Positive Aspects of Accepting Clinical Training in Basic Nursing Education for Home-Visit Nursing Agencies: From the Perspective of Visiting Nurses

Abstract

This qualitative study explored the positive impact of accepting nursing students for clinical training at home-visit nursing agencies in Japan. Through semi-structured interviews with 10 experienced visiting nurses, the researchers identified three main categories of benefits. First, [An Opportunity to Enhance Professionalism as a Visiting Nurse]: Clinical instructors reflected on their own nursing practice, re-evaluated its evidence-based appropriateness, and reaffirmed fundamental knowledge. They gained new insight through student observations and interactions, prompting self-correction and reflection on their nursing perspectives. Moreover, instructors were motivated to continue professional development and viewed student guidance as a catalyst for ongoing learning. Second, [Fostering Organizational Culture]: Accepting students prompted improvements, such as reviewing records and documentation, refining staff demeanor, and deepening mutual understanding among staff. It also encouraged staff to reflect on their passion for nursing, leading to richer discussions regarding patient care and fostering a shared awareness of patients. Student inquiries helped staff gain a broader understanding of patients, reconsider established images, and enhance shared learning within the agency. Third, [Influencing Patients’ Lives and Motivation]: Students’ visits provided mental stimulation to home-visit nursing patients, bringing enjoyment and revitalizing their routines. Patients also found a sense of purpose through their teaching roles, strengthening their social connections and potentially enhancing their self-efficacy. The independent nature of home-visit nursing implies that student training offers unique opportunities for nurses to learn from colleagues through student feedback, thereby fostering a culture of shared learning. Additionally, the one-on-one instruction model engages more staff in teaching and spreads benefits beyond the designated instructors. This study highlights how clinical training not only contributes to nursing education but also enhances care quality, supports staff development, and fosters patients’ social engagement, potentially promoting the well-being of homebound individuals.