Undergraduate nursing students' transformational learning during clinical training

Int J Palliat Nurs. 2018 Apr 2;24(4):184-192. doi: 10.12968/ijpn.2018.24.4.184.

Abstract

Background: Undergraduate nursing students encounter patients at the end of life during their clinical training. They need to confront dying and death under supportive circumstances in order to be prepared for similar situations in their future career.

Aim: To explore undergraduate nursing students' descriptions of caring situations with patients at the end of life during supervised clinical training.

Methods: A qualitative study using the critical incident technique was chosen. A total of 85 students wrote a short text about their experiences of caring for patients at the end of life during their clinical training. These critical incident reports were then analysed using deductive and inductive content analysis.

Findings: The theme 'students' transformational learning towards becoming a professional nurse during clinical training' summarises how students relate to patients and relatives, interpret the transition from life to death, feel when caring for a dead body and learn end-of-life caring actions from their supervisors.

Implications: As a preparation for their future profession, students undergoing clinical training need to confront death and dying while supported by trained supervisors and must learn how to communicate about end-of-life issues and cope with emotional stress and grief.

Keywords: Clinical training; End-of-life; Learning approach; Nursing education; Palliative.

MeSH terms

  • Adolescent
  • Adult
  • Education, Nursing, Baccalaureate
  • Female
  • Hospice and Palliative Care Nursing / education*
  • Humans
  • Learning*
  • Male
  • Mentors*
  • Middle Aged
  • Students, Nursing*
  • Sweden
  • Terminal Care*
  • Young Adult