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Abstract
Purpose
This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed.
Methods
A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum.
Results
Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia.
Summary Statement
▪ What is already known about this topic?
In the area of obstetric nursing practice, nursing students often don't have the opportunity to observe and provide direct nursing care to women who are in labor or having surgery. Nursing faculties have tried various kinds of teaching and learning approaches to overcome the limitation of clinical experiences.
▪ What this paper adds?
Common clinical settings for maternity and women's health nursing practicum were hospitals, but the majority had difficulty finding appropriate clinical settings. Various teaching and learning methods were utilized with clinical guides during practicum, e-learning content, and simulation. Core nursing skills for this practicum were ranked as follows: assessment of stages of labor, postpartum fundal massage, preparation of uterine-fetal monitoring devices, monitoring uterine contractions and fetal activity, and education on massage for breast-feeding.
▪ Implications for practice, education and/or policy
A clear course syllabus, standardized clinical guidebook, core nursing skill contents, and academy-industry cooperation are required to improve the quality of clinical practicum for students in maternity and women's health nursing courses.
References
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