The assessment of undergraduate bachelor of nursing students in the collaborative clusters education model: A qualitative descriptive design

Article


Gray, Belinda, Grealish, Laurie, Ranse, Kristen, Terry, Victoria, Armit, Lyn, van de Mortel, Thea and Fabbro, Letitia Del. 2023. "The assessment of undergraduate bachelor of nursing students in the collaborative clusters education model: A qualitative descriptive design." Nurse Education in Practice. 70. https://doi.org/10.1016/j.nepr.2023.103675
Article Title

The assessment of undergraduate bachelor of nursing students in the collaborative clusters education model: A qualitative descriptive design

ERA Journal ID14139
Article CategoryArticle
AuthorsGray, Belinda, Grealish, Laurie, Ranse, Kristen, Terry, Victoria, Armit, Lyn, van de Mortel, Thea and Fabbro, Letitia Del
Journal TitleNurse Education in Practice
Journal Citation70
Article Number103675
Number of Pages8
Year2023
PublisherElsevier
Place of PublicationUnited Kingdom
ISSN1471-5953
1873-5223
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nepr.2023.103675
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1471595323001373
Abstract

Background
Worldwide, undergraduate Bachelor of Nursing students are required to complete experiential learning placements in health care settings as part of the curriculum. There are a variety of facilitation models that support student learning and assessment on clinical placement. As workforce pressures increase globally, innovative approaches to clinical facilitation are required. In the Collaborative Clusters Education Model of clinical facilitation, hospital-employed clinical facilitators work collaboratively within peer groups (clusters) to collectively participate in a process of facilitating student learning and conducting assessment and moderation of student performance. The assessment process in this collaborative clinical facilitation model is not well described.

Aim
To describe how the assessment of undergraduate nursing students is achieved in the Collaborative Clusters Education Model.

Design
A qualitative descriptive approach was employed.

Methods
In March 2021 individual and group interviews were conducted with seven clinical facilitators working in the Collaborative Clusters Education Model in one health service in southeast Queensland, Australia. Content analysis of transcribed interviews was performed.

Results
Assessment was achieved through two processes, situational scoring and moderation. In the process of situational scoring, clinical facilitators balanced the students’ perception of their role in assessment, accounted for the type of experiences available, considered multiple sources of evidence and used the Australian Nursing Standards Assessment Tool. In the process of moderation, clinical facilitators communicated with their cluster colleagues to determine a shared understanding of student history, considered data from multiple evidence sources and collaboratively evaluated the trustworthiness of student performance evaluation decisions.

Conclusions
In the Collaborative Clusters Education Model, the input of multiple assessors, working in a small team, ensured transparency in assessment processes. Furthermore, this transparency in assessment practices normalised on-going moderation, an in-built quality-check and, as such, an innovative component of assessment in the Collaborative Clusters Education Model. As nursing directors and managers seek to ameliorate the impact of nursing workforce pressures, this innovative model of collaborative assessment may serve as a valuable addition to nursing clinical assessment toolkits.

Tweetable abstract
The Collaborative Clusters Education Model of Clinical Facilitation enables transparency in assessment processes and normalises moderation.

KeywordsClinical facilitation; Clinical placement ; Clinical students ; Education; Nursing; Work integrated learning ; Student assessment ; Qualitative descriptive study
ANZSRC Field of Research 20204205. Nursing
Byline AffiliationsGold Coast University Hospital, Australia
Menzies Health Institute, Australia
Griffith University
University of Southern Queensland
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