The experiences of student nurses on placements with practice nurses: A pilot study.

To prepare the registered nurse of tomorrow in the United Kingdom (UK) to care for patients in general practice (GP)-led services, today's student nurses need to have the opportunity to experience placements with practice nurses to enable them to make positive career choices to become practice nurses in the future. The role of the practice nurse is described in the article. As a pilot project, seventeen students undertook placements with practice nurses in one of seven GP practices selected by the London GP Deanery and the university as having fulfilled the criteria to support student nurses in placements. A mentorship preparation programme was provided to prepare practice nurses for mentoring these students. An evaluation study was undertaken of this pilot project. Findings showed that students were highly positive about the experience; the majority rated this placement as being as good as or better than previous placement experiences. The evaluation also explored the impact on student learning and the value that the placement had. There was a positive impact on students' knowledge and skills in certain clinical areas especially related to health promotion. Students also indicated that they would like to have additional placements with practice nurses and would consider a career as a practice nurse in the future.

Evidence-based nursing is the cornerstone of our profession.

I read with interest nurse Jennie Burch's learning zone article (September 12) on enhanced recovery for patients following colorectal surgery.

Learning to learn self-regulation in practice: a 2 cohort evaluation.

The transfer of nurse training into higher education following 'Project 2000' dramatically changed the status of student nurses. While the majority received a grant or bursary, students were no longer regarded as belonging to the hospital staffing complement. Elcock et al. (2007), argue that the intended advantage of supernumerary status following the move of nurse education into higher education has not been reflected in the student learning experience. Students have reported difficulties in being accepted into the community of practice, as they are no longer viewed as belonging in the professional sense to the practice environment (Cope et al., 2000). Students must therefore be prepared for their supernumerary role through the development of appropriate skills for learning in practice (Elcock et al., 2007). The Thames Valley University pre-registration nursing curriculum promotes the effective socialisation of students into the professional role (Fitzpatrick et al., 1996) through a 35-day practice orientation programme in the Common Foundation Programme. The results of a 2 cohort evaluation of a 35-day programme facilitated in the Brent and Harrow learning community indicate that novice pre-registration students will not always possess the self-directed ability to spontaneously engage with nursing care in practice. Students must be provided the opportunity to develop the skills that define the self-regulated learner (Langendyk, 2006). Students must be empowered to self-assess what they know and what they do not know. It is argued that in order to learn during practice experiences, the student nurse of today must first learn how to be self-regulated.

Learning to learn in practice: An evaluation of a 35-day practice orientation programme.

The Practice Education Support Unit at Thames Valley University is committed to improving the quality of students' practice experience. Recent changes to the delivery of the Pre-Registration nursing curriculum have included the instigation of a 35-day practice orientation programme for students on the common foundation programme. The Brent and Harrow 'Student Experiences Group' developed and facilitated a 35-day programme for the March 2007 cohort within their learning community. Subsequent evaluation of the programme revealed that students were more positive in relation to taught elements of the programme, as opposed to self-directed elements. These results are significant due to the requirement for students to develop self-direction skills in order to become competent registered nurses. The evaluation results did indicate the need for changes to be made to the subsequent development of the 35-day programme for the September 2007 cohort. In particular, the programme was redesigned to create a better balance between taught and self directed elements. A staged introduction to self-directed learning may promote student acceptance and confidence in this vital skill.