Evaluation of the Clinical Education and Training of Nurse Practitioner Students and its Implication for Teaching, Management and Politics

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Karin Ritschard Ugi (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Lori Lupe

Abstract: Background The Bern University of Applied Sciences (BUAS), Department of Health, master’s pro-gram in Nursing, introduced the Nurse Practitioner (NP) specialization in 2019, which is char-acterized by 400 hours of clinical training with practice partners (so-called supervisors). Until now, this clinical teaching has been predominantly conducted by physicians, largely implemented individually, and the final competencies have not been clarified.PurposeThe aim of this DNP project was to evaluate the current clinical education of students in the master's program in nursing with the specialization NP at the BUAS, to examine the con-tents and the number of hours of clinical education and to derive recommendations for teaching, management, and politics in the German-speaking part of Switzerland.MethodsIn August and September 2022, all (former) students of the NP specialization (N=29) who had completed the clinical modules received two questionnaires (APNCAI with 44 items and NPC-SF with 35 items) to assess their professional competencies. The main purpose of this quantitative part was to obtain an initial baseline on this topic. In a further step, 10 interviews each with supervisors and with (former) NP-students were conducted between August and November 2022. The interviews were processed by means of thematic analysis and subsequently content analysis. Results The (former) NP-students experienced an increase in competence during/after their stud-ies, acted increasingly holistically in the care of patients and experienced themselves as a re-source in the interdisciplinary teams. All (former) NP-students as well as supervisors see the purpose and possible fields of application for NPs. They perceived the on-site clinical teaching as unclear, unstructured, without precise learning content and learning objectives. However, this is not so much because of the clinical setting, but rather because the final competencies are not clearly regulated.Recommendations & ConclusionThis study is an important step in obtaining an initial analysis and preliminary conclusions about NPs' clinical teaching. Furthermore, the study provides insights into the difficulties regarding the non-regulation and financing of the NPs on the part of the supervisors. Further analysis and studies on the topic are recommended.

Additional Information

Publication
Other
Language: English
Date: 2023
Keywords
Nurse Practitioner, Clinical Education, Clinical Competencies, legal framework

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