Clinical teaching of group dynamics: an evaluation of a trial clinical teaching programme

Abstract

This paper describes the implementation and evaluation of a trial teaching programme designed to prepare nursing students to function in a group therapy setting. While the theory and principles of group therapy are not discussed in detail, these educational aspects form a crucial part of students' preparation for the practical experience of group work. The teaching programme was designed and carried out by one of the writers (W.R.), who functioned in a dual role as both classroom tutor and clinical teacher. This dual role function is seen as central to the success of the trial in that is facilitated a strong link between theory and practice. Additionally, this approach sought to reduce the distance which is often perceived by clinicians as existing between the ‘reality’ of nursing practice in clinical situations, and the theory which students are taught in classrooms. A teaching programme was provided for four post-registration (registered mental nurse) students in a long-stay psychiatric ward. The outcome of the programme was evaluated by the patients and students who participated in the therapy, and by their teachers. It is proposed that the classroom/clinical links described in this paper facilitated the successful teaching of group psychotherapeutic skills. It is also proposed that the therapeutic skills and the teaching method described are of relevance to all nurses.