-hands-on-training-is-essential-to-becoming-a-good-nurse.html
[23]	Haraldseid, C., Friberg, F., & Aase, K. (2015). Nursing students' perceptions of factors influencing their learning environment in a clinical skills laboratory: A qualitative study. Nurse Education Today, 35(9), e1-e6.