Quote from barb4575
Those are terrific ideas for a postconference and I will remember it. In my clinical postconferences, we have always discussed professionalism because it is a debriefing time as well. There has always been at least one staff member that the students do not want to work with and it is usually due to their behavior. So, the behavior of the nurse would be discussed and it is imperative to focus on the behavior, not the RN. It is also important that students are aware that postconference is confidential.
A perfect example is when a student really liked this staff RN and considered her a "good" RN. However, she learned that being nice does not equate with the standard of being a "good nurse". This particular RN made four major errors in her practice that we witnessed. I evaluated each incident and when I decided it was unsafe practice, I reported it to hospital representative.
The bad part was that the nurse was spoken to by the clinical nurse specialist/educator and the nurse was hateful to all of us for the remainder of our clinical time. I also believe that the nurse discussed this with one of my students.
I am sure that you did your best to be diplomatic and fair in the situations discussed above, but I just want to point out that this is one major reason that staff nurses sometimes don't like to have students on their floor. Sometimes the staff feels that they are being scrutinized (and judged) by people they don't know well enough to trust. Students often wonder why staff nurses aren't more welcoming: this is one of the reasons why.
For example, we had one instructor at my hospital who regularly assigned her students to watch for examples of poor practice, make written lists, and discuss them in post-conference. These examples were then reported to the nursing management. In some cases, the students and the instructor were wrong in their assessments of what was considered appropriate and that added tothe tension. With assignments like that, it's no wonder that the staff nurse did not like to have that instructor and her students on their unit! It got so bad that we finally had to insist that the instructor not make those assignments any more. We had to tell her (and her supervisor) that if she could not be more supportive of our staff (and stop looking to find fault all the time), she would not be allowed back to teach at our institution.
Certainly, it is appropriate to discuss questionable practices with the unit's leadership team (and with the students) -- but instructors and students need to remember to be very careful about how they do that.