Nurse preceptors' perceptions of the fundamentals of nursing knowledge gained by students in clinical rotations at nursing homes: A qualitative study

ElsevierVolume 44, January–February 2023, Pages 17-25Journal of Professional NursingAuthor links open overlay panelHighlights•

Few studies have focused on fundamental care and featured the factors influencing nursing students’ learning in nursing homes

The study's findings reveal nurse preceptors’ perceptions of teaching fundamental care to nursing students

The findings are discussed in view of Vygotsky's sociocultural theory of learning.

The quality of the learning environment and nurse preceptors’ qualities are the prerequisites for students’ learning.

AbstractBackground

International evidence suggests that clinical nurses and nursing students perceive fundamental care as not being important, not complicated and even not a nurse's responsibility, thus resulting in negative patient outcomes.

Aim

To explore nurse preceptors' perceptions about the factors that influence nursing students' gaining of knowledge about fundamental care during their clinical practice at nursing home.

Methods

A qualitative descriptive study using individual interviews was conducted from September 2020 to April 2021. Nine nurse preceptors employed at five nursing homes participated. The data were analysed by employing an inductive qualitative content analysis.

Findings

The analysis generated one main category—‘Fostering students’ knowledge and understanding of fundamental care’—supported by two categories: (i) ‘Nurse preceptors – enablers of nursing students' learning fundamental care’ and (ii) ‘Nursing home – a learning environment that facilitates students' learning about the delivery of fundamental care’, which can be interpreted as the preconditions that may contribute to fostering students' knowledge and understanding of fundamental care.

Conclusion

The study reveals that nurse preceptors' attributes, an effective preceptorship and a social learning environment can create opportunities for nursing students learning the provision of fundamental care in nursing homes. Furthermore, Vygotsky's theory of sociocultural learning may be applied when teaching in clinical nursing education.

Keywords

Clinical learning

Fundamental care

Nursing homes

Nurse preceptors

Nursing students

Qualitative content analysis

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