Unsafe Students, Concerned Nurse
I work in a tertiary hospital and during some periods we have back to back nursing students over those few months during prac blocks. As a student I was lucky enough to have some wonderful nurses showing me the ropes and on the flip side I think we all have experienced a less than ideal preceptor who rattled confidence and made being on prac anxiety inducing at times when being a nursing student is hard enough! I get it I really do and for this reason I always do my best to be patient and understanding and share what knowledge I can, especially those willing to learn!
HOWEVER, over the last 12 months or so I have had a huge influx of students, and I would love to say it's minority but I have to say it's realistically about 60% of students I've had from various universities, that do not have the clinical knowledge/safety you would expect from 2nd/3rd years. I'm not talking specified clinical knowledge or skills and I don't ever expect students do be perfect! I'm talking the basic stuff like hand hygiene, maintaining sterile fields, setting up basic dressing packs, infection control, med checking, patient identification, normal ranges for vital signs, patient confidentiality, not knowing their scope of practice! Some cases from 3rd year students who you'd expect to be working up to manage their own patient loads!
Some of the students are very accepting of feedback and willing to learn, and those students succeed, but the concerning part of all of this is how many of the students on clinical prac DON'T! They don't take on feedback, repeatedly make the same mistakes after being offered the education, lack either the theory or critical thinking skills, or are just downright dangerous! That to me is the red flag for unsafe students and it makes me sad that this is an ongoing issue that myself and colleagues have noted and had to report back to clinical facilitators sadly resulting in students failing, which obviously no one wants.
Please correct me if I'm wrong but my understanding was that their learning institutions are supposed to prepare them with the skills to understand clinical safety, and that clinical practice, was just that, a PRACTICE opportunity to improve their confidence in those skills in real life situations under the supervision/guidance of a qualified nurse, whilst starting to connecting the dots on how to apply all that theory they learn to their nursing practice along the way.
As I said I love to teach and do try my best but I'm continuously feeling bad for students on prac, and left feeling honestly a little disappointed or wondering if I have done enough to help my student that day.
Am I being too harsh? Has something changed at uni/tafe? Has the standard dropped? Whats going on because some of the stuff I've seen from students in the last 12 months has me flabbergasted.