The context, influences and challenges for undergraduate nurse clinical education: Continuing the dialogue.
BACKGROUND
Approaches to clinical education are highly diverse and becoming increasingly complex to sustain in complex milieu


OBJECTIVE
To identify the influences and challenges of providing nurse clinical education in the undergraduate setting and to illustrate emerging solutions.


METHODS
A discursive exploration into the broad and varied body of evidence including peer reviewed and grey literature.


CONCLUSIONS
Internationally, enabling undergraduate clinical learning opportunities faces a range of challenges. These can be illustrated under two broad themes: (1) legacies from the past and the inherent features of nurse education and (2) challenges of the present, including, population changes, workforce changes, and the disconnection between the health and education sectors. Responses to these challenges are triggering the emergence of novel approaches, such as collaborative models.


CONCLUSIONS
Ongoing challenges in providing accessible, effective and quality clinical learning experiences are apparent.
Faculty of Health, University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia. Electronic address: Janet.Forber@student.uts.edu.au.
Jan
J
Forber
Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia.
Michelle
M
DiGiacomo
Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia; School of Nursing, John Hopkins University, 525N Wolfe Street, Baltimore, MD 21205, USA.
Patricia
P
Davidson
School of Health, University of Central Lancashire, Fylde Road, Preston, PR1 2HE, United Kingdom; University of Tasmania, Churchill Avenue, Hobart, Tasmania 7005, Australia.
Bernie
B
Carter
Faculty of Health & Life Sciences, Oxford Brookes University Jack Straws Lane, Marston, Oxford OX3 0FL, United Kingdom; Oxford University Hospitals NHS Trust, Windmill Road, Headington, Oxford, United Kingdom.
Debra
D
Jackson
D002983:Clinical Competence; D004508:Education, Nursing, Baccalaureate; D018961:Educational Technology; D006801:Humans; D007857:Leadership; D015402:Nursing Education Research; D018794:Problem-Based Learning; D013338:Students, Nursing
Clinical education; Education models; Innovation; Nursing; Students