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Nursing students' perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment.

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  • Author(s): Fink M
  • Source:
    University of San Francisco 2005; Ed.D. 137 p-137 p. (1p)
  • Publication Type:
    Doctoral Dissertation - research
  • Language:
    English
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      I many cases, the only previous nursing experience of an entry-level registered nurse is that brought forth from clinical practice during nursing school. Nursing students practice in various clinical settings where they encounter real-life experiences that cannot be mimicked in a classroom or laboratory setting. In order for the clinical learning experience to be a meaningful one with progression toward independence, nursing students require appropriate levels of support and supervision from their instructors.Using a descriptive, cross-sectional design, nursing students' perceptions of support and supervision obtained were compared with perceptions of support and supervision desired. Based on the Instructional Scaffolding model, perceptions of support and supervision obtained and desired were compared for students from a fundamental to an advanced level in medical-surgical nursing courses. According to the Instructional Scaffolding model, learners initially require a great deal of support. With repeated exposure to the problem or practice with the task, the learner's capability increases, and instructor support can be removed gradually.The researcher-designed Perceived Extent of Support and Supervision Survey (PESSS) was administered to 30 first-semester sophomores, 32 second-semester sophomores, and 29 junior medical-surgical nursing students at one university to assess the extent to which support and supervision was obtained and desired from instructors.Ratings for support and supervision desired were statistically significantly higher than ratings for support and supervision obtained. There were no statistically significant differences in support and supervision obtained or desired when comparing the three levels of participants indicating that progression in the program did not influence the extent to which support and supervision was obtained or desired.The findings suggest that the Instructional Scaffolding model did not apply to the clinical learning environment when comparing nursing students as they progressed from fundamental to advanced levels in medical-surgical nursing courses. Instructional Scaffolding was built into the curriculum in such a way that students continued to obtain and desire similar levels of support and supervision from instructors regardless of level in the program. Because of the impact clinical instructors have on the future careers of registered nurses and the people they serve, the topic warrants further research.
    • Instrumentation:
      Perceived Extent of Support and Supervision Survey (PESSS)
    • ISBN:
      9780542039317
    • Accession Number:
      UMI Order AAI3167897
    • Publication Date:
      20051028
    • Publication Date:
      20150923
    • Accession Number:
      109845068
  • Citations
    • ABNT:
      FINK M. Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment. 2005. Ed.D. - University of San Francisco, [s. l.], 2005. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068. Acesso em: 27 out. 2020.
    • AMA:
      Fink M. Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment. Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-surgical Clinical Learning Environment. January 2005:137 p. Accessed October 27, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068
    • APA:
      Fink M. (2005). Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment [Ed.D., University of San Francisco]. In Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-surgical Clinical Learning Environment (p. 137 p).
    • Chicago/Turabian: Author-Date:
      Fink M. 2005. “Nursing Students’ Perceptions of Obtained and Desired Levels of Support and Supervision in the Medical-Surgical Clinical Learning Environment.” Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-Surgical Clinical Learning Environment. Ed.D., University of San Francisco. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068.
    • Harvard:
      Fink M (2005) Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment, Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-surgical Clinical Learning Environment. Ed.D. University of San Francisco. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068 (Accessed: 27 October 2020).
    • Harvard: Australian:
      Fink M 2005, ‘Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment’, Ed.D. thesis, University of San Francisco, Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-surgical Clinical Learning Environment, p. 137 p, viewed 27 October 2020, .
    • MLA:
      Fink M. “Nursing Students’ Perceptions of Obtained and Desired Levels of Support and Supervision in the Medical-Surgical Clinical Learning Environment.” Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-Surgical Clinical Learning Environment, University of San Francisco, Jan. 2005, p. 137 p. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068.
    • Chicago/Turabian: Humanities:
      Fink M. “Nursing Students’ Perceptions of Obtained and Desired Levels of Support and Supervision in the Medical-Surgical Clinical Learning Environment.” Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-Surgical Clinical Learning Environment. Ed.D., University of San Francisco, 2005. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068.
    • Vancouver/ICMJE:
      Fink M. Nursing students’ perceptions of obtained and desired levels of support and supervision in the medical-surgical clinical learning environment [Internet] [Ed.D.]. Nursing Students’ Perceptions of Obtained & Desired Levels of Support & Supervision in the Medical-surgical Clinical Learning Environment. University of San Francisco; 2005 [cited 2020 Oct 27]. p. 137 p. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109845068