Partnering with veterinary students to enhance clinical workplace learning: development of a learning environment champions initiative
DOI:
https://doi.org/10.47408/jldhe.vi35.1320Keywords:
clinical learning environment, psychological safety, incivility, veterinary education, student experienceAbstract
Negative experiences in clinical learning environments (CLEs) lead to long-term consequences such as decreased confidence, reluctance to engage, and attrition from Veterinary programmes (Holt, Farrell and Corrigan, 2023). The Small Animal Hospital, a training site for final-year Veterinary students, immerses them in real-world clinical practice. As a potentially high-stress environment, measures to improve student psychological safety were implemented, with the launch of a Learning Environment Champions (LEC) initiative. Developed in response to student feedback, it encompasses a compassionate pedagogical approach involving staff and students working in partnership, with the aim of enhancing the CLE by promoting supportive and positive learning experiences. This case study describes the first year of the initiative, which is a system for monitoring student perceptions of, and experiences within, the CLE while simultaneously working to change the culture of the CLE by focusing on civility and psychological safety. Using an iterative cycle of feedback and improvement, developments included a new staff role, staff training, a hospital social contract, a process for student safeguarding, and student-led creation of resources. Reflective professional discussions highlighted that the initiative has built staff appreciation of the importance of a civil CLE, has positively influenced teaching and clinical support of students, but raised concerns of unintended consequences for LECs including compassion fatigue. The early phase of this initiative has created a support system for students during their practicum. Long term, this may help to significantly improve student perceptions of the CLE, thus improving the learning potential for this environment.
References
Armitage-Chan, E. and May, S.A. (2018) ‘Developing a professional studies curriculum to support veterinary professional identity formation’, Journal of Veterinary Medical Education, 45(4), pp.489−501. Available at: https://doi.org/10.3138/jvme.1216-192r1
Birks, M., Bagley, T., Park, T., Burkot, C. and Mills, J. (2017) ‘The impact of clinical placement model on learning in nursing: a descriptive exploratory study’, Australian Journal of Advanced Nursing, 34(3), pp.16−23. Available at: https://www.ajan.com.au/archive/Vol34/Issue3/2Birks.pdf (Accessed: 30 January 2025).
Bok, H.G.J. (2015) ‘Competency-based veterinary education: an integrative approach to learning and assessment in the clinical workplace’, Perspectives on Medical Education, 4(2), pp.86−89. Available at: https://doi.org/10.1007/s40037-015-0172-1
Bowrey, D.J. and Kidd, J.M. (2014) ‘How do early emotional experiences in the operating theatre influence medical student learning in this environment?’, Teaching and Learning in Medicine, 26(2), pp.113−120. Available at: https://doi.org/10.1080/10401334.2014.883986
Clark, T. (2020) The 4 stages of psychological safety. Oakland, CA: Berret-Koehler Publishers, Inc.
Dooley, L.M. and Bamford, N.J. (2018) ‘Peer feedback on collaborative learning activities in veterinary education’, Veterinary Sciences, 5(4), p.90. Available at: https://doi.org/10.3390/vetsci5040090
Edmondson, A. (1999) ‘Psychological safety and learning behaviour in work teams’, Administrative Science Quarterly, 44, pp.350−383. Available at: https://doi.org/10.2307/2666999
Evans, T.R., Burns, C., Essex, R., Finnerty, G., Hatton, E., Clements, A.J., Breau, G., Quinn, F. et al. (2023) ‘A systematic scoping review on the evidence behind debriefing practices for the wellbeing/emotional outcomes of healthcare workers’, Frontiers in Psychiatry, 24(14), p.1078797. Available at: https://doi.org/10.3389/fpsyt.2023.1078797
Fares, J., Al Tabosh, H., Saadeddin, Z., El Mouhayyar, C. and Aridi, H. (2016) ‘Stress, burnout and coping strategies in preclinical medical students’, North American Journal of Medical Sciences, 8(2), pp.75−81. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC4791902/ (Accessed 30 January 2025).
Holt, S.L., Farrell, M. and Corrigan, R.H. (2023) ‘Veterinary nursing students’ experience in the clinical learning environment and factors affecting their perception’, Journal of Veterinary Medical Education, 51(2), pp.357−368. Available at: https://doi.org/10.3138/jvme-2022-0133
Isba, R., Rousseva, C., Woolf, K. and Byrne-Davis, L. (2020) ‘Development of a brief learning environment measure for use in healthcare professions education: the Healthcare Education Micro Learning Environment Measure (HEMLEM)’, BMC Medical Education, 20(1), p.110. Available at: https://doi.org/10.1186/s12909-020-01996-8
Joolaee, S., Jafarian Amiri, S.R., Farahani, M.A. and Varaei, S. (2015) ‘Iranian nursing students’ preparedness for clinical training: a qualitative study’, Nurse Education Today, 35(10), pp.13−17. Available at: https://doi.org/10.1016/j.nedt.2015.07.026
Kogan, L.R., McConnell, S.L. and Schoenfeld-Tacher, R. (2005) ‘Veterinary students and non-academic stressors’, Journal of Veterinary Medical Education, 32(2), pp.193−200. Available at: https://doi.org/10.3138/jvme.32.2.193
Magnier, K., Wang, R., Dale, V.H.M., Murphy, R., Hammond, R.A., Mossop, L., Freeman, S.L., Anderson, C. et al. (2011) ‘Enhancing clinical learning in the workplace: a qualitative study’, Veterinary Record, 169(26), p.682. Available at: https://doi.org/10.1136/vr.100297
Mossop, L.H. (2012) ‘Is it time to define veterinary professionalism?’, Journal of Veterinary Medical Education, 39(1), pp.93−100. Available at: https://doi.org/10.3138/jvme.0411.041R1
Nassar, A.K., Waheed, A. and Tuma, F. (2019) ‘Academic clinicians’ workload challenges and burnout analysis’, Cureus, 11(11), e6108. Available at: https://doi.org/10.7759/cureus.6108
Roling, G., Lutz, G., Edelhäuser, F., Hofmann, M., Valk-Draad, M.P., Wack, C., Haramati, A., Tauschel, D. et al. (2020) ‘Empathy, wellbeing and stressful experiences in the clinical learning environment’, Patient Education and Counseling, 103(11), pp.2320−2327. Available at: https://doi.org/10.1016/j.pec.2020.04.025
Stoewen, D.L. (2020) ‘Moving from compassion fatigue to compassion resilience part 4: signs and consequences of compassion fatigue’, Canadian Veterinary Journal, 61(11), pp.1207−1209. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC7560777/ (Accessed: 30 January 2025).
van Gelderen, I. and Taylor, R. (2023) ‘Developing communication competency in the veterinary curriculum’, Animals, 13(23), p.3668. Available at: https://doi.org/10.3390/ani13233668
Waters, L., Lo, K. and Maloney, S. (2018) ‘What impact do students have on clinical educators and the way they practise?’, Advances in Health Sciences Education, 23(3), pp.611−631. Available at: https://doi.org/10.1007/s10459-017-9785-y
Yin, R. (2013) Case Study Research: Design and Methods (Applied Social Research Methods). 5th edn. London: SAGE Publications, Inc.
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