Student Evaluation Work Experience N N Beverly Foster, PhD, RN School of Nursing The University of North Carolina at Chapel Hill

Section 1 72% Response Rate (N=39) Section 2 85% Response Rate (N=46) Section 1 72% Response Rate (N=39) Section 2 85% Response Rate (N=46)

More Than One Agency? No 97% (Section 1) No 97% (Section 1) Yes 3% Yes 3% No 89% (Section 2) No 89% (Section 2) Yes 9% Yes 9%

Clinical Setting Acute care56% (72%)* Acute care56% (72%)* Other21% (10%) Other21% (10%) Ambulatory care 13% (7%) Ambulatory care 13% (7%) Public health 5% (4%) Public health 5% (4%) Home health 5% (7%) Home health 5% (7%) *Section 2 data in parens

Client Age Adult 33% (33%)* Adult 33% (33%)* Mixed 38% (30%) Mixed 38% (30%) Infant/child 21% (24%) Infant/child 21% (24%) Elderly 8% (13%) Elderly 8% (13%) Adolescent 0% (0%) Adolescent 0% (0%) *Section 2 in parens

Skill Development Nrsg/t echnical skills 38% (39%)* Nrsg/t echnical skills 38% (39%)* Care team member 26% (13%) Care team member 26% (13%) Communication/therapeutic relationships 21% (11%) Communication/therapeutic relationships 21% (11%) Organizational skills 10% (26%) Organizational skills 10% (26%) Other 5% (11%) Other 5% (11%) *Section 2 in parens

Role Clarity Were you clear about what you could & could not do? Yes100% 100%* Yes100% 100%* No 0% 0% No 0% 0% *Section 2 *Section 2

Role Clarity Did agency staff understand your role? Yes77% 80%* Yes77% 80%* No23%20% No23%20% *Section 2

RN Preceptor Yes59% 57%* Yes59% 57%* No41%43% No41%43% Unanswered 0% 0% Unanswered 0% 0% *Section 2

How Many Preceptors? 133% (30%)* 133% (30%)* 228% (11%) 228% (11%) 3 3% (9%) 3 3% (9%) 4 8% (7%) 4 8% (7%) > 421% (30%) > 421% (30%) Unanswered 7% (13%) Unanswered 7% (13%) *Section 2 in parens

How Many Units? 162%61%* 162%61%* 210%15% 210%15% 3 5% 11% 3 5% 11% 4 3% 0% 4 3% 0% > 420%13% > 420%13% *Section 2

Pay Equivalent to Another Summer Job? Yes33% (52%)* Yes33% (52%)* No, would have made more 15% (15%) No, would have made more 15% (15%) No, would have made less36% (15%) No, would have made less36% (15%) Volunteer 15% (17%) Volunteer 15% (17%) *Section 2 in parens

Type of Position Formal externship 36% (41%)* Formal externship 36% (41%)* NA II31% (33%) NA II31% (33%) NA I23% (13%) NA I23% (13%) Other 10% (13%) Other 10% (13%) *Section 2 in parens

Job Search Resources SON job listings/resources 15% (35%)* SON job listings/resources 15% (35%)* Referred by others 36% (24%) Referred by others 36% (24%) Called agencies for openings 26% (15%) Called agencies for openings 26% (15%) Other 20% (24%) Other 20% (24%) *Section 2 in parens

Number of Agency Applications 112%13%* 112%13%* 218%13% 218%13% 321%26% 321%26% 421%13% 421%13% > 428%35% > 428%35% *Section 2

Outstanding Characteristics Section One Practicing clinical skills Practicing clinical skills Increased communication skills with patients & staff Increased communication skills with patients & staff Learned to work as a team member Learned to work as a team member Time management/organizational skills Time management/organizational skills Staff members eager to teach Staff members eager to teach Chance to work in area of interest Chance to work in area of interest

Outstanding Characteristics Section Two Learned the value of teamwork Learned the value of teamwork Ability to practice clinical skills in a professional setting Ability to practice clinical skills in a professional setting Time management & interpersonal skills Time management & interpersonal skills Learned to communicate with patients/families Learned to communicate with patients/families Working with staff who encouraged me Working with staff who encouraged me

Troubling Characteristics Section One Limited –unable to practice skills Limited –unable to practice skills Staff treated me as a servant Staff treated me as a servant Not having a preceptor Not having a preceptor Floating a different unit everyday Floating a different unit everyday

Troubling Characteristics Section Two Restraints of the scope of practice of an NA and ability to practice nursing skills Restraints of the scope of practice of an NA and ability to practice nursing skills Confusion as to my role as an extern Confusion as to my role as an extern Unprofessional & unhelpful staff Unprofessional & unhelpful staff Staff treated me as their personal NA Staff treated me as their personal NA

Most Challenging Moments Section One Patient crisis/difficulty Patient crisis/difficulty Dealing with death/dying experience Dealing with death/dying experience Staff/preceptor problems Staff/preceptor problems Communicating my role in healthcare setting Communicating my role in healthcare setting Working with different personalities Working with different personalities Finding my place on the team Finding my place on the team

Most Challenging Moments Section Two Dealing with death & dying Dealing with death & dying Learning new nursing skills Learning new nursing skills Managing patient load & long shifts Managing patient load & long shifts Assisting with a patient crisis Assisting with a patient crisis Negotiating conflicts with staff Negotiating conflicts with staff Communicating with language barriers Communicating with language barriers Handling uncooperative patients Handling uncooperative patients

Most Rewarding Moments Section One Gratitude of patients for my care Gratitude of patients for my care Making a difference/contributing to patient care & wellness Making a difference/contributing to patient care & wellness Staff compliments Staff compliments Realizing I was trusted/capable of doing the job Realizing I was trusted/capable of doing the job Idea of nursing career after graduating Idea of nursing career after graduating

Most Rewarding Moments Section Two Words of encouragement from preceptors & patients Words of encouragement from preceptors & patients Establishing relationships with families & families Establishing relationships with families & families Doing certain nursing skills on my own Doing certain nursing skills on my own Learning new language & communicating with patients Learning new language & communicating with patients