The ward manager role in the context of nursing and midwifery students’ clinical learning : testing a model
Tomietto, Marco; Oikarinen, Anne; Tuomikoski, Anna-Maria; Kärsämänoja, Taina; Oikarainen, Ashlee; Juntunen, Jonna; Kuivila, Heli-Maria; Kääriäinen, Maria; Mikkonen, Kristina (2022-01-18)
Tomietto, M., Oikarinen, A., Tuomikoski, A.-M., Kärsämänoja, T., Oikarainen, A., Juntunen, J., Kuivila, H.-M., Kääriäinen, M., & Mikkonen, K. (2022). The ward manager role in the context of nursing and midwifery students’ clinical learning: Testing a model. Journal of Nursing Management, 30( 1), 144– 153. https://doi.org/10.1111/jonm.13475
© 2021 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Tomietto, M., Oikarinen, A., Tuomikoski, A.-M., Kärsämänoja, T., Oikarainen, A., Juntunen, J., Kuivila, H.-M., Kääriäinen, M., & Mikkonen, K. (2022). The ward manager role in the context of nursing and midwifery students' clinical learning: Testing a model. Journal of Nursing Management, 30( 1), 144– 153, which has been published in final form at https://doi.org/10.1111/jonm.13475. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
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https://urn.fi/URN:NBN:fi-fe2022030922613
Tiivistelmä
Abstract
Aim: To test a model of clinical learning that focuses on the role of the ward manager.
Background: The ward manager’s role in supporting clinical learning indirectly focuses on the ward climate connected to students’ clinical placements. In this way, the ward manager influences both nursing care and the pedagogical atmosphere in the ward.
Design: Cross-sectional, secondary analysis.
Methods: The sample included nursing and midwifery students (N = 5,776, n = 1,900) who had completed their clinical placement. Data were collected with the Clinical Learning Environment, Supervision and Nurse Teacher scale. Structural equation modelling was adopted to test the hypotheses.
Results: Estimates of the model parameters demonstrated that a ward manager’s leadership style influences both the premises of nursing at the ward (0.84, p < .001) and the pedagogical atmosphere (0.93, p < .001), although the pedagogical atmosphere affects the mentoring relationship (0.87–0.86, p < .001).
Conclusions: Ward managers exert a significant influence on the clinical learning environment via their support for an effective pedagogical atmosphere and, consequently, effective mentoring.
Implications for Nursing Management: Leadership style guides both the premises of nursing at the ward and pedagogical atmosphere. These findings recommend that ward managers should be involved in promoting a supportive learning climate, which supports the mentor–student relationship and, eventually, leads to effective clinical learning.
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