Table 4 Site A viewpoint 3: Overt patterns of unsatisfactory clinical performance
From: Unsafe clinical practices as perceived by final year baccalaureate nursing students: Q methodology
Numbered statements | Statement rankings across discrete viewpoints | |||
|---|---|---|---|---|
1 | 2 | 3 | ||
8 | The student fails to perform care consistent with clinical guidelines and standard procedures (e.g. hand washing; confidentiality; body mechanics) | 0 | −2 | 3 |
11 | The student demonstrates a pattern of errors (e.g. repeated mistakes) | 2 | 1 | 3 |
5 | The student lacks the knowledge needed to assume care of assigned patients | 0 | −1 | 2 |
17 | The student is unable to modify care based on emerging patient priorities | 2 | 0 | 1 |
16 | The student avoids consultation and collaboration with the clinical educator and other health team members | −1 | −1 | 1 |
20 | The student does not demonstrate patient-centeredness (e.g. caring) | 0 | −2 | 0 |
38 | The clinical educator does not role model established nursing standards | 2 | −2 | 0 |
21 | The clinical educator does not appropriately guide student practice | 1 | 2 | 0 |
36 | The clinical educator is unable to establish and maintain a positive learning environment | −2 | 2 | 0 |
31 | The clinical educator does not enforce clinical program policies | 1 | −3 | −1 |
28 | The clinical educator does not assign clinical learning experiences consistent with student’s learning needs | −3 | −3 | −2 |
14 | The student has difficulty communicating (verbally or non-verbally) | −2 | 1 | −2 |
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 |
26 | The student has a large gap in time between practice placements | −5 | 1 | −3 |
25 | The student feels overwhelmed by course requirements | −4 | 3 | −5 |