Practice Supervisors’ Experiences with the Use of the Learning and Assessment Tool Respons

Authors

DOI:

https://doi.org/10.7557/14.7759

Keywords:

nursing education, clinical practice studies, assessment tool, supervisor, focus groups

Abstract

Studies have shown that it can be challenging to assess nursing students' competence in clinical studies and assessment tools can support this work. The article explores supervisors' experiences in using the learning and assessment tool Response for the first time to supervise and assess nursing students in clinical practice. The study has a qualitative design. A total of 32 supervisors from various practical training establishments within primary care and the specialist health service participated, and six focus group interviews were held. A thematic content analysis inspired by Malterud (2017) was conducted. The results imply that Response has legitimacy as a learning and assessment tool in clinical studies. The supervisors found Response to be helpful for planning and structuring clinical practice and in the supervision of students. Supervisors found that the tool could provide a credible basis for the assessment of nursing students´ competence.

Author Biographies

  • Jorunn Saunes, VID Scientific College

    Faculty of Health Sciences, Departement og Nursing, College lecturer

  • Liv Thorhild Undheim, VID Scientific College

    Faculty of Health Sciences, Associate Professor Emerita

  • Anne Raustøl, VID Scientific College
    Center for Diaconia and professional practice, Associate Professor

References

Almalkawi, I., Jester, R. & Terry, L. (2018). Exploring mentors' interpretation of terminology and levels of competence when assessing nursing students: An integrative review. Nurse Education Today, 69, 95-103. https://doi.org/10.1016/j.nedt.2018.07.003

Amsrud, K. E., Skaug, E.-A., Saunes, J., Undheim, L.-T., & Lyberg, A. (2021). Sykepleierstudenters erfaringer med Respons – et nytt lærings- og vurderingsverktøy i praksisstudier. Nordisk tidsskrift for helseforskning, 17(1). https://doi.org/10.7557/14.5620

Bjørk, I. T. (2019). Muligheter og utfordringer i vurdering av praktisk ferdighetslæring. In B. Christiansen, K. T. Jensen, & K. Larsen (Red.), Vurdering av kompetanse i praksisstudier (s. 182 -201). Gyldendal Norsk Forlag.

Bloxham, S., den-Outer, B., Hudson, J., & Price, M. (2016). Let’s stop the pretence of consistent marking: exploring the multiple limitations of assessment criteria. Assessment & evaluation in higher education, 41(3), 466-481. https://doi.org/10.1080/02602938.2015.1024607

Bondy, K. N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education, 22(9), 376-382. https://doi.org/10.3928/0148-4834-19831101-04

Brown, R. (2016). The development of a pre-registration nursing competency assessment schedule (NCAS) for use in Australian Universities [Doktorgradsavhandling, University of Wollongong]. https://ro.uow.edu.au/theses/4930/

Brown, R. A. & Crookes, P. A. (2017). How do expert clinicians assess student nurses competency during workplace experience? A modified nominal group approach to devising a guidance package. Collegian, 24(3), 219-225. https://doi.org/10.1016/j.colegn.2016.01.004

Burden, S., Topping, A. E. & O'Halloran, C. (2018). Mentor judgements and decision‐making in the assessment of student nurse competence in practice: A mixed‐methods study. Journal of Advanced Nursing, 74(5), 1078-1089. https://doi.org/10.1111/jan.13508

Burke, E., Kelly, M., Byrne, E., Chiardha, T. U., Mc Nicholas, M. & Montgomery, A. (2016). Preceptors' experiences of using a competence assessment tool to assess undergraduate nursing students. Nurse Education in Practice, 17, 8-14. https://doi.org/10.1016/j.nepr.2016.01.004

Caspersen, J. & Kårstein, A. (2013). Kvalitet i praksis: Oppfatninger om kvalitet blant praksisveiledere (14/2013). https://nifu.brage.unit.no/nifu-xmlui/handle/11250/28041

Cassidy, I., Butler, M. P., Quillinan, B., Egan, G., Mc Namara, M. C., Tuohy, D., Bradshaw, C., Fahy, A., O’Connor, M. & Tierney, C. (2012). Preceptors’ views of assessing nursing students using a competency based approach. Nurse Education in Practice, 12(6), 346-351. https://doi.org/10.1016/j.nepr.2012.04.006

Christiansen, B. (2019). Introduksjon: Særpreg og utfordringer i vurdering av kompetanse i praksisstudier. I B. Christiansen, K.T. Jensen, Larsen, K. (Red.), Vurdering av kompetanse i praksisstudier. (s. 14 - 23). Gyldendal Akademisk.

Christiansen, B., Averlid, G., Baluyot, C., Blomberg, K., Eikeland, A., Strand Finstad, I. R., Holm Larsen, M. & Lindeflaten, K. (2021). Challenges in the assessment of nursing students in clinical placements: Exploring perceptions among nurse mentors. Nursing Open, 8(3), 1069-1076. https://doi.org/10.1002/nop2.717

Crookes, P. A., Brown, R., Della, P., Dignam, D., Edwards, H. & McCutcheon, H. (2010). The development of a pre-registration nursing competencies assessment tool for use across Australian universities. https://ro.uow.edu.au/hbspapers/684/

De nasjonale forskningsetiske komiteene. (2021, 16. desember). Forskningsetiske retningslinjer for samfunnsvitenskap og humaniora. https://www.forskningsetikk.no/retningslinjer/hum-sam/forskningsetiske-retningslinjer-for-samfunnsvitenskap-og-humaniora/

DeVon, H. A., Block, M. E., Moyle‐Wright, P., Ernst, D. M., Hayden, S. J., Lazzara, D. J., Savoy, S. M. & Kostas‐Polston, E. (2007). A psychometric toolbox for testing validity and reliability. Journal of Nursing scholarship, 39(2), 155-164. https://doi.org/10.1111/j.1547-5069.2007.00161.x

Duffy, K. (2013). Deciding to fail. The Journal of Practice Teaching and Learning, 11(3), 36-58. https://doi.org/10.1921/jpts.v11i3.271

Fetscher, E., Kantardjiev, K. & Skeidsvoll, K. J. (2019). Hva sier forskning, rapporter og evalueringer om kvalitet i praksis? (3-2019). https://www.nokut.no/globalassets/nokut/rapporter/ua/2019/fetscher_kantardjiev_skeidsvoll_hva-sier-forskning-rapporter-og-evalueringer-om-kvalitet-i-praksis_3-2019.pdf

Finstad, I., Knutstad, U., Havnes, A. & Sagbakken, M. (2022). The paradox of an expected level: The assessment of nursing students during clinical practice–A qualitative study. Nurse Education in Practice, 61, 103332. https://doi.org/10.1016/j.nepr.2022.103332

Forskrift om felles rammeplan for helse- og sosialfagutdanninger (2017). https://lovdata.no/dokument/SF/forskrift/2017-09-06-1353

Forskrift om nasjonal retningslinje for sykepleierutdanning,(2019). https://lovdata.no/dokument/SF/forskrift/2019-03-15-412

Forskrift om skikkethetsvurdering i høyere utdanning, (2006). https://lovdata.no/dokument/SF/forskrift/2006-06-30-859

Forskrift til rammeplan for sykepleierutdanning, (2008). https://lovdata.no/dokument/SFO/forskrift/2008-01-25-128

Hauge, K.W. (2015). Veilederes beveggrunner for å unnlate å gi ikke-bestått i praksisstudier til tross for at læringsutbyttene ikke er nådd/Why are mentors failing to fail students who do not meet clinical performance standard? Nordic Journal of Nursing Research, 35(1), 20. https://doi.org/10.1177/0107408314560325

Hauge, K. W., Bakken, H., Brask, O. D., Gutteberg, A., Malones, B. D. & Ulvund, I. (2019). Are Norwegian mentors failing to fail nursing students? Nurse Education in Practice, 36, 64-70. https://doi.org/10.1016/j.nepr.2019.03.002

Haugen, H., Ø. & Skilbrei, M.-L. (2021). Håndbok i forskningsetikk og databehandling. Fagbokforlaget.

Heaslip, V., & Scammell, J. M. E. (2012). Failing underperforming students: The role of grading in practice assessment. Nurse Education in Practice, 12(2), 95-100. https://doi.org/10.1016/j.nepr.2011.08.003

Helseth, I. A., Lid, S. E., Kristiansen, E., Fetscher, E., Karlsen, H. J., Skeidsvoll, K. J. & Wiggen, K. S. (2019). Kvalitet i praksis - utfordringer og muligheter (16-2019). https://www.nokut.no/globalassets/nokut/rapporter/ua/2019/kvalitet-i-praksis-utfordringer-og-muligheter_16-2019.pdf

Immonen, K., Oikarainen, A., Tomietto, M., Kääriäinen, M., Tuomikoski, A.-M., Kaučič, B. M., Filej, B., Riklikiene, O., Vizcaya-Moreno, M. F., De Raeve, P., Mikkonen, K. & Perez-Cañaveras, R. M. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International journal of nursing studies, 100, 103414. https://doi.org/10.1016/j.ijnurstu.2019.103414

Ivarjord, L. & Kitzmüller, G. (2019). Veiledning av sykepleiestudenter i klinisk praksis–hva anser sykepleiere som viktig i utøvelsen av veilederrollen? Nordisk sygeplejeforskning, 9(1), 6-19. https://doi.org/10.18261/issn.1892-2686-2019-01-02

Jokelainen, M., Jamookeeah, D., Tossavainen, K. & Turunen, H. (2013). Finnish and British mentors' conceptions of facilitating nursing students' placement learning and professional development. Nurse Education in Practice, 13(1), 61-67. https://doi.org/10.1016/j.nepr.2012.07.008

Järvinen, T., Eklöf, N. & Salminen, L. (2018). Factors related to nursing students’ readiness to enter working life–A scoping literature review. Nurse Education in Practice, 29, 191-199. https://doi.org/10.1016/j.nepr.2018.01.010

Kristiansen, E., Wiggen, K. S. & Stolinski, H. S. (2019). Praksis sett fra praksisveilederes perspektiv (13-2019). https://www.nokut.no/globalassets/nokut/rapporter/ua/2019/kristiansen_wiggen_stolinski_praksis-sett-fra-praksisveilederes-perspektiv_13-2019.pdf

Krueger, R. A. & Casey, M. A. (2015). Focus groups (5 utg.). Sage Publications.

Kunnskapsdepartementet. (2008). Rammeplan for sykepleierutdanning. Regjeringen. https://www.regjeringen.no/globalassets/upload/kd/vedlegg/uh/rammeplaner/helse/rammeplan_sykepleierutdanning_08.pdf

Kunnskapsdepartementet. (2011). Nasjonalt kvalifikasjonsrammeverk for livslang læring (NKR). https://www.regjeringen.no/contentassets/e579f913fa1d45c2bf2219afc726670b/nkr.pdf

Lee, N. P. & Chiang, V. C. (2021). The mentorship experience of students and nurses in pre‐registration nursing education: A thematic synthesis of qualitative studies. Nursing & Health Sciences, 23(1), 69-86. https://doi.org/10.1111/nhs.12794

Lindeflaten, K. & Christiansen, B. (2019). Praksisveilederes utfordringer med å vurdere sykepleierstudenter i spesialisthelsetjenesten. I B. Christiansen, K. T. Jensen & K. Larsen (Red.), Vurdering av kompetanse i praksisstudier (s. 129 - 145). Gyldendal Norsk Forlag.

Malterud, K. (2017). Kvalitative forskningsmetoder for medisin og helsefag. Universitetsforlaget.

Meld. St.13 (2011-2012). Utdanning for velferd. Samspill i praksis. Retrieved from https://www.regjeringen.no/no/dokumenter/meld-st-13-20112012/id672836/

North, H., Kennedy, M., & Wray, J. (2019). Are mentors failing to fail underperforming student nurses? An integrative literature review. British Journal of Nursing, 28(4), 250-255. https://doi.org/10.12968/bjon.2019.28.4.250

Polit, D. F. & Beck, C. T. (2021). Nursing research (11.utg. Internasjonal utg.) Wolters Kluwer Health.

Pramila‐Savukoski, S., Juntunen, J., Tuomikoski, A. M., Kääriäinen, M., Tomietto, M., Kaučič, B. M., Filej, B., Riklikiene, O., Vizcaya‐Moreno, M. F. & Perez‐Cañaveras, R. M. (2020). Mentors' self‐assessed competence in mentoring nursing students in clinical practice: A systematic review of quantitative studies. Journal of Clinical Nursing, 29(5-6), 684-705. https://doi.org/10.1111/jocn.15127

Pripp, A. H. (2018). Validitet. Tidsskrift for Den norske legeforening. https://doi.org/10.4045/tidsskr.18.0398

Raaen, F. D. (2017). Organisering og utbytte av praksisopplæringen. I S. Mausethagen & J.-C. Smeby (Red.), Kvalifisering til profesjonell yrkesutøvelse (s. 106 - 117). Universitetsforlaget.

Skaug, E.-A., & Saunes, J. (2015). Få studenter stryker i praksis. Sykepleien, 103(8), 60-62. https://doi.org/10.4220/Sykepleiens.2015.54974

Smeby, J.-C. & Mausethagen, S. (2017). Profesjonskvalifisering. I S. Mausethagen & J.-C. Smeby (Red.), Kvalifisering til profesjonell yrkesutøvelse (s. 11 -19). Universitetsforlaget.

UHR. (2013). Rapport fra karakterpanel C (UHR karakterundersøkelse 2013, Issue.

Wu, X. V., Enskär, K., Lee, C. C. S. & Wang, W. (2015). A systematic review of clinical assessment for undergraduate nursing students. Nurse Education Today, 35(2), 347-359. https://doi.org/10.1016/j.nedt.2014.11.016

Published

2025-08-19

Issue

Section

Peer-reviewed articles

How to Cite

Saunes, J., Undheim, L. T. ., & Raustøl, A. . (2025). Practice Supervisors’ Experiences with the Use of the Learning and Assessment Tool Respons. Nordisk Tidsskrift for Helseforskning, 21(2). https://doi.org/10.7557/14.7759