Activity 1. Difficult Learning Situation

Difficult Learning Situation

Difficult Learning Situation

by Prince Japred Toring -
Number of replies: 1

As a clinical instructor, I faced a challenging learning situation with a third-year nursing student assigned to the bustling surgical ward. This student, initially seemed disengaged and hesitant, displaying reluctance even in performing basic nursing skills like vital signs monitoring and wound dressing, despite having convincingly demonstrated her abilities in the skills laboratory. Initially, I thought she was adjusting to the demands of the clinical environment. However, after two days of observation, I noticed a concerning pattern; she consistently deferred tasks to her classmates and avoided direct patient interaction. Her reluctance felt like an invisible barrier, hindering her from fully engaging in the essential hands-on experiences that foster growth in nursing. Out of curiosity and concern, I gently approached her to discuss what I had observed. The student opened up, expressing that she felt overwhelmed by the fast-paced hospital setting. Her eyes widened as she shared her fear of making mistakes in front of both patients and staff. The presence of senior nurses amplified her anxiety, and the unspoken expectation that she “should already know” everything at this stage weighed heavily on her. Recognizing her as a dependent and anxious learner, I embraced the opportunity to provide structured and compassionate support. I combined direct supervision with clear step-by-step instruction and consistent positive reinforcement. To further support her growth, I paired her with a peer mentor—someone who not only exuded confidence but also showed genuine empathy toward the student’s struggles. This peer became a supportive bridge, helping the navigate her fears in a relatable way. I also introduced her to guided reflective journaling, a tool that allowed her to articulate her fears in a safe manner. Through writing, she began to reframe her experiences, viewing them as invaluable learning opportunities rather than failures. Over time, I witnessed a profound transformation. Gradually, the student's confidence blossomed. By the end of her rotation, she was performing her tasks autonomously and even took the initiative to lead a bedside health teaching session for patients. Witnessing her growth reinforced a vital lesson for me: establishing psychological safety within clinical teaching is paramount. Students thrive when they are supported, understood, and given the necessary time and resources to evolve at their own pace.

In reply to Prince Japred Toring

Re: Difficult Learning Situation

by Abigael De Mesa -
Hello Sir Prince!
I indeed appreciate your sharing of a thoughtful and inspiring experience. Your strategy to recognize the root of the student’s challenges and responding with empathy, structure, and peer support truly highlights the essence of transformative clinical teaching. It's a strong reminder that beyond technical skills, creating a psychologically safe and nurturing environment is crucial for students to grow into confident and competent nurses. Your guidance not only helped her overcome fear but empowered her to rediscover her capability.