title: Walking the bridge: Nursing students' learning in clinical skill laboratories.
abstract: Despite an increasing focus on simulation as a learning strategy in nursing education, there is limited evidence on the transfer of simulated skills into clinical practice. Therefore it's important to increase knowledge of how clinical skills laboratories (CSL) can optimize students' learning for development of professional knowledge and skills, necessary for quality nursing practice and for patient safety. Thus, the aim was to describe nursing students' experiences of learning in the CSL as a preparation for their clinical practice. Interviews with 16 students were analysed with content analysis. An overall theme was identified - walking the bridge - in which the CSL formed a bridge between the university and clinical settings, allowing students to integrate theory and practice and develop a reflective stance. The theme was based on categories: conditions for learning, strategies for learning, tension between learning in the skills laboratory and clinical settings, and development of professional and personal competence. The CSL prepared the students for clinical practice, but a negative tension between learning in CSL and clinical settings was experienced. However, this tension may create reflection. This provides a new perspective that can be used as a pedagogical approach to create opportunities for students to develop their critical thinking.
authors.affiliation: Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
authors.forename: Mona
authors.initials: M
authors.lastname: Ewertsson
authors.affiliation: Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden; Clinical Skills Centre, Örebro University Hospital, Örebro, Sweden.
authors.forename: Renée
authors.initials: R
authors.lastname: Allvin
authors.affiliation: School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden.
authors.forename: Inger K
authors.initials: IK
authors.lastname: Holmström
authors.affiliation: Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden. Electronic address: karin.blomberg@oru.se.
authors.forename: Karin
authors.initials: K
authors.lastname: Blomberg
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004506:Education, Nursing; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007858:Learning; D008297:Male; D017145:Models, Educational; D000066908:Simulation Training / Q000379:methods*; D013338:Students, Nursing / Q000523:psychology*; D055815:Young Adult
keywords: Clinical skills laboratory; Learning; Nursing education; Nursing students; Practical skills; Simulation