Student Evaluation Student Evaluation Work ExperienceWork Experience

N487.001N487.001N487.002N487.002

20102010

Beverly Foster, Beverly Foster, PhD, RNPhD, RN

School of NursingSchool of NursingThe University of North Carolina at Chapel HillThe University of North Carolina at Chapel Hill

Section 1Section 172% Response Rate (N=39)72% Response Rate (N=39)

Section 2Section 285% Response Rate (N=46)85% Response Rate (N=46)

More Than One Agency?More Than One Agency?

No 97% (Section 1)No 97% (Section 1) Yes 3%Yes 3%

No 89% (Section 2)No 89% (Section 2) Yes 9% Yes 9%

Clinical SettingClinical Setting

Acute careAcute care 56% (72%)*56% (72%)* OtherOther 21% (10%)21% (10%) Ambulatory care 13%Ambulatory care 13% (7%) (7%) Public healthPublic health 5% (4%) 5% (4%) Home healthHome health 5% (7%) 5% (7%)

*Section 2 data in parens*Section 2 data in parens

Client AgeClient Age

AdultAdult 33% (33%)*33% (33%)* MixedMixed 38% (30%) 38% (30%) Infant/childInfant/child 21% (24%) 21% (24%) ElderlyElderly 8% (13%) 8% (13%) AdolescentAdolescent 0% (0%) 0% (0%)

*Section 2 in parens*Section 2 in parens

Skill DevelopmentSkill Development

Nrsg/tNrsg/technicalechnical skills 38% (39%)* skills 38% (39%)* Care team member Care team member 26% (13%) 26% (13%) Communication/therapeutic Communication/therapeutic

relationshipsrelationships 21% (11%) 21% (11%) Organizational skills Organizational skills 10% (26%) 10% (26%) OtherOther 5% (11%) 5% (11%)

*Section 2 in parens*Section 2 in parens

Role ClarityRole Clarity

Were you clear about what you could Were you clear about what you could && could not do?could not do?

YesYes 100% 100%*100% 100%* NoNo 0% 0% 0% 0%

*Section 2 *Section 2

Role ClarityRole Clarity

Did agency staff understand your role?Did agency staff understand your role?

YesYes 77% 77% 80%*80%* NoNo 23%23% 20%20%

*Section 2 *Section 2

RN PreceptorRN Preceptor

YesYes 59% 59% 57%*57%* NoNo 41%41% 43%43% UnansweredUnanswered 0% 0% 0% 0%

*Section 2*Section 2

How Many Preceptors?How Many Preceptors?

11 33% 33% (30%)*(30%)* 22 28% 28% (11%)(11%) 33 3% 3% (9%) (9%) 44 8% 8% (7%) (7%) > 4> 4 21% 21% (30%)(30%) UnansweredUnanswered 7% 7% (13%)(13%)

*Section 2 in parens*Section 2 in parens

How Many Units?How Many Units?

11 62%62% 61%* 61%* 22 10%10% 15%15% 33 5% 5% 11% 11% 44 3% 3% 0% 0% > 4> 4 20%20% 13%13%

*Section 2*Section 2

Pay Equivalent to Another Pay Equivalent to Another Summer Job?Summer Job?

YesYes 33% (52%)*33% (52%)* No, would have made more 15% (15%)No, would have made more 15% (15%) No, would have made lessNo, would have made less 36% (15%)36% (15%) VolunteerVolunteer 15% (17%)15% (17%)

*Section 2 in parens*Section 2 in parens

Type of PositionType of Position

Formal externship Formal externship 36%36% (41%)* (41%)* NA IINA II 31%31% (33%) (33%) NA INA I 23% (13%)23% (13%) OtherOther 10% (13%) 10% (13%)

*Section 2 in parens*Section 2 in parens

Job Search ResourcesJob Search Resources

SON job listings/resources SON job listings/resources 15% (35%)* 15% (35%)* Referred by others Referred by others 36% (24%) 36% (24%) Called agencies for openings 26% (15%)Called agencies for openings 26% (15%) OtherOther 20% (24%) 20% (24%)

*Section 2 in parens*Section 2 in parens

Number of Agency ApplicationsNumber of Agency Applications

11 12%12% 13%* 13%* 22 18%18% 13%13% 33 21%21% 26%26% 44 21%21% 13%13% > 4> 4 28%28% 35%35%

*Section 2*Section 2

Outstanding CharacteristicsOutstanding CharacteristicsSection OneSection One

Practicing clinical skills Practicing clinical skills Increased communication skills with Increased communication skills with

patients patients && staff staff Learned to work as a team memberLearned to work as a team member Time management/organizational skillsTime management/organizational skills Staff members eager to teach Staff members eager to teach Chance to work in area of interestChance to work in area of interest

Outstanding CharacteristicsOutstanding CharacteristicsSection TwoSection Two

Learned the value of teamwork Learned the value of teamwork Ability to practice clinical skills in a Ability to practice clinical skills in a

professional settingprofessional setting Time management Time management && interpersonal skills interpersonal skills Learned to communicate with Learned to communicate with

patients/familiespatients/families Working with staff who encouraged meWorking with staff who encouraged me

Troubling CharacteristicsTroubling CharacteristicsSection OneSection One

Limited –unable to practice skillsLimited –unable to practice skills Staff treated me as a servantStaff treated me as a servant Not having a preceptorNot having a preceptor Floating a different unit everydayFloating a different unit everyday

Troubling CharacteristicsTroubling CharacteristicsSection TwoSection Two

Restraints of the scope of practice of an Restraints of the scope of practice of an NA and ability to practice nursing skills NA and ability to practice nursing skills

Confusion as to my role as an externConfusion as to my role as an extern Unprofessional & unhelpful staffUnprofessional & unhelpful staff Staff treated me as their personal NAStaff treated me as their personal NA

Most Challenging MomentsMost Challenging MomentsSection OneSection One

Patient crisis/difficulty Patient crisis/difficulty Dealing with death/dying experienceDealing with death/dying experience Staff/preceptor problemsStaff/preceptor problems Communicating my role in healthcare Communicating my role in healthcare

settingsetting Working with different personalitiesWorking with different personalities Finding my place on the teamFinding my place on the team

Most Challenging MomentsMost Challenging MomentsSection TwoSection Two

Dealing with death & dying Dealing with death & dying Learning new nursing skillsLearning new nursing skills Managing patient load & long shiftsManaging patient load & long shifts Assisting with a patient crisisAssisting with a patient crisis Negotiating conflicts with staffNegotiating conflicts with staff Communicating with language barriersCommunicating with language barriers Handling uncooperative patientsHandling uncooperative patients

Most Rewarding MomentsMost Rewarding MomentsSection OneSection One

Gratitude of patients for my careGratitude of patients for my care Making a difference/contributing to Making a difference/contributing to

patient care patient care && wellness wellness Staff complimentsStaff compliments Realizing I was trusted/capable of doing Realizing I was trusted/capable of doing

the jobthe job Idea of nursing career after graduatingIdea of nursing career after graduating

Most Rewarding MomentsMost Rewarding MomentsSection TwoSection Two

Words of encouragement from preceptors Words of encouragement from preceptors && patients patients

Establishing relationships with families Establishing relationships with families & & familiesfamilies

Doing certain nursing skills on my ownDoing certain nursing skills on my own Learning new language Learning new language && communicating communicating

with patientswith patients