title: The process and challenges of obtaining and sustaining clinical placements for nursing and allied health students.
abstract: OBJECTIVE
  To describe the process and challenges from a project that aimed to develop processes, source new placements and place students primarily in the discipline of nursing, but also occupational therapy, physiotherapy, podiatry, social work, and speech therapy.
  
  
  BACKGROUND
  Clinical experience in health facilities is an essential element of health professional education, yet globally, there is a lack of clinical placements to meet demands. Educational providers are seeking placements in nontraditional facilities, yet little has been reported on the challenges in the process of procuring clinical placements.
  
  
  METHODS
  The project used a descriptive approach within a quality implementation framework.
  
  
  METHODS
  The project was guided by the quality implementation framework that included four critical steps: considerations of the host setting, structuring the implementation, supporting the implementation and improving future applications.
  
  
  RESULTS
  A total of 115 new student placements were finalised across six health disciplines, including elderly care, nongovernment organisations and general practice. Sixty-two nursing students were placed in the new placements during the project. Challenges included communication, the time-consuming nature of the process and 'gatekeeping' blocks to obtaining placements. Recommendations included the importance of personal interaction in developing and maintaining relationships, and the need for clear communication processes and documentation. Potential areas for research are also given.
  
  
  CONCLUSIONS
  There is great potential for growth in establishing new placements outside the traditional placement facilities for nursing and allied health and for expanding already existing nonhospital placements.
  
  
  CONCLUSIONS
  Clinical professional experiences are essential to any nursing or allied health programme. There is an increasing demand for, and global lack of, clinical placements for nursing and allied health students. The results provide nursing and allied health educators and managers a framework for planning clinical placement procurement, and assisting in decision-making and developing strategies and processes for practice.
authors.affiliation: School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
authors.forename: Christine
authors.initials: C
authors.lastname: Taylor
authors.affiliation: School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
authors.forename: Liz
authors.initials: L
authors.lastname: Angel
authors.affiliation: School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
authors.forename: Lucy
authors.initials: L
authors.lastname: Nyanga
authors.affiliation: School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
authors.forename: Cathy
authors.initials: C
authors.lastname: Dickson
mesh_terms: D016390:Allied Health Occupations / Q000193:education / Q000706:statistics & numerical data*; D000488:Allied Health Personnel / Q000193:education / Q000706:statistics & numerical data; D002982:Clinical Clerkship / Q000706:statistics & numerical data*; D003142:Communication; D004506:Education, Nursing / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D016730:Program Development; D013338:Students, Nursing / Q000706:statistics & numerical data*
keywords: allied health; challenges; clinical placement; nursing