Masters in Nursing for Clinical Teaching the Essay

Download this Essay in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Essay:

Masters in Nursing for Clinical Teaching

The objective of this study is to examine the importance of a Masters in Nursing for the Nurse in Clinical Teaching endeavors.

The work of Orton (2007) entitled "Nurses As Clinical Teachers" Variables Affecting Teaching Comfort and Self-Efficacy" reports a descriptive correlations study that examined whether there was a "common understanding of a good clinical teacher among nursing students and faculty." (p.ix) Stated as a secondary purpose was the validation of a tool for development of individual prescriptions for improvement of the clinical teaching of nursing instructors.

Common Assumptions

A third stated purpose was testing for common assumptions about good teaching:

(1) if experience in clinical teaching leads to a better praxis;

(2) if educational training (the most common intervention) leads to better teaching;

(3) if experience in teaching (other than nursing) leads to better clinical teaching;

(4) if the education degree status has an impact on the quality of teaching; and (5) if teaching status (full or part-time) enhances clinical teaching. (Orton, 2007, p.ix)

II. Case Study

The study involved twenty-five nursing faculty from a junior college and 215 nursing student participants. It is reported as follows:

"Nursing faculty completed identical Q-sorts from two different frames of reference, first for their teacher then followed by their ideal teacher. Students also completed identical Qsorts from two different frames of reference, first for their clinical teacher followed by their ideal teacher. Using the clinical teaching Perception Inventory (CTPIAE) tool, faculty and students ranked 28 one-word behaviors along a 7-point continuum of significance, from least likely to most likely. Using the Self-Efficacy Toward Teaching Inventory (SETTI), faculty rated their confidence in their ability to perform 48 teaching skills. Faculty also completed a demographic questionnaire." (Orton, 2007, p.ix)

The study states conclusions that include that nursing instructors

"…agreed with physicians on most descriptors that identified themselves as clinical teachers, and on 90% of the behaviors of the ideal clinical instructor. Nursing instructors and their students agreed on 80% of the behaviors of these same teachers. Nurses and their students agreed on 1/2 of the perceptions of the ideal clinical instructor. Effective clinical teachers' scores did not correlate with the predictor variables: years teaching nursing, number of educational courses completed, years teaching courses other than nursing, and biological age." (Orton, 2007, p.x)

Recommendations made by the study include the following recommendations "A prescription for educating teachers to become more effective clinical instructors includes the implementation of a faculty development program where specific learning needs and faculty readiness are assessed prior to the onset of educating faculty how to teach clinical nursing." (Orton, 2007, p.x)

III. AACN Board of Directors Task Force

The AACN Board of Directors established a Task Force on Essential Clinical Resources Fro Nursing's Academic Mission in 1997. The task force was charged with the following:

"Develop a comprehensive statement on the essential elements of clinical support for the nursing academic mission. This should include a discussion of the clinical access necessary for preparation of a skilled group of professional nurses for basic and advanced nursing practice. In addition, the statement should articulate an understanding of the clinical elements necessary for the entire academic mission, including faculty practice and nursing research activities. The statement should also include a description of the facilitators and barriers to clinical access, particularly focusing on the dynamic nature of the health care delivery system." (Orton, 2007, p.1)

The AACN additionally reports "…learning to perform as a "nurse" is predicated on engaging in experiential learning with actual patients/clients. This type of learning opportunity usually is referred to as a "clinical practicum" and represents a field experience. Experiential learning can occur through a number of modalities, including computer and virtual reality simulations, case studies, interactive videos, and hands-on direct patient interactions or experiences. Each of these modalities is an appropriate and useful means of teaching; however, the primary focus of this document is the hands-on direct patient care -- referred to as clinical site-based learning -- experiences necessary for preparing qualified nursing practitioners and researchers. Experiential learning necessary for baccalaureate educational preparation includes the supervised practice of skilled nursing care in a variety of direct practice sites such as hospitals, extended care institutions, clinics, schools, churches, homes, or other community venues. Students receive a variety of experiences across a health/illness continuum, graduating as novice practitioners for general nursing practice." (Orton, 2007, p.1)

IV. Required Clinical Resources

Significant clinical resources are required at the master's and doctoral level in order to provide quality in the preparation of practitioners. Experiential learning opportunities for master's nursing education are reported to "…encompass a similar breadth of venues as that for baccalaureate education. However, master's students preparing for direct patient care roles receive more focused education and clinical experiences on a particular health/illness point (acute/critical care or primary care) or specific population (family or elders), graduating as advanced practice clinicians. Other master's nursing students preparing for non-direct patient care roles (e.g. administration or community health) receive focused education and clinical experiences that reflect their areas of specialization. Doctoral students must have opportunities not only to practice in their specialty but also must have ample and appropriate research opportunities within their chosen field." (Orton, 2007, p.1)

It is reported that in the academic setting the requirements of clinical education are as follows:

(1) reconceptualization and redefinition of the faculty role and the educational model that integrates teaching, practice, and research. This calls for a major change in nursing academic culture, including reward structures;

(2) incorporation of faculty practice into the work of the faculty;

(3) redefinition of the nature of partnership and collaboration with clinical agencies, including mutual goal setting for achievement of the separate and shared missions;

(4) faculty commitment to the partnership and to practice;

(5) articulation of faculty contributions to the practice setting and mission (e.g., expert consultation, staff development, direct and indirect provision of nursing services, research collaboration, and mentorship); and (6) specification of the educational, research, and practice agendas inherent in faculty practice. (Orton, 2007, p.1)

IV. Master's Programs for Nursing Educator Preparation

According to the work of Lerner and Ruland (2010) entitled "Master's Programs Preparing Nurse Educator: What is the Current State of Affairs?" The nurse educator master's programs "need to be designed to prepare nurses to function as educators in the hospital setting, community colleges, and nontenure track positions in universities. They should offer a blend of courses that satisfy outcomes of the graduate core suggested by the AACN Essentials document, clinical specialty content, and educational content that will prepare the graduates for the teaching role as well as prepare the graduates for eventual PhD study." (p.1) Lerner and Ruland reports that the Carnegie Foundation recently published the work entitled "Educating Nurses: A Call for Radical Transformation" in which Benner et al. is reported to have "…presented an agenda for transforming nursing education. One item on this agenda was "Include teacher education courses in master's and doctoral programs." (2010, p.1) Although challenging all nursing master's programs to include teacher education content, the authors advise that an important caveat is that programs must also include clinical practice preparation for future teachers. The curriculum design challenge is to balance total credit hours against the essential elements. The curricula reviewed in this study revealed several approaches to this challenge." (2010, p.1)

When programs were inclusive of all the elements of the graduate core curriculum and additionally require three advanced practice core courses the range of total credits is reported to fall between 31 and 39 without inclusion of education courses or specialty content." (Lerner and Ruland, 2010, p.1) Lerner and Ruland report that only 92 of the programs or 46% made a requirement of some type of advanced clinical specialty courses, which is stated to fall short "of the suggestion by Benner et al. that all nurse educator preparation programs offer clinical preparation as well as educational preparation." (Lerner and Ruland, 2010, p.1)

Findings additionally relate that many of the programs "shared clinical courses with other tracks. This was evident with 12 programs (13%) that share clinical nurse specialist courses and 11 (12%) that share NP courses. Again, this approach requires faculty vigilance in attention to student needs across specialty tracks. The remaining 69 programs (75%) that have clinical specialty courses appear to have developed them specifically for their nurse educator tracks. These courses vary between 2 and 6 credit hours for theory and may or may not have a clinical component. One creative solution to the clinical practice element seen numerous times was to create a course that focused on learning how to be an effective clinical teacher in a specific area of specialty. This approach supports the recommendation by Benner et al. that faculty must learn how to coach on practical clinical reasoning for their students to develop sound clinical judgment skills." (Leuner and Ruland, 2010, p.1)

Lastly, it is reported that the days that teachers learn to teach 'on the job' are gone. The work of Benner et al. is…[continue]

Some Sources Used in Document:


Cite This Essay:

"Masters In Nursing For Clinical Teaching The" (2012, August 10) Retrieved October 24, 2016, from

"Masters In Nursing For Clinical Teaching The" 10 August 2012. Web.24 October. 2016. <>

"Masters In Nursing For Clinical Teaching The", 10 August 2012, Accessed.24 October. 2016,

Other Documents Pertaining To This Topic

  • Nursing Metaparadigms and Practice Specific Concepts Since Florence...

    Nursing Metaparadigms and Practice-Specific Concepts Since Florence Nightingale, there have been a number of so-called grand theories of nursing advanced, and these grand theories have been used by other nursing theorists to conceptualize metaparadigms of practice that continue to influence clinical practice today. In addition, the central concepts of nursing are person, nursing, environment and health have formed the basis for other nursing theorists such as Jean Watson's Philosophy and Science

  • Nursing What Effect Does Simulation

    Learning in adults is most effectual when the environment is both participative and interactive. Another important characteristic is that learners obtain instantaneous feedback. Teaching methods that necessitate a learner to think though data or information and come to a conclusion or forecast an outcome are more valuable than is reading or lecture. "The minute-to-minute care and monitoring of critically ill patients requires nurses to collect, analyze, and react to

  • Nursing Knowledge Annotated Bibliography Evidence Based Annotated

    Nursing Knowledge Annotated Bibliography Evidence Based Annotated Bibliography on evidence-bases educational program that will advance nursing knowledge on stress management methods and techniques that meets their assessed learning needs Annotated Bibliography on evidence-bases educational program that will advance nursing knowledge on stress management methods and techniques that meets their assessed learning needs. Nursing Times; Defining nursing knowledge, (2005), retrieved from: Nursing Times defines Nursing as a profession that is critical part of health care sector

  • Nursing There Are a Number of Significant

    Nursing There are a number of significant differences between in the art of teaching nursing skills at the university level and the art of teaching nursing skills at the community level. The educational opportunities are similar at both types of institutions but the demands on faculty are different at each level. Current literature shows that "approximately 42% of students enter community colleges with reading, writing, or math skills below the college level'

  • Nursing Theory Discuss Several Aspects of Professional

    Nursing Theory "Discuss several aspects of professional communication as it relates to the use of language in terms of form (e.g., clarity, accuracy) and content (culture and/or ethics)." (Question, 2014, p1). Communication is the reciprocal process where messages are received and sent between two or more individuals. Communication involves exchange of ideas, or opinion, which could be in form oral or written form. On the other hand, communication involves a series of

  • Nursing There Are Several Pros and Cons

    Nursing There are several pros and cons to requiring a nurse to have a BSN to enter nursing practice. The most obvious advantage is that it would standardize practice and ensure excellence. Today, healthcare has been under the spotlight for potential pitfalls and difficulties in areas of care and excellence. If nurses have the same or similar qualifications before entering practice, there is less potential for error (Santina, 2012). Furthermore, the course

  • Nursing Theory Imogene King

    Nursing Theory Analysis Theory-based nursing is the phenomenon that has been researched much during the past two decades. Nursing theory has become the foundation for nursing practice with its own knowledge base. The current paper is an analysis of King's theory of goal attainment. King acquired her goal attainment theory model from an interpersonal system and a behavioral science. The nurse and patient communicate to achieve a common goal of patient

Read Full Essay
Copyright 2016 . All Rights Reserved