The experiences of undergraduate nursing students and self-reflective accounts of first clinical rotation in pediatric oncology

• Published in: Nurse education in practice Vol. 25; pp. 22 - 28
• Main Authors: Mirlashari, Jila, Warnock, Fay, Jahanbani, Jahanfar
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.07.2017; Elsevier Limited
• Subjects: Adaptation, Psychological; Anxiety - psychology; Cancer; Children; Clinical nursing; Clinical practicum; Clinical Teaching (Health Professions); Content analysis; Death & dying; Education, Nursing, Baccalaureate; Educational Environment; Emotions; Female; Hospice care; Humans; Iran; Learning; Male; Nurses; Nursing; Nursing education; Nursing Students; Oncology; Oncology Nursing; Palliative care; Pediatric oncology; Pediatrics; Perceptions; Practice placements; Preceptorship - methods; Public health; Qualitative; Qualitative Research; Reflective teaching; Rotation; Self awareness; Self-reflective journal; Student attitudes; Students, Nursing - psychology; Undergraduate nursing students; Undergraduate Students; Writing; Young Adult; Pediatric oncology; Clinical practicum; Iran; Qualitative; Undergraduate nursing students; Self-reflective journal
• ISSN: 1471-5953; 1873-5223
• DOI: 10.1016/j.nepr.2017.04.006

The clinical practicum is one of the most anticipated components of the nursing program for nursing students. However, the practicum can be anxiety producing for students, especially when it is their first placement in an emotional demanding setting like pediatric oncology unit. Taking care of children with cancer and who are facing the death trajectory is complex and demanding not only for students but also for the experienced nurse. In this qualitative research, the purpose was to explore senior student perceptions and self-reflective accounts of what it was like to care for children with cancer and their family throughout the course of their first practicum on a pediatric oncology unit that also provided children palliative care as needed. Data from the self-reflective journals and interviews were analyzed together using conventional content analysis. The three resultant categories that emerged: state of shock and getting lost, walking in to a mind shaking world and finding the way provided in-depth novel insight on the perceptions of senior undergraduate nursing students as they journey through their first time practicum on a pediatric oncology unit. The findings also confirmed the importance and benefit of reflective journaling to student integrated learning and adjustment in nursing practice. •First time clinical placements in pediatric oncology are emotionally demanding and stressful for nursing students.•Meeting weekly to discuss their journal entries with their instructor helped students to transition through the practicum.•In demanding clinical rotations, reflective journaling may promote student emotional coping and integrated learning.