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Evaluation of "1FoCUS MODEL" of Clinical Facilitation for Nursing Students at Sir Charles Gairdner Hospital

Sunday, 24 July 2016: 8:50 AM

Amanda Towell, DCur, MCur, BCur (EdetADM), RN1
Linda L. Coventry, MS, BSc, DipAppSc, RN2
Susanne Megan Davis, MN (Rsch), BAppSc (Nsg), RN, MACN3
Diane Esma Twigg, PhD, MBA, BHlthSc (Nsg) (Hons), RN, RM, FACN, FACHSM4
Lucinda Foster, BHSc, RN5
Janelle Boston, MEd, RN5
(1)School of Nursing and Midwifery, Edith Cowan University, Perth, West Australia, Australia
(2)School of Nursing and Midwifery, Edith Cowan University, Joondalup, AZ, Australia
(3)Nursing, Sir Charles Gairdner Hospital, Perth, Australia
(4)School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA 6008, Australia
(5)Centre for Nursing education, Sir Charles Gairdner Hospital, Perth, West Australia, Australia

Purpose:

 The aim of this project was to evaluate the impact of the One Focus Model of Clinical Facilitation implemented in 2015 at Sir Charles Gairdner Hospital (SCGH) in West Australia.                                                     

The provision of clinical placement for nursing students and the delivery of quality clinical supervision is a matter of growing concern within Australian Healthcare. There are various models for clinical education and it is a challenge to employ an appropriate model. The model needs to be innovative in order to meet the needs of the healthcare facility, be supportive to the nursing students and clinical ward staff.

 At SCGH there are six universities and three institutes of technology/training that place student nurses at the hospital, each university had a different model of clinical supervision. In the new 1FoCUS Model the clinical facilitator (CF) role was undertaken by one or two RNs from the ward area. The new CF undertook clinical supervision for all of the nursing students from all of the universities allocated to their area throughout 2015

Methods:

This mixed method study used a prospective, observational cohort design with a pre and post-intervention using two population based cohorts of student nurses, and nurses. Post-implementation focus groups were conducted with three key stakeholder groups: the clinical facilitators; staff development nurses (SDNs) and clinical nurse specialist (CNS) and nursing managers (NM).

Pre and post implementation data was collected from both cohorts using the Quality of Prac Experience (QPE) questionnaire. The QPE explores issues relating to the ward environment, clinical learning and achievement of learning outcomes.

Results:

 Comparisons of pre-intervention and post-implementation QPE scores were conducted using Student ttests. All data was entered into SPSS (IBM SPSS, Version 22.0).The transcripts were subjected to thematic analysis to determine themes and patterns in the data.

Conclusion:

The findings from this study will provide direction for strategies regarding the provision of student nurse clinical placement and quality nursing clinical supervision in Australia.

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