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Collaborative Student Evaluation of Nursing Work Experience: Insights from UNC-Chapel Hill

This report presents a comprehensive evaluation of student experiences during clinical placements at the University of North Carolina at Chapel Hill School of Nursing. With response rates of 72% from acute care settings and insights into skill development, role clarity, and challenges faced, the findings highlight areas of success and concern. Notably, students reported high satisfaction with communication and teamwork, while also recognizing troubling characteristics such as staff treatment. The document serves to inform future curriculum improvements and enhance student clinical experience.

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Collaborative Student Evaluation of Nursing Work Experience: Insights from UNC-Chapel Hill

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  1. Student Evaluation Work ExperienceN487.001N487.0022010 Beverly Foster, PhD, RN School of Nursing The University of North Carolina at Chapel Hill

  2. Section 172% Response Rate (N=39)Section 285% Response Rate (N=46)

  3. More Than One Agency? • No 97% (Section 1) • Yes 3% • No 89% (Section 2) • Yes 9%

  4. Clinical Setting • Acute care56% (72%)* • Other 21% (10%) • Ambulatory care 13% (7%) • Public health 5% (4%) • Home health 5% (7%) *Section 2 data in parens

  5. Client Age • Adult33% (33%)* • Mixed 38% (30%) • Infant/child 21% (24%) • Elderly 8% (13%) • Adolescent 0% (0%) *Section 2 in parens

  6. Skill Development • Nrsg/technical skills 38% (39%)* • Care team member 26% (13%) • Communication/therapeutic relationships 21% (11%) • Organizational skills 10% (26%) • Other 5% (11%) *Section 2 in parens

  7. Role Clarity Were you clear about what you could & could not do? • Yes 100% 100%* • No 0% 0% • *Section 2

  8. Role Clarity Did agency staff understand your role? • Yes 77% 80%* • No 23% 20% *Section 2

  9. RN Preceptor • Yes 59% 57%* • No 41% 43% • Unanswered 0% 0% *Section 2

  10. How Many Preceptors? • 1 33% (30%)* • 2 28% (11%) • 3 3% (9%) • 4 8% (7%) • > 4 21% (30%) • Unanswered 7% (13%) *Section 2 in parens

  11. How Many Units? • 1 62% 61%* • 2 10% 15% • 3 5% 11% • 4 3% 0% • > 4 20% 13% *Section 2

  12. Pay Equivalent to Another Summer Job? • Yes 33% (52%)* • No, would have made more 15% (15%) • No, would have made less 36% (15%) • Volunteer 15% (17%) *Section 2 in parens

  13. Type of Position • Formal externship 36% (41%)* • NA II 31% (33%) • NA I 23% (13%) • Other 10% (13%) *Section 2 in parens

  14. Job Search Resources • SON job listings/resources 15% (35%)* • Referred by others 36% (24%) • Called agencies for openings 26% (15%) • Other 20% (24%) *Section 2 in parens

  15. Number of Agency Applications • 1 12% 13%* • 2 18% 13% • 3 21% 26% • 4 21% 13% • > 4 28% 35% *Section 2

  16. Outstanding CharacteristicsSection One • Practicing clinical skills • Increased communication skills with patients & staff • Learned to work as a team member • Time management/organizational skills • Staff members eager to teach • Chance to work in area of interest

  17. Outstanding CharacteristicsSection Two • Learned the value of teamwork • Ability to practice clinical skills in a professional setting • Time management & interpersonal skills • Learned to communicate with patients/families • Working with staff who encouraged me

  18. Troubling CharacteristicsSection One • Limited –unable to practice skills • Staff treated me as a servant • Not having a preceptor • Floating a different unit everyday

  19. Troubling CharacteristicsSection Two • Restraints of the scope of practice of an NA and ability to practice nursing skills • Confusion as to my role as an extern • Unprofessional & unhelpful staff • Staff treated me as their personal NA

  20. Most Challenging MomentsSection One • Patient crisis/difficulty • Dealing with death/dying experience • Staff/preceptor problems • Communicating my role in healthcare setting • Working with different personalities • Finding my place on the team

  21. Most Challenging MomentsSection Two • Dealing with death & dying • Learning new nursing skills • Managing patient load & long shifts • Assisting with a patient crisis • Negotiating conflicts with staff • Communicating with language barriers • Handling uncooperative patients

  22. Most Rewarding MomentsSection One • Gratitude of patients for my care • Making a difference/contributing to patient care & wellness • Staff compliments • Realizing I was trusted/capable of doing the job • Idea of nursing career after graduating

  23. Most Rewarding MomentsSection Two • Words of encouragement from preceptors & patients • Establishing relationships with families & families • Doing certain nursing skills on my own • Learning new language & communicating with patients

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