Table 3 Site A viewpoint 2: Non-student centered program
From: Unsafe clinical practices as perceived by final year baccalaureate nursing students: Q methodology
Numbered statements | Statement rankings across discrete viewpoints | |||
|---|---|---|---|---|
| Â | 1 | 2 | 3 | |
25 | The student feels overwhelmed by course requirements | −4 | 3 | −5 |
22 | The clinical educator demonstrates lack of competence in his/her role | 1 | 3 | 2 |
36 | The clinical educator is unable to establish and maintain a positive l earning environment | −2 | 2 | 0 |
43 | The student perceives the clinical educator as threatening | −1 | 2 | −1 |
26 | The student has a large gap in time between practice placements | −5 | 1 | −3 |
14 | The student has difficulty communicating (verbally or non-verbally) | −2 | 1 | −2 |
27 | The clinical educator encourages students to do things beyond their scope | 3 | 1 | 2 |
10 | The student does not respect the rights of patients | 1 | 0 | 2 |
17 | The student is unable to modify care based on emerging patient priorities | 2 | 0 | 1 |
5 | The student lacks the knowledge needed to assume care of assigned patients | 0 | −1 | 2 |
34 | There are inconsistent expectations among clinical groups or faculty (skill, workload, hours) | −2 | −1 | −3 |
12 | The student is unable to control his/her nervousness | −4 | −1 | −4 |
8 | The student fails to perform care consistent with clinical guidelines (e.g. hand washing; confidentiality; body mechanic) | 0 | −2 | 3 |
38 | The clinical educator does not role model established nursing standards | 2 | −2 | 0 |
4 | The student does not demonstrate critical thinking through the nursing process | 0 | −2 | 0 |
31 | The clinical educator does not enforce clinical program policies | 1 | −3 | −1 |
39 | The student responds defensively to constructive feedback | −1 | −3 | −1 |
33 | There are no clear guidelines for how to deal with specific behaviours in the clinical setting (when to fail someone or what is considered unsafe student practices) | 0 | −4 | −2 |