| Peer-Reviewed

Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice

Received: 24 June 2019     Accepted: 4 August 2019     Published: 19 August 2019
Views:       Downloads:
Abstract

Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.

Published in Central African Journal of Public Health (Volume 5, Issue 5)
DOI 10.11648/j.cajph.20190505.12
Page(s) 190-197
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Performance, Clinical Practice, Midwifery, Student Midwives, Clinical Instructors, Nursing and Midwifery Faculties

References
[1] Nursing & Midwifery Council. (2018). the code: Professional standards of practice and behaviour for nurses, midwives and nursing associates. Retrieved from http://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/revised-new-nmc-code.pdf.
[2] Hoy G, George S (2018) New standards on the supervision and assessment of students in practice. Nursing Times [online]; 114: 12, 27-29.
[3] NCK [2018]. Kenya registered community health nursing (Basic) Training Guidelines revised Edition, Goverment press, Nairobi, Kenya.
[4] M. Dehghani, Ghanavati S., Soltani B. et al., “Impact of clinical supervision on field training of nursing students at Urmia University of Medical Sciences,” Journal of Advances in Medical Education & Professionalism, vol. 4, no. 2, pp. 88–92, 2016. View at Google Scholar.
[5] International Confederation of Midwives [2010] Global Standards for Midwifery Education. Availableat: http://www.internationalmidwives.org/Policyandpractice/ICMGlobal Standards Competencies and Tools/Global Standards English/tabid/980/Default.aspx [Last accessed].
[6] Hussein MH, Osuji J. Bridging the theory-practice dichotomy in nursing: The role of nurse educators. J Nurs Educ Pract 2017; 7 (3): 20-5.
[7] J. Lawal, S. Weaver, V. Bryan, and J. L. Lindo, “Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing,” Journal of Nursing Education and Practice, vol. 6, no. 4, p. 32, 2015. View at Publisher · View at Google Scholar.
[8] L. Rajeswaran, “Clinical experiences of nursing students at a selected institute of health sciences in Botswana,” Health Science Journal, vol. 10, no. 6, 2017. View at Publisher · View at Google Scholar.
[9] M. Birks, T. Bagley, T. Park, C. Burkot, and J. Mills, “The impact of clinical placement model on learning in nursing: A descriptive exploratory study,” Australian Journal of Advanced Nursing, vol. 34, no. 3, pp. 16–23, 2017. View at Google Scholar View at Scopus.
[10] L. N. Pinehas, E. Mulenga, and J. Amadhila, “Factors that hinder the academic performance of the nursing students who registered as first years in 2010 at the University of Namibia (UNAM), Oshakati Campus in Oshana, Namibia,” Journal of Nursing Education and Practice, vol. 7, no. 8, p. 63, 2017. View at Publisher View at Google Scholar.
[11] Z. C. Chan, C. Tonga, and S. Henderson, “Power dynamics in the student-teacher relationship in clinical settings,’’ Nurse Education Today, vol 49, pp. 174-179, 2017.
[12] Margaret Maura Mcallister, [2012]. Challenges facing nursing education in Australia: Two solutions, journal of nursing education and practice. Vol 2 [1]: 23-26. 2nd edition, sciedu press. Australia.
[13] E. A. Flott and L. Linden, “The clinical learning environment in nursing education: a concept analysis,’’ Journal of Advanced Nursing, vol. 72, pp. 501-513, 2016.
[14] Safazadeh S, Irajpour A, Alimohammadi N, Haghani F. Bridging the theory-practice gap in Iranian emergency nursing education. ARYA Atheroscler 2018; 14 (3): 105-14.
[15] Jansson I, Ene KW. Nursing students' evaluation of quality indicators during learning in clinical practice. Nurse Educ Pract 2016; 20: 17-22.
[16] Beverley Y. Learning nursing: Gaining an insight into what helps students to make sense of nursing knowledge and practice [PhD Thesis]. Glasgow, UK: University of Strathclyde; 2015.
[17] Nasrin, E. Fatemeh, A. and Fazlollah, A. [2013]. Effectiveness education: A content analysis of key experiences of teachers' about quality of evaluation and applied knowledge in nursing education. Acad. J. Edu Res. 1 [1]: 001-007.
[18] Vivian, E. A., Mary, B. S., Antanga, J. A. and Gibson, D. [2011]. Nurses and Challenges faced as clinical educators. A survey of a group of nurses in Cameroon. Pan African Medical journal Research, VOL. 8, No. 28.
[19] Hayan, I. A. and Azza, H. E. [2011]. “A qualitatative study of effectiveness of clinical teaching. A journal of American science”, Vol. 29 PP179-182.
[20] O'Donovan A, Halford W, Walters, B. [2011]. Towards best practice supervision of clinical psychology trainees. Australian Psychologist 46 [2]: 101-112.
[21] K. A. Abrahamson, R. L. Fox, and B. N. Doebbeling, “Facilitators and barriers to clinical practice guideline use among nurses,” AJN The American Journal of Nursing, vol. 112, no. 7, pp. 26–35, 2012. View at Google Scholar.
[22] Walker S, Dwyer T, Moxham L, Broadbent M, Sander T. Facilitator versus preceptor: which offers the best support to undergraduate nursing students? Nurse Educ Today. 2013; 33: 530–5.
[23] Rodger, S. Fitzgerald, C. Davila, W. Millar, F. Allison, H. [2011]. What makes a quality occupational therapy practice placement? Students’ and practice educators’ perspectives. Australian Occupational Therapy Journal 58 [20]: 195-202.
[24] Henderson A, Eaton E. Assisting nurses to facilitate student and new graduate learning in practice settings: What “support” do nurses at the bedside need? Nurse Educ Today. 2013; 13: 197–201.
Cite This Article
  • APA Style

    Millicent Gatwiri Kabiru, Blasio Osogo Omuga, Leila Geteri, Taratisio Ndwiga. (2019). Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Central African Journal of Public Health, 5(5), 190-197. https://doi.org/10.11648/j.cajph.20190505.12

    Copy | Download

    ACS Style

    Millicent Gatwiri Kabiru; Blasio Osogo Omuga; Leila Geteri; Taratisio Ndwiga. Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Cent. Afr. J. Public Health 2019, 5(5), 190-197. doi: 10.11648/j.cajph.20190505.12

    Copy | Download

    AMA Style

    Millicent Gatwiri Kabiru, Blasio Osogo Omuga, Leila Geteri, Taratisio Ndwiga. Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Cent Afr J Public Health. 2019;5(5):190-197. doi: 10.11648/j.cajph.20190505.12

    Copy | Download

  • @article{10.11648/j.cajph.20190505.12,
      author = {Millicent Gatwiri Kabiru and Blasio Osogo Omuga and Leila Geteri and Taratisio Ndwiga},
      title = {Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice},
      journal = {Central African Journal of Public Health},
      volume = {5},
      number = {5},
      pages = {190-197},
      doi = {10.11648/j.cajph.20190505.12},
      url = {https://doi.org/10.11648/j.cajph.20190505.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190505.12},
      abstract = {Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice
    AU  - Millicent Gatwiri Kabiru
    AU  - Blasio Osogo Omuga
    AU  - Leila Geteri
    AU  - Taratisio Ndwiga
    Y1  - 2019/08/19
    PY  - 2019
    N1  - https://doi.org/10.11648/j.cajph.20190505.12
    DO  - 10.11648/j.cajph.20190505.12
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 190
    EP  - 197
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20190505.12
    AB  - Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.
    VL  - 5
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Faculty of Clinical Sciences, Kenya Medical Training College, Nairobi, Kenya

  • School of Nursing Sciences, Nairobi University, Nairobi, Kenya

  • Faculty of Community Health, Great Lakes University, Kisumu, Kenya

  • School of Public Health, Moi University, Eldoret, Kenya

  • Sections