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Page 24
Volume 3
Current Research: Integrative Medicine
Nursing Care & ICNND 2018
October 22-23, 2018
October 22-23, 2018 Madrid, Spain
46
th
World Congress on
Nursing Care, Neurology and Neuromuscular Diseases
Francis Kyerepagr Kobekyaa et al., J Current Res: Int Medicine 2018, Volume 3
DOI: 10.4172/2529-797X-C2-005
Exploration of the perceived barriers to collaborative clinical facilitation among nurse educators,
preceptors, clinical nurses/midwives and nursing and midwifery students in Northern Ghana
Francis Kyerepagr Kobekyaa
1
and Joanne Rachel Naidoo
2
1
University of KwaZulu-Natal, South Africa
2
Nelson Mandela University, South Africa
Background:
The hindrances to collaborative clinical facilitation for effective practical learning of nursing students are worrying.
Aim:
The aim of this study was to explore the perceived barriers to collaborative clinical facilitation among nurse educators,
preceptors, clinical nurses/midwives and nursing and midwifery students at two selected nursing and midwifery colleges and a
hospital in Northern Ghana.
Methods:
This study adopted a constructivist paradigm using a qualitative exploratory-descriptive approach. Purposive and
systematic sampling methods were used to select participants for the study. Data were gathered through focus groups discussions
and individual in-depth interviews and transcribed verbatim. The data were analyzed using framework analysis method.
Findings:
The study findings showed a sharp increase in student population at the colleges causing overcrowding and congestion
at the clinical learning environments. Preceptors and other clinical staff who are trained and mandated to facilitate clinical teaching
were insufficient, and therefore not available at all health care facilities or wards every time for students’ guidance and support.
Participants further reported role confusion among staff due to lack of working agreements between staff of colleges and health
facilities over that had the prime responsibility for clinical teaching of nursing students. This resulted in an adversarial relationship
among key players of the collaborative network. Lack of time, heavy workload and busy ward schedules equally impacted negatively
on the practice of collaborative clinical facilitation.
Conclusion:
Based on these findings, nursing and midwifery colleges, in collaboration with healthcare facilities, need to create
clinical placement calendars to coordinate students’ clinical schedules in the wards in order to avert the challenge of overcrowding.
This would provide students the opportunity to be effectively supervised and guided during clinical practice in the ward.
Biography
Francis Kyerepagr Kobekyaa is a Nurse Educator at the St. Joseph’s Midwifery Training College, Jirapa in the Upper West Region of Ghana. Francis started his
nursing career as a Community Health Nurse after graduating from the Jirapa Community Health Nursing Training School in 2004. Thereafter, he worked at Ketuo
Health Centre as the Community Nurse in-charge of the facility in the Puffien Sub-District. He also doubled up as the CHOs’ Supervisor responsible for two CHPS
Zones in the Sub-District. During his time, the Sub-District recorded an increased in skilled delivery with improved maternal and child health service performance
indicators. In 2007, he gained admission to the Presbyterian University, an affiliate of the University of Ghana where he obtained Bachelor of Science in Nursing
and Registered General Nursing Licensing Certificates. In 2014, he obtained a scholarship from the Netherlands Initiative for Higher Education to pursue an Honors
Degree in Nursing Education at the University of KwaZulu-Natal, Durban. He graduated in 2016 and continued with a Full Research Masters (MPhil) in Nursing
Research at the same university with funding from the Vice Chancellor of the university. He is currently working on two articles for publication.
kobekyaa.francis@yahoo.com