HomeScience Asia Reviewvol. 9 no. 1 (2024)

Lived Experiences of Student Nurses on the Outcomes-Based Education of the Bachelor of Science in Nursing Curriculum

Lila Mae A. Miranda

Discipline: nursing (non-specific)

 

Abstract:

This study aimed to explore the students' Lived experiences of Student Nurses on the Outcomes-based Education of the Bachelor of Science in Nursing Curriculum in one of the nursing colleges in Zamboanga City. Moreover, it aimed to unravel the experiences, challenges, and difficulties of student nurses in the new nursing curriculum. An open-ended, semi-structured interview guide was used to gather the data. The interview questions relate to students' experiences in the Outcomes-based Curriculum. The study utilized Colaizzi's seven-step method to analyze, seek, recognize, relate, and portray the experiences of BSN students and interpret them. The ten transcripts yielded two-hundred forty (240) significant statements, twenty (20) formulated meanings, sixteen (16) clusters of themes, and five (5) emergent themes. These themes are 1. facets of adaptation, 2. students’ coping strategies, 3. self-realization of the challenges to the nursing curriculum, 4. academic struggle, and 5. teaching and clinical supervision. The implications drawn from the results and discussion were 1. There is a gap in the student's learning in the new BSN curriculum regarding their comprehension and the implementation of the course subject; 2. Student nurses' resiliency is evident in coping with the course curriculum; 3. Schedules and time of RLE and classes are hectic, making students overwhelmed; 4. Task work accumulates students' time to comply; 5. Student acclimation from senior high to freshman in nursing is evident; 6. Significant other's guidance and support are essential for the coping of student nurses; 7. Student nurses displayed optimism and a positive mindset on their RLE performance and professional subject lecture-discussion.



References:

  1. Adams, R. V., & Blair, E. (2023). Impact of Time Management Behaviors on Undergraduate Engineering Students’ Performance. SAGE Open, 9 (1). sagepub. Retrieved July 30, 2023 from https://doi.org/10.1177/2158244018824506
  2. Ajjawi, R., Dracup, M., Zacharias, N., Bennett, S., & Boud, D. (2019). Persisting students’ explanations of and emotional responses to academic failure. Higher Education Research & Development, 39(2), 185–199. Retrieved August 30, 2023 from https://doi.org/10.1080/07294360.2019.1664999
  3. Alipio, M. (2020a). Adjustment to college and academic performance: Insights from Filipino college freshmen in an allied health science course.
  4. Alipio, M. (2020b). Predicting Academic Performance of College Freshmen in the Philippines using Psychological Variables and Expectancy-Value Beliefs to Outcomes-Based Education: A Path Analysis. Retrieved August 17, 2022, from https://files.osf.io/v1/resources/pra6z/providers/osfstorage/
  5. Adolfo, M. R. (2018). Lived Experiences of Foreign Student Nurses on Socio-cultural Adjustment: Basis for a Holistic Adjustment Program. http://www.iosrjournals.org/ , Volume 7, Issue 6 Ver. III. (Nov.-Dec.2018), pp 92-100(e-ISSN: 2320–1959.p- ISSN: 2320–1940). https://doi.org/DOI:10.9790/1959-07060392100
  6. Alonso, D. M., & García, N. B. (2017, August). Curriculum and Experience: Narrative Inquiry on Tensions Lived by Teachers in the process of curriculum Making. Retrieved September 24, 2020 from https://riuma.uma.es/
  7. Anderson, E. H., & Spencer, M. H. (2002). Cognitive Representations of AIDS: A
  8. Phenomenological Study. Qualitative Health Research, 12(10), Retrieved
  9. August 17, 2022 from https://doi.org/10.1177/1049732302238747
  10. Anthropological research. (n.d.). Changingminds.org. Retrieved August 27, 2020 from http://changingminds.org/explanations/research/design/
  11. Appiah, S. (2020). Quality of nursing education program in the Philippines: faculty members perspectives. BMC Nursing, 19(1). Retrieved January 29, 2022 from https://doi.org/10.1186/s12912-020-00508-9
  12. Araza, J. (2017, January 23). The Lived Experiences of the Low Performing Students of Bachelor of Industrial Technology of Samar State University in Making Portfolio in Mathematics. Retrieved September 24, 2020 from http://uruae.org/ website: http://doi.org/10.17758/URUAE.UH0117832
  13. Austin, Z., & Sutton, J. (2014). Qualitative Research: Getting Started. The Canadian Journal of Hospital Pharmacy, 67(6), 436–440. Retrieved January 28, 2023 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275140/
  14. Barrientos-Tan, C. (2011). A Research Guide in Nursing Education: Building an Evidence-Based Practice (4th Edition). Pasay City, Philippines: Visprint Inc. (Original work published 1997)
  15. Billings, D. (2019, April 16). Closing the Education-Practice Gap. Retrieved September 9, 2023 from www.wolterskluwer.com.
  16. Brian E. Neubauer, Catherine T. Witkop & Lara Varpio. (April 5, 2019). Phenomenology can help us learn from the experiences of others. Perspective on medical education article. Retrieved June 12, 2020 from https://bit.ly/3d23gEr
  17. Brown, J., McDonald, M., Besse, C., Manson, P., McDonald, R., Rohatinsky, N., & Singh, M. (2020). Nursing Students’ Academic Success Factors. Nurse Educator, 46(2). Retrieved March 16, 2023 from https://doi.org/10.1097/nne.0000000000000882
  18. Burger, Lisa Marie, "Lived Experiences of Freshman Students In Their First Semester of College" (2016). Theses and Dissertations. Retrieved June 16, 2020 from https://commons.und.edu/
  19. Coertjens, L., Brahm, T., Trautwein, C., & Lindblom-Ylanne, S. (2016, December). Students’ transition into higher education from an international perspective. Retrieved September 24, 2020 from www.researchgate.net website: https://doi.org/10.1007/s10734-016-0092-y
  20. Colindres, J., Acosta, C. R., Salinas, R., & Ultado, Ma. C. C. (2019). Correlation Between Lecture Grades and Related Learning Experience (RLE): Revisiting Standards of Nursing. Retrieved January 30, 2022, from Herdin
  21. plus website: https://registry.healthresearch.ph/index.php
  22. CMO 15 Series of 2017. Subject: Policies, Standards, and Guidelines for the Bachelor of Science in Nursing (BSN) Program. Retrieved June 6, 2020, from https://ched.gov.ph
  23. Durham, T. (2019). Clinical Supervision: An Overview of Functions, Processes and Methodology [1] Clinical Supervision: An Overview of Functions, Processes and Methodology. Retrieved July 30, 2023 from https://www.naadac.org/
  24. Education University of Hong Kong. (2023). Eduhk.hk. Retrieved August 30, 2023from https://www.eduhk.hk/en/copyright
  25. De Vera III, J. P. (2020). Guidelines on the Implementation of Flexible Learning. https://ched.gov.ph/wp-content/uploads/CMO-No.-4-s.-2020
  26. Doménech-Betoret, F., Abellán-Roselló, L., & Gómez-Artiga, A. (2017). Self-Efficacy, Satisfaction, and Academic Achievement: The Mediator Role of Students’ Expectancy-Value Beliefs. Frontiers in Psychology, 8 (1193). Retrieved July 31, 2023 from https://doi.org/10.3389/fpsyg.2017.01193
  27. Education Drive press release. (April 1, 2017). What are the academic problems faced by the students? Retrieved June 14, 2020, from https://www.educationdive.com/
  28. Falcó‐Pegueroles, A., Rodríguez‐Martín, D., Ramos‐Pozón, S., & Zuriguel‐Pérez, E. (2020). Critical Thinking in Nursing Clinical practice, Education and research: from Attitudes to Virtue. Nursing Philosophy, 22(1). Retrieved July 30, 2023 from https://doi.org/10.1111/nup.12332
  29. Forero, R., Nahidi, S., De Costa, J., Mohsin, M., Fitzgerald, G., Gibson, N., McCarthy, S., & Aboagye-Sarfo, P. (2018). Application of four-dimension criteria to assess rigour of qualitative research in emergency medicine. BMC Health Services Research, 18(1). Retrieved August 19, 2022 from https://doi.org/10.1186/s12913-018-2915-2
  30. Fowler, C., Goldsberry, J., & Handwerker, S. (2020). Resilience in first and second-semester baccalaureate nursing students. International Journal of Nursing Education Scholarship, 17(1). Retrieved March 23, 2022 from https://doi.org/10.1515/ijnes-2020-0043
  31. Fawaz, M., Hamdan-Mansour, A., Tassi, A., (2018). Challenges facing nursing education in the advanced healthcare environment. Retrieved June 10, 2020 from https://doi.org/10.1016/j.ijans.2018.10.005
  32. Gao, H., Ou, Y., Zhang, Z., Ni, M., Zhou, X., & Liao, L. (2021). The Relationship Between Family Support and e-Learning Engagement in College Students: The Mediating Role of e-Learning Normative Consciousness and Behaviors and Self-Efficacy. Frontiers in Psychology, 12. Retrieved July 30, 2023 from https://doi.org/10.3389/fpsyg.2021.573779
  33. Gülten Sucu Dağ, Landell AJ, Rosengren K. (2019). Difficulties in Clinical Nursing Education: Views of Nurse Instructors'. Retrieved June 11, 2020 from www.clinmedjournals.org/articles
  34. Huntington-Klein, N., & Gill, A. (2020). Semester Course Load and Student Performance. Research in Higher Education, 62 (623-650). Retrieved July 29, 2023 from https://doi.org/10.1007/s11162-020-09614-8
  35. Ho, L., D., & A., L. (2022, March 17). What is Phenomenological Research Design? Delve. Retrieved August 18, 2022 from https://delvetool.com/blog/phenomenology
  36. Jennings, K. M. (2017). The Roy adaptation model: A theoretical framework for nurses providing care to individuals with anorexia nervosa. Advances in Nursing Science, 40(4), 370–383. Retrieved May 20, 2023 from https://doi.org/10.1097/ans.0000000000000175
  37. Jia, Y., Gesing, P., Jun, H.-J., Burbage, A. K., Hoang, T., Kulo, V., Cestone, C., McBrien, S., & Tornwall, J. (2022). Exploring the impacts of learning modality changes: Validation of the learning modality change community of inquiry and self-efficacy scales. Education and Information Technologies. Retrieved August 3, 2023 from https://doi.org/10.1007/s10639-022-112583
  38. Kamel, O. (2023). Academic overload, self-efficacy and perceived social support as predictors of academic adjustment among first year university students. International Journal of Psycho-Educational Sciences, 7(1). Retrieved August 3, 2023 from https://files.eric.ed.gov/fulltext/ED585260.pdf
  39. Kang, X., Matthews, S., Yip, V., & Wong, P. C. M. (2021). Language and nonlanguage factors in foreign language learning: evidence for the learning condition hypothesis. Npj Science of Learning, 6(1). Retrieved July 28, 2023 from https://doi.org/10.1038/s41539-021-00104-9
  40. Kaur, G., Chernomas, W. M., & Scanlan, J. M. (2020). Nursing students’ perceptions of and experiences coping with stress in clinical practice. International Journal of
  41. Nursing Education Scholarship, 17(1). Retrieved May 20, 2023, from https://doi.org/10.1515/ijnes-2020-0005
  42. Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. J. (2023). Reflective Practice in Health Care and How to Reflect Effectively. International Journal of Surgery Oncology, 2(6). Retrieved July 30, 2023 from https://doi.org/10.1097/IJ9.0000000000000020
  43. Lacanaria, M. G., Vargas, G., Roxas, E., Conde, A., Imperial, E., Javier, I., Reyes, L., & Reyes, R. (2019). BSN Outcomes-based Education Curriculum Resource Manual (No. 2). Philippine Nursing Education Academy.
  44. Lave, J., & Kvale, S. (1995). What is anthropological research? An interview with Jean Lave by Steinar Kvale. International Journal of Qualitative Studies in Education, 8(3), 219–228. https://doi.org/10.1080/0951839950080301
  45. Lambert, C. T., & Guillette, L. M. (2021). The impact of environmental and social factors on learning abilities: a meta‐analysis. Biological Reviews, 96(6). Retrieved July 28, 2023 from https://doi.org/10.1111/brv.12783
  46. Lee, J. E., & Sim, I. O. (2023). Gap between college education and clinical practice: Experience of newly graduated nurses. Nursing Open, 7(1), 449–456. Retrieved August 1, 2023 from https://doi.org/10.1002/nop2.409
  47. Lekan, D. A., Ward, T. D., & Elliott, A. A. (2018). Resilience in Baccalaureate Nursing Students: An Exploration. Journal of Psychosocial Nursing and Mental Health Services, 56(7), 46–55. Retrieved March 23, 2022 from https://doi.org/10.3928/02793695-20180619-06
  48. Licuanan, P. (2017, December 29). Policy on the Admission of Senior High School Graduates to the Higher Education Institutions Effective Academic Year 2018-2019. Retrieved September 22, 2020 from CHED Website: https://ched.gov.ph/
  49. Machin, A., Porteous, D., (Jan.2018). The Lived Experience of First Year Undergraduate Student Nurses: A hermeneutic phenomenological study. Nurse educ today. Retrieved June 13, 2020 from https://pubmed.ncbi.nlm.nih.gov/
  50. Manage the Transition to College, (2020). Retrieved June 18, 2020 from https://courses.lumenlearning.com/
  51. Marañon, A. A., & Pera, Ma. Pilar. I. (2015). Theory and practice in the construction of professional identity in nursing students: a qualitative study. Nurse Education Today, 35(7), 859–863. Retrieved March 21, 2022 from https://doi.org/https://doi.org/10.1016/j.nedt.2015.03.014
  52. Mary Thuo, Medhanit Edda. (2017) Transition to University Life: Insights from High School and University Female Students in Wolaita Zone, Ethiopia. Journal of
  53. Education and Practice Vol.8, No.4. Retrieved June 15, 2020 from https://files.eric.ed.gov
  54. Millman. Mc Namara.J.,(July, 2018).The long and winding road: Experiences of students entering university through transition programs. Retrieved June 13, 2020 from https://studentsuccessjournal.org/article
  55. Morrow, R., Rodriguez, A. and King, N. (2015). Collazo’s descriptive phenomenological method. Retrieved June 12, 2020 from eprints.hud.ac.uk
  56. Nazareth, F., (October 19, 2018). What Are the Challenges You Face as a Student and How to Overcome Them? alignthoughts newsletter Retrieved June 13, 2020 from https://www.alignthoughts.com
  57. News, A. M., ABS-CBN. (2020, May 11). CHED wants universities, colleges to train teachers on “flexible” learning. ABS-CBN News. https://news.abs-cbn.com/news/05/11/20/ched
  58. Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. SagePub. https://doi.org/10.1177/1609406917733847
  59. “OBE Principle and Process,” 2016. Retrieved June 9, 2020 from www.cei.ust.hk
  60. Office of Student Affairs (Ed.). (2019). Universidad de Zamboanga School of Allied Medicine Student’s Handbook.
  61. PCMH Research Methods Series Prevention & Chronic Care Program Advancing Excellence in Health Care www.ahrq.gov. https://pcmh.ahrq.gov/sites
  62. Petiprin, A. (2020). Roy’s Adaptation Model of Nursing. Nursing Theory. https://nursing-theory.org/theories-and-models/roy-adaptation-model.php
  63. Parvan, K., Shahbazi, S., Ebrahimi, H., Valizadeh, S., Rahmani, A., Jabbarzadeh Tabrizi, F., & Esmaili, F. (2018). Nurses’ Lived Experience of Working with Nursing Students in Clinical Wards: a Phenomenological Study. Journal of Caring Sciences, 7(1), 41–45. https://doi.org/10.15171/jcs.2018.007
  64. Rafati, F., Nouhi, E., Sabzevari, S., & Dehghan-Nayeri, N. (2023). Coping strategies of nursing students for dealing with stress in clinical setting: A qualitative study. Electronic Physician, 9(12), 6120–6128. Retrieved August 1, 2023 from https://doi.org/10.19082/6120
  65. Rahmah Hastuti, & Yohanes Budiarto. (2023). College Student Perception to College Quality of Life: A Constructivist Grounded Theory Study. Retrieved August 3, 2023 from https://doi.org/10.2991/assehr.k.210805.101
  66. Reblando, J. (2018). A Comparative Analysis of the Philippine Nursing Curriculum from other Countries. International Journal of Advanced Research, 6(7), 526–532. Retrieved January 29, 2022 from https://doi.org/10.21474/ijar01/7393.
  67. Right, J. (2018). The Importance of Learning Materials in Teaching. The classroom | Empowering Students in Their College Journey. Retrieved July 31, 2023 from https://www.theclassroom.com/
  68. Roksa, J., & Kinsley, P. (2018). The Role of Family Support in Facilitating Academic Success of Low-Income Students. Research in Higher Education, 60(4), 415–436. Retrieved July 30, 2023 from https://doi.org/10.1007/s11162-018-9517-z
  69. Shamionov, R. M., Grigoryeva, M. V., Grinina, E. S., & Sozonnik, A. V. (2020). Characteristics of Academic Adaptation and Subjective Well-Being in University Students with Chronic Diseases. European Journal of Investigation in Health, Psychology and Education, 10(3), 816–831. Retrieved July 27, 2023 from https://doi.org/10.3390/ejihpe10030059
  70. Slavich, G., & Zimbardo, P. (2012, July 24). Transformational Teaching: Theoretical Underpinnings, Basic Principles, and Core Methods. Retrieved September 24, 2020 from Educ Psychol Rev (2012) 24:569–608 DOI 10.1007/s10648-012-9199-6 website: http://www.uclastresslab.org/
  71. Steivy U. Tiwaken, Lawrence C. Caranto, Juan Jose T. (2015). The Real World: Lived Experiences of Student Nurses during Clinical Practice International Journal of Nursing Science David. Retrieve June 13, 2020 from http://article.sapub.org/10.5923.j.nursing.20150502.05.html
  72. Stenger, M. (2018, July 24). Don’t Overload Students: Assigning Too Much Work Discourages Learning | InformED. InformED. Retrieved July 30, 2023 from https://www.opencolleges.edu.au/
  73. Steinmayr, R., Weidinger, A. F., Schwinger, M., & Spinath, B. (2023). The Importance of Students’ Motivation for Their Academic Achievement – Replicating and Extending Previous Findings. Frontiers in Psychology, 10(1730). ncbi. Retrieved August 3, 2023 from https://doi.org/10.3389/fpsyg.2019.01730
  74. Taylor, R., Thomas-Gregory, A., & Hofmeyer, A. (2023). Teaching empathy and resilience to undergraduate nursing students: A call to action in the context of covid-19. Nurse Education Today, 94(94), 104524. Retrieved August 2, 2023 from https://doi.org/10.1016/j.nedt.2020.104524
  75. Tiayon, S. (2021, April 21). How Optimism Helps You Achieve Goals With Less Stress. Greater Good. Retrieved July 30, 2023 from https://greatergood.berkeley.edu
  76. The Impact of Coronavirus on Higher Education. (2020, April 15). Times Higher Education (THE). https://www.timeshighereducation.com
  77. Thuo, M., & Edda, M. (2017). Transition to University Life: Insights from High School and University Female Students in Wolaita Zone, Ethiopia. Journal of Education and Practice, 8(4), 45–54. https://eric.ed.gov/?id=EJ1132933
  78. Tocino-Smith, J. (2019, February 15). Teaching Resilience in Schools and Fostering Resilient Learners. Positive Psychology.com. Retrieved July 30, 2023 from https://positivepsychology.com/teaching-resilience/
  79. Tran Thi, H. (2019, August). Challenges for Nursing Students in the Clinical Learning Environment. Retrieved March 21, 2022 from https://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-4-6
  80. Tiwaken, S., Caranto, L., Jose, J., (2015) The Real World: Lived Experiences of Student Nurses during Clinical Practice International Journal of Nursing Science David. Retrieved June 13, 2020 from http://article.sapub.org/10.5923.j.nursing.20150502.05.html
  81. Universidad de Zamboanga School of Allied Medicine Student’s Handbook. (2019).
  82. Van Herpen, S.G., Meeuwisse,M., Hofman ,A.,& Severiens, S.E.,(Jan.31,2019). A head start in higher education: the effect of a transition intervention on interaction, sense of belonging, and academic performance. Retrieved June 18, 2020 from https://doi.org/10.1080/03075079.2019.1572088
  83. Watts, S. O., & Hodges, H. F. (2021). Using Invitational Theory to Examine Nursing Students’ Experiences of Their Learning Environment. Nursing Education Perspectives, Publish Ahead of Print. Retrieved August 17, 2022 from https://doi.org/10.1097/01.nep.0000000000000865
  84. Western Governors University. (2020, May 29). What Is The Behavioral Learning Theory? Western Governors University. https://www.wgu.edu/blog/what-behavioral-learning-theory2005
  85. Williams, C. (2020). Nursing Students’ Mindsets and Choice of Learning Strategies. Nurse Educator, Publish Ahead of Print. Retrieved August 18, 2022 from https://doi.org/10.1097/nne.0000000000000870
  86. Wilson, P. H., Sztajn, P., & Edgington, C. (2017, March 23). Changes in Teachers’ Discourse About Students in a Professional Development on Learning Trajectories. Retrieved September 24, 2020 from https://journals.sagepub.com/doi/full/10.3102/0002831217693801#
  87. Wolters, C. A., & Brady, A. C. (2023). College Students’ Time Management: a Self-Regulated Learning Perspective. Educational Psychology Review, 33(4), 1319–1351. Retrieved August 3, 2023 from https://doi.org/10.1007/s10648-020-09519
  88. Wirihana, L., Welch, A., Williamson, M., Christensen, M., Bakon, S., Craft, J., (2018 Mar 16). Using Colaizzi's Method of Data Analysis to Explore the Experiences of Nurse Academics Teaching on Satellite Campuses. Retrieved June 12, 2020 from https://pubmed.ncbi.nlm.nih.gov
  89. What is the Impact of Coronavirus on Education. (2020, March 22). University of the People. https://www.uopeople.edu/
  90. Wu,H.P. , Garza,E., Guzman, N. (2015). International Student’s Challenge and Adjustment to College. Education Research International Journal. Retrieved June 16, 2020 from https://doi.org/10.1155/2015/2027