Exploring the preparation and the effectiveness of meeting perceived learning needs of undergraduate nursing students who undertake clinical placements in rural facilities from the perspectives of students

Abstract

Universities are seeking alternative Work Integrated Learning (WIL) placements for nursing students due to increasing demand. Whilst significant research exists relating to rural and remote placements (particularly in their utility for recruitment upon graduation), there is a lack of research relating to student preparation for these placements. Third year nursing students participated in a qualitative exploratory study to provide their perceptions of preparation for WIL placements in a Queensland rural health service. While participants in this study valued their experience highly, concerns relating to their preparation were identified. These included inadequate university and facility communication, accommodation issues, and a lack of advance rostering. Negative impacts on participants included outdated facility policies and nursing practices, and a lack of acceptance from some nursing staff. Some also experienced loneliness, isolation and financial problems. Conversely, participants were unprepared for positive aspects of the placement including enjoying the rural lifestyle and sense of belonging. Students experienced greater autonomy, and more support for individual learning needs than in metropolitan placements. This resulted in higher levels of teamwork, interprofessional practice and immersion in wide-ranging experiences. Improved pre-placement information from the university and facility would enhance students’ experience of rural and remote WIL placements.