International Journal of Biomedical and Clinical Sciences
Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.5, No.4, Dec. 2020, Pub. Date: Nov. 6, 2020
Clinical Placement Capacities and Practices: An Optimum Model for Kenya
Pages: 341-349 Views: 968 Downloads: 247
Authors
[01] Margaret Kaseje, Tropical Institute of Community Health and Development, Kisumu, Kenya.
[02] Elizabeth Ochieng, Tropical Institute of Community Health and Development, Kisumu, Kenya.
[03] Stephen Okeyo, USAID|FUNZO Kenya Transforming Health Workforce Training Project, Intra Health International, Nairobi, Kenya.
[04] Peter Shikuku, USAID|FUNZO Kenya Transforming Health Workforce Training Project, Intra Health International, Nairobi, Kenya.
Abstract
Background: Clinical placement involves supervised practices and mentorship of students in approved teaching institutions. Critical skills competence is developed during this period of training at health facilities. Objective: This study aimed to find out existing capacities and clinical placement practices in order to improve clinical skills for health workers. Method: In 2013 an assessment of clinical skills training and placement practices for mid-level health workers was undertaken in 43 government, faith-based and private institutions in Kenya. The cross-sectional study used qualitative and quantitative methods to collect data from 434 purposively selected respondents. Chi - square tests were performed to determine relationships between study variables. Results: The quality of clinical placement had a statistically significant association with the health services offered at the clinical placement sites. Human resource in terms of professional qualifications of trainers was associated with the competence attained by trainees and quality of clinical placement. Infrastructure, policy guidelines, linkages and coordination were important to placements. Conclusion: This study illustrates the need to adopt a standardized optimum clinical placement model to guide training institutions and to ensure quality clinical placement.
Keywords
Clinical Placement, Health Workers, Mentorship
References
[01] Draper J. Nurse Education: Time to get it right. Journal of Clinical Nursing. (Editorial). 2006; 1069-1070.
[02] Nyangena E, Mutema A, Karani A. Evaluation of clinical training in nursing training in Kenya. Baraton Interdisciplinary Research Journal. 2011; 1 (2); 22-30.
[03] Dunn SV, Hansford B. Undergraduate nursing students' perceptions of their clinical learning environment. Journal of Advanced Nursing. 1997; 25 (6); 1299-1306.
[04] Löfmark A, Wikblad K. Facilitating and obstructing factors for development of learning in clinical practice: a student perspective. Journal of Advanced Nursing 2001; 34 (1); 43-50.
[05] Andrews G, Brodie D, Andrews J, Hillan E, Gail Thomas B, Wong J, Rixon L. Professional roles and communications in clinical placements: A qualitative study of nursing students’ perceptions and some models for practice. International Journal of Nursing Studies. 2006; 43 (7); 861-874.
[06] Levett-Jones T, Lathlean J. Belongingness: a prerequisite for nursing students’ clinical learning. Nurse Education in Practice. 2008; 8 (2); 103-111.
[07] Plack M. The learning triad: potential barriers and supports to learning in the physical therapy clinical environment. Journal of Physical Therapy Education. 2008; 22 (3); 7-18.
[08] Moscaritolo L. Interventional strategies to decrease nursing student anxiety in the clinical learning environment. The Journal of Nursing Education. 2009; 48 (1); 17-23.
[09] Kanno H, Koeske G. MSW students' satisfaction with their field placements: The role of preparedness and supervision quality. Journal of Social Work Education. 2010; 46 (1); 23-38.
[10] Pinnock R, Shulruf B, Hawken S, Henning M, Jones R. Students' and teachers' perceptions of the clinical learning environment in years 4 and 5 at the University of Auckland. The New Zealand Medical Journal. 2011; 124 (1334); 63.
[11] Koontz A, Mallory J, Burns J, Chapman S. Staff nurses and students: the good, the bad, and the ugly. Medical-surgical nursing: official journal of the Academy of Medical-Surgical Nurses. 2010; 19 (4); 240-246.
[12] Siggin Miller Consultants. Promoting Quality in Clinical Placements: Literature review and national stakeholder consultation. 2012, Health Workforce Australia, Adelaide.
[13] FUNZOKenya Project. Transforming Health Workforce Training: Rapid Training Needs Assessment. 2012.
[14] Kenya Ministry of Medical Services and Ministry of Public Health and Sanitation. Health Sector Strategic and Investment Plan (KHSSP). July 2013 – June 2017.
[15] Patton M. How to Use Qualitative Methods in Evaluation. Sage Publications, Newbury Park, London. 1991.
[16] World Health Organization: Task shifting to tackle health worker shortages. WHO, Geneva. 2007.
[17] Van Hell E, Kuks J, Cohen-Schotanus J. Time spent on clerkship activities by students in relation to their perceptions of learning environment quality. Medical Education. 2009; 43 (7); 674-679.
[18] Fisher A, Savin-Baden M. Modernising fieldwork, part 1: realizing the potential. British Journal of Occupational Therapy. 2002; 65 (5); 229-36.
[19] Thomas, Y., Penman, M., Williamson, P. Australian and New Zealand fieldwork: charting the territory for future practice. Australian Occupational Therapy Journal. 2005; 52; 78-81.
[20] Overton, A., Clark, M., Thomas, Y. AFPK review of non-traditional occupational practice education: a focus on role-emerging and project placement. British Journal of Occupational Therapy. 2009; 72 (7); 294-301.
[21] Nolinske, T. Multiple mentoring relationships facilitate learning during fieldwork. The American Journal of Occupational Therapy. 1995; 49 (1); 39-43.
[22] Intrahealth CapacityPlus Optimizing Performance and Quality. http://www.intrahealth.org/files/media/optimizing-performance-and-quality/OPQ_FINAL.pdf. Accessed 6th May 2014.
[23] Worley P. Integrity: the key to quality in community-based medical education. Education for Health. 2002; 15; 129-138.
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