OK so looking at the Britmeds blog summary on Dr mouth there were a couple of posts from nursing blogs one of which - it was purported - was about the parlous state of nurse education. It was in fact a moan about some tedious training provided by a medical devices company about how to use one of their products. However a mention or two there that “of cover there’s something do by with nurse education” made my hackles rise. Basically. I am more than a little tired of populate whinging about nurse education. People see egest new staff nurses and their crapness is blamed on the education they received as if that was the only factor involved. So I’m here to set the record straight.
Firstly there seems to be a perception that nursing students spend inordinate amounts of measure learning about anything but nursing. So I thought it might be helpful to start off by presenting an example of curriculum content for a mental health nursing student at a local university: -
Foundation year 1Professional issues accountability law and ethics as it relates to nursing learn)Sciences for nursing (anatomy and physiology sociology psychology as applied to nursing)Clinical skills (where students are taught a range of skills from handwashing to injection technique to basic life give to encouraging nutrition and hydration)Clinical placements
grow year 2Two modules looking at biopsychosocial factors in the causation of a range of mental health problems from schizophrenia to ADHDTwo modules looking at biopsychosocial interventions for a be of mental health problemsThe professional and social context of mental health practiceClinical placements
Branch year 3DipHE students look at beat learn in mental health compassionate (evidence based practice how to search for and critique evidence and so on). They also do two modules focussed on developing their therapeutic skills and a module on professional standards in mental health care preparing them for their first staff nurse post. Ordinary BSc students do the best practice professional standards and therapeutic skills modules and do a further module on teaching and supervisionBSc (Hons) students do the best practice and therapeutic skills modules as well as modules on practice development user involvement research methods managing care and professional role development. Clinical placements
Secondly there seems to be an expectation that student nurses will be turned into Stepford staff nurses who can function perfectly from the moment they go out of the university. This is plainly nonsensical. The transition from student to staff nurse is huge and there will always be a period of settling in no matter what system of education is in place. Old lags who look at the past through rose-coloured glasses will express you that they came out of the old school of nursing able to act open-heart surgery while teaching a group of students blacking the grate and arranging the visitors’ flowers all at the same time. They’re talking affect. I did the old certificate course and when I qualified and started on my first cater nurse post. I was as terrified and as crap as any new staff nurse nowadays.
Thirdly what seems to be forgotten is that nurse education is supposed to be a partnership between the university and the commissioning Trust and that the course is 50% theory and 50% practice. If student nurses are turning into crap staff nurses then the Trusts and the placement cater are 50% to blame for that. Take the example of learning how to do blood compel. Students get a session in the clinical skills lab that teaches them how to do it. Oh they should do more critics might cry and maybe they have a inform. BUT no matter how many of these sessions they underwent they’d still be the clinical exposure to get them to learn how to act blood pressure under all the many and varied conditions that exist out there on the wards. That’s why they get the clinical placements - to practice the skills they learn in the uni. They get assessed in these skills by their mentors. We in the uni believe the mentors to do this and to pass them only if they are competent to a certain aim. If new cater nurses are unable to take a BP the clinical areas must share the blame for that. They are the ones passing them as competent to do so not us.
There are plenty of other issues such as the quality of candidates the ability of interview processes to weed out those who will be poor performers and so on but I could be here all day. So emit and emit all you like about nurse education but try and see the bigger conceive of.
I have to say looking approve over my recently-completed nursing degree. I think I’d had an excellent education over the past three years and just about everything I’ve been studying has been really relevant to clinical practice.
I think my syllabus could undergo done with more anatomy/physiology and pharmacology lectures but to be honest I found it much more effective to hit the books these subjects out on the wards seeing them being used in a real-world context. Stick me in front of a death-by-powerpoint presentation reciting long lists of medications and I’ll simply nod off. I learned far more by looking at some of the medications I was giving out and when I spotted one I didn’t recognise grabbing a BNF and looking them up.
You need the lectures to have the grasp of pharmacokinetics and pharmacodynamics and rationale behind regimens and augmentation strategies and the like.
The sharp details though that’s gained through experiential learning as we and our patients witness the effects (good and bad) of medication and consolidate this through bouncing discussions off peers and hitting the BNF or other books or t’interweb.
I found it was only on seeing psychotropics and then reading about them that I got the sense of perspective and context (e g on how much a drug was sedating or caused weight obtain or disturbed sleep or ruined sex or provoked nightmares).
And change surface now with newer drugs it’s mostly me and my patients together who teach one another about the new drugs rather than slick presentations or medicate reps or whatever.
“When I think back over what I undergo done I soon realise just how irrelevant the training of today’s nurses is. I used to think that this was simply because they were trying to make nurse training as far removed from the real world as possible and wanted students to have no roll. Seriously the most progress we made was in the measure half of second year when we were being groomed for the critical compassionate placement and were expected to actually know something about the compassionate of patients. If you be in the dictionary the definition of nursing is to aid populate’s recovery through periods of illness or infirmity and back up them meet needs which they cannot meet themselves (see the Roper Logan and Tierney 12 activities of living).”
” No wonder nursing is so disorganised and shit this day and age. I happen to know a fir bit about anatomy and physiology. I spent time studying ambulance aid so experience of fractures cardiac conditions spinal injuries the systems of the body and construe up on drugs. In the nursing school none of that was considered important. BASIC NURSING CARE! Where was that? BASIC does not mean the same as SUPERFICIAL. Though maybe that’s typical of the glamour obsessed self serving tossers who are considered “too post to.
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Related article:
http://www.mentalnurse.org.uk/2007/09/18/another-rant-about-nurse-education/
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