Journal Club - Session 4

In this Journal Club, we will be reviewing the following paper:

Perry, C., Henderson, A. & Grealish, L. (2018). The behaviours of nurses that increase student accountability for learning in clinical practice: An integrative review. Nurse Education Today, 65, pp.177–186.

Article Summary

Perry, Henderson and Grealish explore how nurses’ behaviours in clinical practice settings can influence student accountability for their own learning. Through an integrative review of existing literature, the authors identify several key behaviours that foster greater student engagement and responsibility. These include role modelling, setting clear expectations, facilitating reflection and fostering supportive relationships. The review suggests that when nurses consistently exhibit these behaviours, students are more likely to take ownership of their learning, act with greater autonomy and develop professional identity and confidence in practice settings.

Discussion prompts

When writing your forum post this week, reflect on the educational themes raised in the article:

The review highlights specific nurse behaviours that promote student accountability. Have you observed or used any of these behaviours in your own teaching or clinical supervision?
Think back to your time as a student in clinical practice. Were there particular approaches from clinical educators that encouraged you to take responsibility for your own learning?
How do you set expectations and boundaries with learners in clinical environments? What impact does this have on their accountability?
How might we foster a culture where students are empowered to take charge of their learning, especially in high-pressure or time-limited clinical settings?
The article touches on the balance between support and challenge. How do you navigate this in your approach to mentorship or supervision?

Feel free to include a specific example from your teaching, a question you’re grappling with, or an idea you’d like to try out based on the article.

Interacting with others

Once you've posted your reflection, take time to engage with your peers’ posts. Here are some suggestions for interaction:

Build on someone’s insight by sharing a similar experience or a contrasting viewpoint
Ask a clarifying or deepening question, such as: “How do you handle students who don’t seem to respond to increased responsibility?” or “What tools help you communicate expectations effectively?”
Offer a teaching resource or strategy (e.g. a reflective prompt, a structured learning plan, or a mentoring tip) that supports student accountability

Perry and colleagues remind us that the day-to-day behaviours of educators in clinical settings have a profound influence on how students see themselves - as passive recipients or active participants in their education. This week is a chance to reflect on how we shape the learning culture in practice and what we can do to empower students to take ownership of their professional growth.

We look forward to your contributions!

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