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Development and implementation of a clinical needs assessment to support nursing and midwifery students with a disability in clinical practice: Part 1
Affiliation:1. Department of Nursing, Nagoya University Graduate School of Medicine, Japan;2. Kobe City College of Nursing, Japan;3. Yamanashi Prefectural University School of Nursing, Japan;1. Centre for Cardiovascular & Chronic Care, University of Technology, Sydney, Australia;2. School of Nursing and Midwifery, University of Western Sydney, Locked Bag 1797, Penrith South DC, NSW 2751, Australia;3. Palliative Nursing, Cunningham Centre for Palliative Care & School of Nursing Sydney, The University of Notre Dame Australia, PO Box 944, Broadway, NSW 2007, Australia;4. Johns Hopkins University, United States;5. Centre for Cardiovascular and Chronic Care, University of Technology Sydney, Australia;6. Cardiovascular Research at St Vincent''s Hospital Sydney, University of Technology, Sydney, Australia;1. Centre for Excellence in Learning Enhancement, Coventry University, Coventry, United Kingdom;2. School of Nursing, Midwifery and Health, Coventry University, Coventry, United Kingdom;3. School of Psychological, Social and Behavioural Sciences, Coventry University, United Kingdom, Coventry, United Kingdom
Abstract:Equality and disability legislation, coupled with increasing numbers of students with a disability, and inadequate supports in clinical practice, acted as catalysts to explore how best to support undergraduate nursing and midwifery students on clinical placements. Historically, higher education institutions provide reasonable accommodations for theoretical rather than clinical modules for practice placements. This paper describes the development and implementation of a Clinical Needs Assessment designed to identify the necessary supports or reasonable accommodations for nursing and midwifery students with a disability undertaking work placements in clinical practice.The existing literature, and consultation with an expert panel, revealed that needs assessments should be competency based and clearly identify the core skills or elements of practice that the student must attain to achieve proficiency and competence. The five Domains of Competence, advocated by An Bord Altranais, the Nursing and Midwifery Board of Ireland, formed the framework for the Clinical Needs Assessment. A panel of experts generated performance indicators to enable the identification of individualised reasonable accommodations for year 1 nursing and midwifery students in one Irish University. Development and implementation of the Clinical Needs Assessment promoted equality, inclusion and a level playing field for nursing and midwifery students with a disability in clinical practice.
Keywords:Students with a disability  Reasonable accommodations  Support in clinical practice  Clinical needs assessment
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