Browsing by Subject "sairaanhoitajaopiskelija"

The professional development of nursing students takes place by integrating theoretical and practical knowledge in clinical practice. The clinical practice covers approximately half of nursing studies. Studies concerning clinical practice supervision have pointed out that contemporary supervision is not done the optimal way when it comes to certain supervision factors like supervisory resources or supervisory competence. These problems can be difficult to solve, if it is not understood how the supersivison works as a whole and which different factors finally affect the appearance of it. The purpose of this study was to examine the clinical practice supervision in nursing context, and with a systemic approach (Bertalanffy 1968) increase the understanding of the supervisory factors and their mutual relations that affect the appearance of the supervision. The aim was to produce knowledge especially about supervision as a systemic whole, and which factors challenge the quality of supervision. The theoretical framework of this study was built around the supervision theory focusing on nursing context. In addition, the systemic approach that was applied in this study was presented in the theoretical framework. This study is an empirical qualitative study. The data was acquired by three group theme interviews and questionnaires (N=13) from nurse students’ supervisors from different health care units. Content analysis was used as the method for the analysis, and the material was examined as a whole in order to reach the unseen dynamics that were delineated between the divisions of the supervision. A systemic model of supervision (The Dynamic Model of Supervision) was created as a result of this research in order to locate those factors and relations of the factors that affect the appearance of supervision. The model examines the supervision more holistically than earlier research, so that it does not merely examine single factors that affect the supervision, but also the dynamic relation of those factors. Use of the model gives a more realistic picture of the complex and systemic nature of supervision. The model offers a new point of view to develop the supervision, because with the help of the model it is possible to reach the actual reasons that lie behind single supervision factors. Although this study concentrated in the nursing context, the knowledge it offers can be used to understand practical training supervision as a phenomenon also in general level.