Nurses Educator

The Resource Pivot for Updated Nursing Knowledge

Classroom Settings Impact On Academic Performance
Introduction

A fundamental responsibility of nursing faculty involves evaluating students’ academic performance across both classroom (didactic) and clinical settings. Effective student evaluation is crucial at all educational levels and necessitates careful consideration due to its profound implications. The process of evaluating nursing students requires not only technical proficiency but also an understanding of the emotional, financial, and institutional consequences associated with academic assessments. This comprehensive review examines the impacts of academic performance within these settings, explores issues related to academic failure, and outlines strategies for assisting students who encounter difficulties.

Academic Performance in Clinical and Classroom Settings

Nursing faculty are tasked with assessing students’ progress and competencies in both classroom and clinical environments. This dual responsibility underscores the importance of having robust evaluation mechanisms to ensure that students are meeting educational standards and are prepared for professional practice. Evaluation outcomes significantly affect students’ academic trajectories, influencing their advancement in the program, with potential consequences including course repetition, delays in graduation, or even dismissal from the program. These outcomes can have substantial financial, emotional, and personal repercussions for students.

Faculty members may face their own set of challenges, including emotional distress, administrative pressure to maintain enrollment numbers, and a sense of personal failure when assigning failing grades. Thus, it is essential for faculty to be acutely aware of the legal and ethical considerations involved in the evaluation process. Inadequate preparation or understanding of these factors can lead to complications, underscoring the need for thorough training and clear guidelines.

Academic Failure in the Clinical Setting

In the clinical setting, nursing faculty play a pivotal role in guiding students through the development of essential nursing skills and professional values. Faculty are responsible for ensuring that clinical learning experiences are designed to foster the competencies required for safe and effective practice. This includes applying theoretical knowledge, developing psychomotor skills, utilizing appropriate communication techniques, and demonstrating decision-making and organizational abilities.

When students fail to meet the objectives of their clinical experiences, faculty have both legal and ethical responsibilities to address these deficiencies. Legal frameworks, such as state Nurse Practice Acts, provide guidelines for regulating nursing practice and education, and they support the dismissal of students who fail to demonstrate clinical competence. Graduating from a nursing program should signify that students have met the minimum competencies necessary for safe practice. Students are expected to adhere to professional standards and seek assistance when needed. They are held accountable for their actions and must meet the same standards as licensed practitioners.

Faculty members must also ensure effective supervision and communication within clinical settings. The clinical agency contract often stipulates the need for adequate supervision by the nursing school, and failure to maintain acceptable performance levels can result in the loss of clinical sites for future use. This underscores the importance of maintaining high standards of performance and clear communication between faculty, students, and clinical staff.

Assisting the Failing Student in the Clinical Setting

When a student is struggling in the clinical setting, faculty must provide support and intervention strategies. This includes setting clear performance expectations and communicating them effectively before the onset of clinical experiences. Expectations should be realistic and applied consistently to all students. Faculty must also assess the appropriate level of supervision based on the complexity of patient conditions and the student’s competence. Regular feedback and opportunities for remediation are essential to help students improve their performance.

Faculty are responsible for evaluating whether students can effectively apply classroom knowledge to clinical practice. This includes assessing students’ abilities through written care plans, verbal explanations of patient assessments, and reflective journaling. Such assessments provide insights into the students’ clinical reasoning and decision-making processes, allowing faculty to identify areas for improvement and tailor support accordingly.

Academic Failure in the Classroom Setting

In the classroom setting, academic failure can result from various factors including inadequate understanding of the material, ineffective teaching methods, or personal issues affecting student performance. When students fail to meet academic standards in the classroom, the consequences can be severe, affecting their progression in the program and potentially leading to academic dismissal.

To address academic failure in the classroom, faculty should implement strategies to identify and support struggling students early on. This can include offering additional resources, such as tutoring or study groups, and providing constructive feedback on performance. Faculty must also ensure that instructional methods are effective and adapt to the diverse learning needs of students.

Setting for Clinical and Classroom Academic Performance

The learning environment plays a crucial role in student academic performance. In the clinical setting, it is essential to provide a supportive and structured environment that fosters skill development and professional growth. This includes maintaining clear lines of communication, offering appropriate supervision, and ensuring that students have access to necessary resources.

In the classroom setting, creating an engaging and inclusive learning environment is equally important. Faculty should employ a variety of teaching strategies to address different learning styles and ensure that course materials are accessible and relevant. The integration of technology, interactive learning methods, and timely feedback can enhance the educational experience and support student success.

Conclusion

The evaluation of academic performance in nursing education is a multifaceted process that involves assessing students’ competencies in both clinical and classroom settings. Faculty must navigate the complexities of evaluating student performance while balancing the emotional, financial, and institutional impacts of their decisions. By understanding the legal and ethical considerations, providing appropriate support for struggling students, and creating effective learning environments, faculty can enhance student outcomes and contribute to the development of competent, professional nurses.

Theory Application in Nursing Care and Faculty Responsibilities in Clinical Education

Importance of Theory Application

Applying theoretical knowledge to nursing care is a critical aspect of ensuring safe and effective nursing practice. Faculty must actively engage in data collection to assess students’ proficiency in integrating theory with practice. Various methods can be employed for this purpose. For instance, students may be required to develop written care plans before providing care, including a rationale for their proposed interventions. Additionally, faculty might ask students to verbally explain the significance of patient assessment data or maintain a weekly journal reflecting their clinical decision-making processes.

Faculty Responsibilities and Legal Considerations

Faculty members are legally responsible for assigning appropriate tasks and monitoring students to ensure that standards of care are adhered to. In situations where a student demonstrates unsafe practices, faculty must take action to prevent further clinical involvement by the student. While there may be concerns about legal repercussions for failing a student, federal and state courts have consistently upheld the authority of faculty to evaluate clinical performance and to dismiss students who fail to meet established criteria (Brent, 2001; Christensen, 2014; Guido, 1997; Smith, McKoy, & Richardson, 2001).

Faculty, as experts in their field, are entrusted with making informed decisions regarding students’ academic performance. It is essential for faculty to clearly define and communicate course and clinical objectives at the outset of the course. These objectives, along with the criteria for determining clinical grades, should be detailed in the course syllabus. The clinical syllabus must outline all evaluation measures and provide continuous formative feedback to students, including periodic progress updates and suggestions for improvement.

Documentation and Feedback

Students should have adequate opportunities to meet competency requirements during their clinical experiences, and the consequences of failing to meet objectives must be clearly communicated. Accurate documentation of all clinical experiences and faculty-student conferences is crucial. Anecdotal notes, as recommended by Hall (2013), can facilitate precise evaluations by capturing both positive and negative aspects of student performance, while focusing on course objectives rather than personal attributes.

Records should be factual, nonjudgmental, and reflective of both strengths and areas for improvement. Faculty should offer consistent, constructive feedback, highlighting positive aspects as well as areas needing development. Feedback should be delivered privately to maintain confidentiality and address persistent deficiencies in a manner that supports the student’s development and self-esteem.

Managing Clinical Deficiencies

When addressing clinical deficiencies, faculty should ensure that feedback is delivered with genuine concern for the student’s progress and patient safety. McGregor (2007) emphasizes the importance of maintaining the student’s dignity and self-worth during these interactions. Students should be given the opportunity to respond to feedback, and an objective third party, such as a department chair or course coordinator, may assist in mediating discussions.

Faculty must adhere to institutional guidelines when notifying students of potential course failure due to unsatisfactory performance. This process ensures that students are aware of their deficiencies and are provided with opportunities to address them. Effective communication with other faculty members responsible for the course is also vital.

Guidelines for Assisting Failing Students

Determining when a student’s clinical performance is unsatisfactory and warrants a failing grade involves evaluating cognitive, psychomotor, and affective behaviors. Despite the use of reliable evaluation tools, assessing students, especially in the affective domain, can be challenging. Faculty should implement clear evaluation measures and provide regular feedback to guide students towards meeting clinical expectations.

When a student’s performance is deemed unsatisfactory, faculty must act to safeguard the student’s right to due process and support them through the challenging experience. Early identification and discussion of unsatisfactory behaviors, along with detailed documentation and collaborative development of a learning contract, are crucial steps in addressing performance issues and facilitating improvement.

Student Performance and Evaluation in Nursing Education

Consistency and Remediation

Students must understand that isolated instances of both good and inadequate performance are insufficient to determine their final grade. The focus should be on developing consistent behavior that demonstrates ongoing improvement and the ability to deliver safe patient care. Successful completion of any remedial work outlined in a plan does not automatically ensure a passing grade; students must meet all course objectives to pass. The remedial plan should be detailed in a document, signed and dated by both the student and faculty, with a copy provided to the student for their records.

Feedback and Supervision

Frequent feedback sessions are crucial as students work to improve their performance. The frequency of these sessions should be determined based on individual needs, with regular meetings, such as weekly, often being beneficial. Faculty should maintain objective and factual records of all feedback sessions, including descriptions of intervention strategies developed and student self-appraisal.

During this period of evaluation, increased supervision may be necessary to ensure patient safety. Students might perceive heightened supervision as unfair or harassing, leading to stress. Referring students to a counselor or stress management expert can be beneficial. Faculty should avoid taking on dual roles of counselor and evaluator, as this could compromise their objective judgment (Morgan, 2001).

Seeking Additional Input

In cases where faculty are concerned about a student’s performance but find it challenging to identify specific unsatisfactory behaviors, seeking input from another faculty member can be helpful. While faculty have the right to obtain an objective evaluation from a colleague, this process must be communicated to the student, and they should be informed that the results may impact their grade.

Withdrawal from the Course

If a student continues to provide unsafe patient care despite interventions, faculty may consider withdrawing the student from the course before the semester ends. Students who demonstrate persistent lack of understanding of their limitations, fail to anticipate the consequences of their actions or inactions, or consistently fail to communicate appropriately with faculty and staff about patient care may qualify for removal.

Handling Dishonesty and Unsafe Practices

Dishonesty regarding patient care or consistently unsafe practices jeopardize patient safety. Faculty have the authority to prevent a student from continuing clinical care if their performance is unsafe. However, students must be allowed to complete the clinical requirements if their performance meets safety standards, even if they have not yet met all course objectives. Adhering to these procedures ensures that the student’s right to due process is upheld. Effective communication throughout the process is essential for achieving a satisfactory resolution for both faculty and student. Students are more likely to accept their performance outcomes if they feel they have been treated fairly and objectively. Faculty should avoid excessive self-blame for a student’s clinical failure.

Academic Failure in the Classroom Setting

Challenges and Causes

The academically rigorous nature of nursing program curricula often leads to academic failure, which is a common concern among nursing educators. Students may fail to meet academic standards for various reasons. Initially, students might underestimate the time required for studying, lack essential study and time management skills, and become overwhelmed by the demands of the program. Stress and anxiety often exacerbate these challenges.

Many students juggle multiple roles, including work, family, and school, leading to role overload and adversely affecting their academic performance. Additionally, some students may struggle with the cognitive demands of nursing courses, finding it difficult to apply concepts and make decisions despite strong memorization skills. Learning disabilities and language barriers can also hinder classroom performance.

Identifying High-Risk Students

Faculty have an ethical responsibility to identify students at high risk for academic failure. Characteristics identified by Donovan (1989), such as low GPA, low standardized test scores, and poor critical thinking skills, remain relevant. Difficulty in science courses is another high-risk indicator (Wolkowitz & Kelley, 2010). Academic support services must be provided to these students to improve their chances of success. Students working more than 16 hours a week or those for whom English is a second language are also at higher risk for poor academic performance (Salamonson & Andrew, 2006).

Providing Academic Support

Faculty should develop and offer various academic support services, including tutoring, study sessions, workshops, mentoring programs, test-taking support, and time and stress management training. Awareness of additional institutional resources and encouragement of participation in student clubs and peer mentoring can further support student success (Dennison, 2010; Robinson & Niemer, 2010). Early intervention and support are crucial in helping students address academic difficulties and improve retention rates.

Designing Effective Intervention Programs

To enhance academic success and retention in nursing programs, faculty should consider the student perspective when designing intervention programs. Gathering feedback from students about their academic and non-academic concerns can inform the development of effective strategies. For example, if large class sizes impede learning, implementing small group sessions may help. Regular evaluation of existing programs and interventions, such as tutoring and peer assistance, ensures that effective strategies are maintained and less successful ones are revised or discontinued.

Faculty must stay informed about student concerns and available resources to address these issues effectively. Implementing feedback from students and continuously refining support services will contribute to improved academic performance and program success.

Developing Effective Retention and Intervention Strategies in Nursing Education

Creating a Retention Intervention Program

Using current information, faculty can design a retention intervention program aimed at maximizing students’ positive experiences and enhancing their academic success. This involves implementing proactive strategies to support students’ academic efforts in the classroom.

Adapting to Diverse Student Needs

Faculty should remain cognizant of the evolving student population and varying learning styles. Educators need to develop innovative and flexible programs that address the needs of an increasingly diverse student body, including nontraditional adult learners, graduate students, and those from varied cultural backgrounds.

To support these diverse needs, faculty can implement several strategies:

  • Offer flexible class scheduling and utilize technology to provide learning opportunities at convenient times for students.
  • Provide campus child care services and recognize students’ life experiences.
  • Support students for whom English is a second language to help them achieve their educational goals.

Understanding Modern Learning Expectations

Today’s college students have different learning expectations and strategies compared to past generations. The existing literature on varying learning styles of the current generation should be leveraged to create meaningful learning experiences.

Enhancing Academic and Social Integration

Students who are successfully integrated both academically and socially into their educational environment are more likely to persist. Institutions must acknowledge that students bring a range of diverse needs to their educational experiences. The role of the faculty advisor is crucial in helping students adjust to their academic responsibilities. Faculty must be well-informed about academic policies to provide accurate and timely advice.

Role of Academic Advising and Faculty Diversity

Academic advising is essential for student success and retention in nursing programs (Harrison, 2012). Increasing faculty diversity and cultural competence can also improve retention among students from diverse backgrounds (Rosenberg & O’Rourke, 2011). Nursing associations or organizations can offer encouragement and facilitate the socialization of students into the nursing profession.

Addressing Poor Classroom Performance

Faculty members can take several steps to assist students who are struggling academically. When a student shows signs of not understanding course content, such as failing a test or incomplete assignments, the faculty member should meet with the student to understand their perspective on the issue.

Students often recognize the problem themselves, which might include insufficient preparation, misunderstanding of material, or personal issues. Each reason for poor performance requires tailored intervention strategies, with students involved in determining appropriate actions.

Assessing and Addressing Learning Challenges

Faculty should review tests to identify areas of difficulty and determine potential causes, such as gaps in knowledge, reading difficulties, test anxiety, poor study skills, or personal problems. Once potential causes are identified, intervention strategies can be designed and implemented.

Encouraging Student Responsibility

Students must take responsibility for their learning and use available resources to improve their academic performance. While faculty cannot guarantee the success of every student, they must ensure that students are active participants in identifying concerns, developing strategies, and improving performance. Faculty should remain open to listening to student concerns and make appropriate referrals to program resources as needed.

Guidance for Failing Students

If, despite various efforts, a student cannot meet course requirements satisfactorily, faculty must assign a failing grade. The student will need guidance and support as they explore available options.

For a student failing their first nursing course, program policy typically allows one retake. However, if it is the second nursing course failure, the student may face dismissal from the program. In either case, appropriate academic advice should be provided to assist the student in planning their future educational goals.