Table 2 Site A: Endorsement of uncritical knowledge transfer
From: Unsafe clinical practices as perceived by final year baccalaureate nursing students: Q methodology
Numbered statement | Statement rankings across discrete viewpoints | |||
|---|---|---|---|---|
| Â | 1 | 2 | 3 | |
40 | The student is taught to cut corners or guided to do things differently than what was taught in school | 3 | 2 | 1 |
17 | The student is unable to modify care based on emerging patient priorities | 2 | 0 | 1 |
24 | The student is evaluated as successful despite a pattern of unmet clinical expectations | 2 | 1 | 1 |
7 | The student does not report changing patient conditions | 2 | 3 | 3 |
38 | The clinical educator does not role model established nursing standards | 2 | −2 | 0 |
31 | The clinical educator does not enforce clinical program policies | 1 | −3 | −1 |
5 | The student lacks the knowledge needed to assume care of assigned patients | 0 | −1 | 2 |
8 | The student fails to perform care consistent with clinical guidelines and standard procedures (e.g. hand washing; confidentiality; body mechanics) | 0 | −2 | 3 |
33 | There are no clear guidelines for how to deal with specific student behaviours in the clinical setting (when to fail someone or what is considered unsafe student practices) | 0 | −4 | −2 |
30 | Clinical educators and professors do not regularly discuss student progress and expectations | −1 | −3 | −3 |
35 | The clinical educator is overwhelmed by role expectations | −1 | −2 | −2 |
36 | The clinical educator is unable to establish and maintain a positive learning environment | −2 | 2 | 0 |
14 | The student has difficulty communicating (verbally or non-verbally) | −2 | 1 | −2 |
29 | The clinical educator has not established a trusting relationship with the student(s) | −2 | 0 | −1 |
41 | The clinical educator does not provide constructive feedback to students in a confidential manner | −3 | −1 | −1 |
25 | The student feels overwhelmed by course requirements | −4 | 3 | −5 |
26 | The student has a large gap in time between practice placements | −5 | 1 | −3 |