Cathrine Mathisen is defending her dissertation for the degree philosophiae doctor (PhD) at the University of South-Eastern Norway.
The doctoral work has been carried out at the Faculty of Health and Social Sciences
You are invited to follow the trial lecture and the public defence.
Summary
Clinical placements are a central component of nursing education, where students are expected to integrate theoretical knowledge with practical experience through encounters with patients and real-life clinical situations. This integration is essential for developing the clinical competence required to deliver safe and high-quality nursing care. High-quality placements therefore depend on strong collaboration between the educational institutions and the healthcare services.
In Norway, clinical placements are typically organised as 6–12-week periods in a clinical ward, where a registered nurse is responsible for supervising and supporting the student (clinical supervisor). In addition, the student is followed up by a clinical lecturer from the educational institution. The lecturer holds primary responsibility for assessing the student at both the mid-point and final evaluation, in collaboration with the clinical supervisor.
Despite shared responsibility for clinical placements, achieving effective collaboration between educational institutions and healthcare services remains challenging. This is partly due to differences in organisational cultures, priorities, and societal roles, which can lead to misunderstandings and a lack of shared ownership. These structural and cultural differences may hinder the development of a cohesive learning environment. In addition, the quality of clinical learning environments varies, and the role of the clinical supervisor is particularly crucial in shaping students’ experiences.
One initiative proposed by Norwegian authorities to improve the quality of clinical placements in nursing education is the increased use of so-called joint positions. This thesis, through three studies, explores the opportunities and challenges associated with joint positions. These are roles in which nurses have a dedicated responsibility to act as a link between educational institutions and healthcare services, with the aim of strengthening clinical placements as learning environments.
The findings show that joint positions can be an important measure for enhancing the quality of clinical learning, particularly by supporting clinical supervisors in their role. Familiarity with both the educational and clinical contexts gives these nurses a unique opportunity to bridge the gap between the two, which can lead to improved collaboration. However, for these roles to contribute to meaningful change, they must be positioned in a way that allows for organisational influence.