
The relationship between mentorship and learning
As a mentor , you can, by stimulating reflection and feedback, help students see the relationship between theory and practice, and achieve the learning outcomes defined for the clinical placement period.
Invite and stimulate dialogue and reflection
Inviting student nurses to take part in dialogue is the most important thing we do when mentoring. Dialogue and reflection create opportunities for discovery and learning. For students to learn best from the experiences they gain in different learning situations, it is important that they are invited to reflect – both before and after learning situations.
“Reflection involves thinking about how we do things and why we do what we do.”
Reflection contributes to raising awareness regarding the students’:
- Level of knowledge
- Ability to assess oneself and one’s own practice
- Values and attitudes
- Strengths and weaknesses
- Learning needs – what you might do differently in similar situations and why.
An invitation to reflect means that the nurse mentor facilitates dialogue so that students can share their thoughts and experiences from different learning situations involving different patients and nursing situations.
In-depth learning is promoted when students are encouraged to take part in and relate knowledge to practical actions via reflection and discussion. In addition, this contributes to students gradually taking more and more responsibility for their own learning and knowledge needs, as well as being able to solve the challenges they experience in their encounters with patients or residents and in the working community.
Examples of good and open-ended questions that stimulate reflection:
- What happened in that situation?
- What is your understanding of what happened?
- What were you thinking?
- What were your professional assessments?
- What knowledge do you need to understand this situation?
- What theories are relevant?
- What would you do differently?
- What did you learn?
- What would you like to practice more of?
- What can I do to help you develop further?
Good advice:
Establish a good and close relationship and dialogue with the students.
Show interest and invite them to share their experiences.
Use planned and daily learning situations as a starting point for mentoring
Invite students to reflect on their own actions. For example, how they experienced a morning care situation with a patient, a food situation or communication with a patient who has dementia.
Try to use open-ended rather than closed-ended questions.
This contributes to good guidance and stimulates the students’ learning process.
Simply telling or showing students what to do, or leaving them to themselves, reduces their learning opportunities.
Giving constructive feedback
Constructive feedback is key to the learning process. A lack of feedback can hamper students learning.
Feedback supports the learning process and can be affirmative, supportive, corrective, guiding and challenging. Feedback should be given continuously throughout the student’s clinical placement period. This can take place on an ongoing basis, after a learning situation, a working day or during a working week.
The best feedback is given directly after a learning situation where specific feedback provides good learning opportunities. Try to avoid general comments like “you are good at this”, “that was good” or “that wasn’t good”.
1
Positive feedback
What specifically did you think was good and why did you think the student was good at doing it?
2
Constructive feedback
What specifically do you think the student should continue to work on and how do you justify it?
If you give feedback on something that you considered was not good enough or satisfactory, it is important for the students’ learning to help them make specific suggestions for what and how this can be worked on further.
A lack of feedback can make students feel insecure and make them less likely to dare to challenge themselves in new situations. Students can quickly become insecure and think that they are not good enough if no one says anything. Feedback should not be given when fellow students, staff, patients, and relatives are present.
“In order for feedback to be experienced as guidance and not criticism, it should be given in a way that contributes to increasing the student’s awareness and understanding of their platform of knowledge, skills, attitudes and professional ethics.”
Good advice:
Pay attention to and be observant of students’ emotional expressions before giving feedback
There may be many things that are new for the student nurses, and they can react to and be affected by things they experience during their placement period– respond therefore sensitively and provide support.
Consider carefully the time and place you give feedback
Receiving feedback in the presence of others, such as patients, relatives, or colleagues, may be uncomfortable for the students, especially if the feedback involves corrections.
Make sure your feedback is clear and specific
Formulate your feedback in such a way that students are respected but also challenged. What do you specifically think the student did that was good, and in which areas do you think the student can be even better. It is important here that you explain your assessments. It helps the students in their learning.
Giving constructive feedback
Feedback doesn’t just mean positive feedback. Feedback of a more negative nature is also important and useful for learning if it is given with the best of intentions and is perceived as such. Always start with the positive things. Positive feedback can also be given in the form of gestures/facial expressions. For example, a smile, a sign (such as a ‘thumbs up’) or a pat on the shoulder.
Invite students to provide their own assessments first
These can be based on what they feel went well and on what they feel they need to practice more on.
Encourage students to join other professional groups, colleagues, or students and ask them to take the initiative to reflect with others.
As future registered nurses, teamwork within the ward and across professional groups is important. Students can learn a lot from collaborating with others.
It may be helpful to reflect on:
- What are my resources as a registered nurse mentor?
- What do I do to establish a good relationship with the students I will be mentoring ?
- How do I facilitate reflection in the mentoring I give?
- What are my listening skills like?
- How do I provide feedback?
- How do I provide guidance based on the students’ resources and areas for improvement and growth?