Supporting student nurse professionalisation: The role of the clinical teacher
Janie Brown ⁎, John Stevens, Stephen Kermode
School of Health and Human Sciences, Southern Cross University, Australia
summary article info
Article history:
Accepted 14 August 2011
Keywords:
Student nurse
Clinical teacher
Professional socialisation
Qualitative
This paper reports aspects of the findings from the qualitative component of a mixed methods research study
that investigated the role of the Clinical Teacher in student nurse professional socialisation. Graduates and Clin-
ical Teachers were interviewed to identify the domains where the support of a Clinical Teacher was crucial in the
students' development of a professional identity. Emergent themes were clustered into seven (7) domains as fol-
lows: Professional role concept; Acculturation; Acquisition of Knowledge; Acquisition of Skill; Acquisition of Pro-
fessional Values; Assimilation into the Organisation; and a seventh domain encompassing the role model
attributes of Clinical Teachers. The domains are presented alongside exemplars from the interviews, in order
to illustrate the importance of the support of a Clinical Teacher.
© 2011 Elsevier Ltd. All rights reserved.
Professional Socialisation
“The beginning student's perception of nursing, as well as her view of
herself and her social world are the result of her primary socialization by
which she became a member of society”. It is through the process of pro-
fessional socialisation that the “student nurse gradually adopts the pro-
fessional perception… and erases the lay perception she bought with
her” (Buckenham and McGrath, 1983, p77–78). Professional socialisa-
tion is a process whereby a person gains the knowledge, skills and iden-
tity that are characteristic of a profession (Becker Hentz in Masters,
2005, p100). Professional socialisation begins in the tertiary setting
where the student nurse is undertaking their education and continues
in the workplace as a resocialisation process (Hood and Leddy, 2006).
Background
According to the Australian Nursing Federation “The nursing and
midwifery workforce remains under pressure so health remains under
pressure. It is estimated that we are 13,000 nurses and midwives
short in Australia and an estimated 40% of the workforce will be due
to retire in the next 10 years” (Australian Nursing Federation-Federal
Office). Today the exodus of nurses from the profession has been recog-
nised and a number of strategies are being implemented in an effort to
retain, and recruit nurses, at the bedside. The creation of Health Work-
force Australia “addresses workforce planning, policy and research;
clinical education; innovation and reform of the health workforce;
and the recruitment and retention of international health professionals”
(Health Workforce Australia, 2010).
Australian nurse education has for the last 20 years been provided
solely through the tertiary sector. Cohen in her text The Nurses Quest
for a Professional Identity asked “What is missing? What went
wrong? Why are graduate nurses not more comfortable with their
roles? Why do large numbers of nursing students drop out? Why do
many new graduates drop out in their first year?” (Cohen, 1981,
p134). The profession as a whole must consider Cohen's questions
and investigate, through research, the education, management and
workplace influences in an attempt to identify those causative factors,
if adequate numbers of nurses are to be available to care for patient
care.
Determining the extent to which a clinical teacher impacts on the
socialisation of neophyte nurses will provide faculty with an understand-
ing of the most appropriate model of clinical practicum in Bachelor of
Nursing programs. The importance of professional socialisation cannot
be underestimated in a context where nursing has persistently high
turnover and attrition rates. Maintaining a stable and high-functioning
nursing workforce is a significant public health objective.
Aim
This paper presents the qualitative stage of a larger mixed methods
research project. The aim of the qualitative phase of the research project
was to develop an understanding of the role of the Clinical Teacher in
the process of professional socialisation of student nurses as expressed/
perceived by Clinical Teachers and newly graduated registered nurses.
The larger research project used this information to develop a quantita-
tive survey tool to gather further data on the phenomenon of profession-
al socialisation, the role of the Clinical Teacher and other socialising
agents, and triangulates these findings back to the findings of the quali-
tative component.
Nurse Education Today 32 (2012) 606–610
⁎ Corresponding author.
E-mail address: janie.a.brown@gmail.com (J. Brown).
0260-6917/$ – see front matter © 2011 Elsevier Ltd. All rights reserved.
doi:10.1016/j.nedt.2011.08.007
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