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Nursing students' experiences with faculty incivility in the clinical education context: a qualitative systematic review and meta-synthesis.

ABSTRACT: OBJECTIVE:The aim of this study is to synthesise evidence for the experiences and perceptions of incivility during clinical education of nursing students. DESIGN:We used a meta-aggregation approach to conduct a systematic review of qualitative studies. DATA SOURCES:Published and unpublished papers from 1990 until 13 January 2018 were searched using electronic databases, including CINAHL, PubMed (MEDLINE), ProQuest Central, ProQuest Education Journals, ProQuest XML-Dissertations and Theses, Web of Science, Embase, EBSCO Discovery Service and PsycINFO. The search for unpublished studies included the Open Grey collection, conference proceedings and the Deep Blue Library. ELIGIBILITY CRITERIA:We included qualitative studies that focused on nursing students' perceptions and experiences of incivility from faculty during their clinical education. DATA EXTRACTION AND SYNTHESIS:Two reviewers independently appraised the methodological quality and extracted relevant data from each included study. Meta-aggregation was used to synthesise the data. RESULTS:A total of 3397 studies was returned from the search strategies. Eighteen studies fulfilled the inclusion criteria and were included in the meta-synthesis. Six synthesised findings were identified, covering features of incivility, manifestations of incivility, contributing factors, impacts on students, coping strategies and suggestions. CONCLUSIONS:The results showed experiences of incivility during clinical education. However, the confidence was low for all synthesised findings. We suggest that nursing students should try to cope positively with incivility. Nurse managers and clinical preceptors should be aware of the prevalence and impact of incivility and implement policies and strategies to reduce incivility towards nursing students. Hospitals and universities should have an immediate response person or system to help nursing students confronting incivility and create an open communication environment.

SUBMITTER: Zhu Z

PROVIDER: S-EPMC6398780 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Nursing students' experiences with faculty incivility in the clinical education context: a qualitative systematic review and meta-synthesis.

Zhu Zheng Z Xing Weijie W Lizarondo Lucylynn L Guo Mengdi M Hu Yan Y

BMJ open 20190301 2

<h4>Objective</h4>The aim of this study is to synthesise evidence for the experiences and perceptions of incivility during clinical education of nursing students.<h4>Design</h4>We used a meta-aggregation approach to conduct a systematic review of qualitative studies.<h4>Data sources</h4>Published and unpublished papers from 1990 until 13 January 2018 were searched using electronic databases, including CINAHL, PubMed (MEDLINE), ProQuest Central, ProQuest Education Journals, ProQuest XML-Dissertat ...[more]

PMID: 30826795

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Project description:IntroductionOne argument for introducing research in bachelor`s degree in health care is to ensure the quality of future health care delivery. The requirements for research-based education have increased, and research on how research-based education is experienced is limited, especially in bachelor health care education programmes. The aim of this study was to explore how occupational therapy students and faculty members experienced and perceived research-based education.MethodsThis qualitative, interpretative description consisted of three focus group interviews with occupational therapy students in their final year (n = 8, 6 and 4), and three focus group interviews with faculty members affiliated with occupational therapy programmes in Norway (n = 5, 2 and 5). Interviewing both students and faculty members enabled us to explore the differences in their experiences and perceptions.ResultsFive integrative themes emerged from the analysis: "introducing research early", "setting higher expectations", "ensuring competence in research methods", "having role models" and "providing future best practice". Research was described as an important aspect of the occupational therapy bachelor program as it helps ensure that students achieve the necessary competence for offering future best practice. Students expressed a need to be introduced to research early in the program, and they preferred to have higher expectations regarding use of research. Competence in research methods and the importance of role models were also highlighted.ConclusionsUndergraduate health care students are expected to be competent in using research. Findings from our study demonstrated that the participants perceived the use of research during training as important to ensure future best practice. Increasing the focus on research in the programme's curricula and efforts to improve students' formal training in research-specific skills could be a starting point towards increased use of research in the occupational therapy profession.

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Nursing students' experiences with faculty incivility in the clinical education context: a qualitative systematic review and meta-synthesis.

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Nursing students' experiences with faculty incivility in the clinical education context: a qualitative systematic review and meta-synthesis.

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