Reasonable adjustments for student nurses in clinical placement in the United Kingdom: The perspectives of the associated Community of Practice on current criteria and procedures

Abstract

BackgroundIn the United Kingdom, pre-registration nursing students include those with a disability or impairment who can require extra learning support their achievement of clinical proficiencies. Earlier research suggests a Community of Practice (CoP) related to facilitating these reasonable adjustments (reasonable accommodations) in clinical placement. This group of practitioners can optimise the clinical learning environment but are potentially hindered by limited evidence-based knowledge and a lack of national guidance. Research aimTo confirm the existence of this CoP and investigate the development of these practitioners' reasonable adjustments capability. Additionally, to seek the views from these individuals regarding the efficacy of related criteria and procedures. MethodologyUsing a broad interpretivist approach, semi-structured interviews elicited the opinions from 13 study participants. All interview data were transcribed, coded and then thematically analysed in conjunction with the chosen theoretical lenses. FindingsThree main themes were identified- ‘lack of consistency’, ‘an experiential approach’, and ‘sharing good practice’. ConclusionsFindings confirm the emergence of this CoP. A lack of knowledge and national guidance can hinder the capability development of CoP members. Further research is recommended to fully understand this CoP and promote its existence to the wider nursing body.