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The experiences of Australian undergraduate nursing students of a clinical placement in Cambodia

Published:September 07, 2017DOI:https://doi.org/10.1016/j.colegn.2017.08.002

      Abstract

      Background

      International clinical placements are being increasingly offered to expose students to different health settings internationally. Both nationally and internationally there is a need to build the primary health care nursing workforce to meet changing community needs. Exposure to specialty areas during clinical placement can impact career choices.

      Aim

      This paper explores the experiences of Australian undergraduate nursing students undertaking a primary health care clinical placement in Cambodia.

      Method

      This exploratory qualitative study used semi-structured interviews to gather experiential narratives. Eight Australian undergraduate nursing students from a single University in New South Wales, Australia participated in the study. Verbatim transcripts were analysed using thematic analysis.

      Results

      Interview data revealed four themes, namely; Preparation for placement, Challenges, “The experience is so, so worth it” and PHC “it's a lot more than words on a page now”. Despite pre-placement preparation, students were challenged during the placement in ways that they never expected. These challenges saw them grow both professionally and personally from the experience. Additionally, exposing students to primary health care in practice helped to demonstrate the value and importance of this area of nursing.

      Conclusions

      International clinical placement experiences present undergraduate nursing students with unique challenges and facilitate both professional and personal growth. Enhanced appreciation of primary health care among participants has potentially positive implications as they enter the nursing workforce. However, future studies need to investigate the longer term impact of international placement experiences within the broader undergraduate preparation of nurses and into their future careers.

      Keywords

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      References

        • Ailinger R.L.
        • Molloy S.B.
        • Sacasa E.R.
        Community health nursing student experience in Nicaragua.
        Journal of Community Health Nursing. 2009; 26: 47-53
        • Ashley C.
        • Brown A.
        • Halcomb E.J.
        Transitioning from acute to primary health care nursing: An integrative review of the literature.
        Journal of Clinical Nursing. 2016; 25: 2114-2125
        • Bjørk I.T.
        • Berntsen K.
        • Brynildsen G.
        • Hestetun M.
        Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings.
        Journal of Clinical Nursing. 2014; 23: 2958-2967
        • Bradbury-Jones C.
        • Sambrook S.
        • Irvine F.
        Empowerment and being valued: A phenomenological study of nursing students' experiences of clinical practice.
        Nurse Education Today. 2011; 31: 368-372
        • Braun V.
        • Clarke V.
        Using thematic analysis in psychology.
        Qualitative Research in Psychology. 2006; 3: 77-101
        • Browne C.A.
        • Fetherston C.M.
        • Medigovich K.
        International clinical placements for Australian undergraduate nursing students: A systematic thematic synthesis of the literature.
        Nurse Education Today. 2015; 35: 1028-1036
        • Burgess C.A.
        • Reimer-Kirkham S.
        • Astle B.
        Motivation and international clinical placements: Shifting nursing students to a global citizenship perspective.
        International Journal of Nursing Education Scholarship. 2014; 11: 75-82
        • Charles L.
        • Maltby H.
        • Abrams S.
        • Shea J.
        • Brand G.
        • Nicol P.
        Expanding worldview: Australian nursing students’ experience of cultural immersion in India.
        Contemporary Nurse. 2015; 48: 67-75
        • Cleary M.
        • Happell B.
        Recruitment and retention initiatives: Nursing students’ satisfaction with clinical experience in the mental health field.
        Nurse Education in Practice. 2005; 5: 109-116
        • Courtney-Pratt H.
        • Fitzgerald M.
        • Ford K.
        • Johnson C.
        • Wills K.
        Development and reliability testing of the quality clinical placement evaluation tool.
        Journal of Clinical Nursing. 2014; 23: 504-514
        • Edwards H.
        • Smith S.
        • Courtney M.
        • Finlayson K.
        • Chapman H.
        The impact of clinical placement location on nursing students' competence and preparedness for practice.
        Nurse Education Today. 2004; 24: 248-255
        • Forber J.
        • DiGiacomo M.
        • Carter B.
        • Davidson P.
        • Phillips J.
        • Jackson D.
        In pursuit of an optimal model of undergraduate nurse clinical education: An integrative review.
        Nurse Education in Practice. 2016; 21: 83-92
        • Gower S.
        • Duggan R.
        • Dantas J.A.
        • Boldy D.
        Motivations and expectations of undergraduate nursing students undertaking international clinical placements.
        Journal of Nursing Education. 2016; 55: 487-494
        • Gower S.
        • Duggan R.
        • Dantas J.A.R.
        • Boldy D.
        Something has shifted: Nursing students' global perspective following international clinical placements early view.
        Journal of Advanced Nursing. 2017; https://doi.org/10.1111/jan.13320
        • Green W.
        • Mertova P.
        Enthusiasts, fence-sitters and sceptics: faculty perspectives on study abroad in Australia and the Czech Republic.
        Higher Education Research & Development. 2014; 33: 670-683
        • Halcomb E.J.
        • Ashley C.
        Australian primary health care nurses most and least satisfying aspects of work.
        Journal of Clinical Nursing. 2017; 36: 535-545
        • Inglis A.
        • Rolls C.
        • Kristy S.
        The impact on attitudes towards cultural difference of participation in a health focused study abroad program.
        Contemporary Nurse. 2014; 9: 246-255
        • Jones A.M.
        • Neubrander J.
        • Huff M.
        A cultural immersion experience for nursing students.
        Global Partners in Education Journal. 2012; 2: 1
        • Kelleher S.
        Perceived benefits of study abroad programs for nursing students: an integrative review.
        Journal of Nursing Education. 2013; 52: 690-695
        • Kent-Wilkinson A.
        • Dietrich Leurer M.
        • Luimes J.
        • Ferguson L.
        • Murray L.
        Studying abroad: Exploring factors influencing nursing students' decisions to apply for clinical placements in international settings.
        Nurse Education Today. 2015; 35: 941-947
        • Killam L.A.
        • Carter L.M.
        Challenges to the student nurse on clinical placement in the rural setting: A review of the literature.
        Rural and Remote Health. 2010; 10: 1523
        • Koch J.
        • Everett B.
        • Phillips J.
        • Davidson P.M.
        Is there a relationship between the diversity characteristics of nursing students and their clinical placement experiences? A literature review.
        Collegian. 2015; 22: 307-318
        • Levett-Jones T.
        • Lathlean J.
        • Higgins I.
        • McMillan M.
        Staff-student relationships and their impact on nursing students' belongingness and learning.
        Journal of Advanced Nursing. 2009; 65: 316-324
        • Maharajan M.K.
        • Rajiah K.
        • Khoo S.P.
        • Chellappan D.K.
        • De Alwis R.
        • Chui H.C.
        • et al.
        Attitudes and readiness of students of healthcare professions towards interprofessional learning.
        Public Library of Science. 2017; 12: e0168863
      1. National Institute of Statistics, 2017. Retrieved August 9 2017, from https://www.nis.gov.kh/.

        • Peters K.
        • McInnes S.
        • Halcomb E.
        Nursing students' experiences of clinical placement in community settings: A qualitative study.
        Collegian. 2015; 22: 175-181
        • Rolls C.
        • Inglis A.
        • Kristy S.
        Study abroad programs: Creating awareness of and changing attitudes to nursing, health and ways of living in other cultures.
        Contemporary Nurse. 2014; 6: 152-156
        • Ruddock H.C.
        • Turner S.
        Developing cultural sensitivity: Nursing students' experiences of a study abroad program.
        Journal of Advanced Nursing. 2007; 59: 361-369
        • Shoqirat N.
        • Abu-Qamar M.E.Z.
        Clinical placement in Jordan: Qualitative views of final year nursing students.
        Australian Journal of Advanced Nursing. 2013; 30: 49-58
      2. The Department of Health (2013, 24/5/13). Nursing and midwifery education. Retrieved 30/5/17, from http://www.health.gov.au/internet/publications/publishing.nsf/Content/work-review-australian-government-health-workforce-programs-toc∼chapter-7-nursing-midwifery-workforce%E2%80%93education-retention-sustainability∼chapter-7-nursing-midwifery-education.

        • Tuckett A.
        • Crompton P.
        Qualitative understanding of an international learning experience: What Australian undergraduate nurses and midwives said about a Cambodia placement?.
        International Journal of Nursing Practice. 2014; 20: 135-141