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Clinical education: nursing students' experiences with multisource feedback using a digital assessment instrument in the emergency medical Service - a qualitative study
Karolinska Institute, Sweden;Södersjukhuset, Sweden.
Linnaeus University, Faculty of Technology, Department of computer science and media technology (CM).ORCID iD: 0000-0002-3738-7945
Karolinska Institute, Sweden.
Umeå University, Sweden.
2025 (English)In: BMC Medical Education, E-ISSN 1472-6920, Vol. 25, no 1, article id 391Article in journal (Refereed) Published
Abstract [en]

Background Clinical education in Emergency services (EMS) is unique due to its dynamic environment, brief patient encounters, and unpredictable cases. EMS provides valuable learning opportunities for nursing students, fostering person-centered care approaches and a variation of clinical training and learning. Formative feedback is crucial todevelop knowledge and skills. Multisource feedback (MSF) offers a comprehensive assessment by incorporating feedback from various individuals, promoting self-reflection and targeted learning. MSF has not, to our knowledge, been systematically evaluated in the context of EMS, and therefore, the aim of the study was to describe nursing students’ experiences with MSF during their clinical education in the EMS, using a digital instrument as a facilitating tool.

Methods A qualitative design with an inductive approach was used. Data were collected in 2021, using focus group interviews (n = 4) with 31 final-semester nursing students in Stockholm, Sweden, who had conducted clinical education in the EMS and received MSF through a digital instrument. Data were analyzed using reflexive thematic analysis, guided by Braun and Clarke’s methodology.

Results Three themes revealed: feedback from sources familiar with the student’s learning objectives, feedbackfrom sources unfamiliar with the learning objectives, and general perceptions of MSF in the EMS. Students valued self-reflection and feedback from peers and supervisors for personal and professional growth. Patient feedback was challenging due to their limited contextual understanding and emotional states, while feedback from other healthcare professionals was appreciated but hindered by the healthcare professionals’ workload and timing constraints. Overall, students appreciated MSF’s diverse perspectives, enriching their learning, performance, and development.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2025. Vol. 25, no 1, article id 391
Keywords [en]
Emergency services, Formative feedback, Multicourse feedback, Reflection, Clinical education, Nursing
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-137432DOI: 10.1186/s12909-025-06950-0ISI: 001446326800001PubMedID: 40098126Scopus ID: 2-s2.0-105000377180OAI: oai:DiVA.org:lnu-137432DiVA, id: diva2:1948550
Available from: 2025-03-31 Created: 2025-03-31 Last updated: 2025-07-03Bibliographically approved

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Masiello, Italo

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