Preparing Students to Respond to Heightened Emotions in Field Practice
A Multi-Disciplinary Study
Keywords:
Field Education, Health and social work professions, Heightened emotions, Emotion regulationAbstract
Students in social work, nursing and midwifery often encounter heightened emotions in themselves and others while on placement. In this paper we report on a pilot study of social work, nursing, midwifery students’ perceptions of their educational preparation for responding to heightened emotions on placement and their views about an educational intervention we designed to assist them in responding to these.
Our study involved an initial survey of 36 students across the three disciplines. In the survey we focused on identifying the types of emotions students expected to encounter in themselves and patients or service users during placement. We also sought information about participants’ confidence in responding to these emotions. Participants (25) then agreed to participate in an educational intervention introducing them to concepts of emotion regulation and evidence-informed principles responding to heightened emotions in themselves and in others.
Participants anticipated experiencing a range of heightened emotions while on placement and were concerned about their ability to manage these emotions. We report on participants’ perceptions of the usefulness of the educational intervention and their suggestions for improving student preparation for understanding and responding to heighted emotions in practice.
References
Australian Association of Social Workers. (2019). Australian social work education and accreditation standards. Melbourne, VIC: AASW.
Bogo, M., Regehr, C., Baird, S., Paterson, J., & LeBlanc, V. R. (2017). Cognitive and affective elements of practice confidence in social work students and practitioners. British Journal of Social Work, 47(3), 701–718. doi:10.1093/bjsw/bcw026
Carello, J., & Butler, L. D. (2015). Practicing what we teach: Trauma-informed educational practice. Journal of Teaching in Social Work, 35(3), 262–278. doi:10.1080/08841233.2015.1030059
Coldridge, L., & Davies, S. (2017). “Am I too emotional for this job?” An exploration of student midwives’ experiences of coping with traumatic events in the labour ward. Midwifery, 45, 1–6. doi:10.1016/j.midw.2016.11.008
Criss, P. (2010). Effects of client violence on social work students: A national study. Journal of Social Work Education, 46(3), 371–390. doi:10.5175/JSWE.2010.200900038
Duros, P., & Crowley, D. (2014). The body comes to therapy too. Clinical Social Work Journal, 42(3), 237–246. doi:10.1007/ s10615-014-0486-1
Fallot, R. D., & Harris, M. (2009). Creating cultures of trauma-informed care (CCTIC): A self-assessment and planning protocol. Washington, DC: Community Connections.
Ford, J. D., & Blaustein, M. E. (2013). Systemic self-regulation: A framework for trauma-informed services in juvenile justice programs. Journal of Family Violence, 28, 665–677. doi:10.1007/s10896-013-9538-5
Fox, E. (2008). Emotion science: cognitive and neuroscientific approaches to understanding human emotions. Basingstoke, UK: Palgrave Macmillan.
France, K. (2007). Crisis intervention: A handbook of immediate person to person help. London, UK: Charles C. Thomas Publishers.
Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1–26. doi:10.1080/104 7840X.2014.940781
Hadfield, H., & Wittkowski, A. (2017). Women’s experiences of seeking and receiving psychological and psychosocial Interventions for postpartum depression: A systematic review and thematic synthesis of the qualitative literature. Journal Of Midwifery & Womens Health, 62(6), 723–736. doi:10.1111/jmwh.12669
Healy, K. (2018). The skilled communicator in social work: The art and science of communication in practice. London, UK: Palgrave.
Healy, K. & Lonne, B. (2010). The social work and human services workforce: A report from a national study of education, training and workforce needs. Strawberry Hills: Australian Learning and Teaching Council.
Howe, D. (2008). The emotionally intelligent social worker. Basingstoke, UK: Palgrave MacMillan.
Ignacio, J., Dolmans, D., Scherpbier, A., Rethans, J.-J., Chan, S., & Liaw, S. Y. (2015). Comparison of standardized patients with high-fidelity simulators for managing stress and improving performance in clinical deterioration: A mixed methods study. Nurse Education Today, 35(12), 1161–1168. doi:10.1016/j.nedt.2015.05.009
Jakobsen, F., Musaeus, P., Kirkeby, L., Hansen, T., & Mørcke, A. (2018). Emotions and clinical learning in an interprofessional outpatient clinic: A focused ethnographic study. Journal of Interprofessional Care, 1–9. doi:10.1080/13561820.2018.1514372
Jensen, T. K., Haavind, H., Gulbrandsen, W., Mossige, S., Reichelt, S., & Tjersland, O. A. (2010). What constitutes a good working alliance in therapy with children that may have been sexually abused? Qualitative Social Work, 9(4), 461–478. doi:10.1177/1473325010374146
Ketola, J., & Stein, J. V. (2013). Psychiatric clinical course strengthens the student–patient relationships of baccalaureate nursing students. Journal of Psychiatric and Mental Health Nursing, 20(1), 23-34. doi:10.1111/j.1365-2850.2012.01878.x
Knight, C. (2015). Trauma-informed social work practice: Practice considerations and challenges. Clinical Social Work Journal, 43(1), 25–37. doi:10.1007/s10615-014-0481-6
Levett-Jones, T., Pitt, V., Courtney-Pratt, H., Harbrow, G., & Rossiter, R. (2015). What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience? Nurse Education Practice, 15(4), 304–309. doi:10.1016/j.nepr.2015.03.012
Litvack, A., Mishna, F., & Bogo, M. (2010). Emotional reactions of students in field education: An exploratory study. Journal of Social Work Education, 46(2), 227–243. doi:10.5175/JSWE.2010.200900007
Maguire, T., Daffern, M., Bowe, S. J., & McKenna, B. (2017). Predicting aggressive behaviour in acute forensic mental health units: A re‐examination of the dynamic appraisal of situational aggression’s predictive validity. International Journal of Mental Health Nursing, 26(5), 472–481. doi:10.1111/inm.12377
McDonnell, A. (2010). Managing aggressive behaviour in care settings: Understanding and applying low arousal approaches. Hoboken, NJ: Wiley.
McRae, K., Ochsner, K. N., Mauss, I. B., Gabrieli, J. J., & Gross, J. J. (2008). Gender differences in emotion regulation: An fMRI study of cognitive reappraisal. Group Processes & Intergroup Relations, 11(2), 143–162. doi:10.1177/1368430207088035
Mirlashari, J., Warnock, F., & Jahanbani, J. (2017). The experiences of undergraduate nursing students and self-reflective accounts of first clinical rotation in pediatric oncology. Nurse Education in Practice, 25, 22-28. doi:10.1016/j.nepr.2017.04.006
Nursing and Midwifery Board. (2020). Standards for practice. Canberra, ACT: AHPRA. Retrieved from https://www. nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Pai, H.-C. (2016). An integrated model for the effects of self-reflection and clinical experiential learning on clinical nursing performance in nursing students: A longitudinal study. Nurse Education Today, 45, 156–162. doi:10.1016/j.nedt.2016.07.011
Percy, M., & Richardson, C. (2018). Introducing nursing practice to student nurses: How can we promote care compassion and empathy. Nurse Education in Practice, 29, 200–205. doi:10.1016/j.nepr.2018.01.008
Price, O., & Baker, J. (2012). Key components of de‐escalation techniques: A thematic synthesis. International Journal of Mental Health Nursing, 21(4), 310–319. doi:10.1111/j.1447-0349.2011.00793.x
Price, O, Baker, J., Bee, P., & Lovell, K. (2015). Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression. The British Journal of Psychiatry, 206, 447–455. doi:10.1192/bjp.bp.114.144576
Roberton, T., Daffern, M., & Bucks, R. S. (2012). Emotion regulation and aggression. Aggression and Violent Behavior, 17(1), 72–82. doi:10.1016/j.avb.2011.09.006
Savaya, R., Gardner, F., & Stange, D. (2011). Stressful encounters with social work clients: A descriptive account based on critical incidents. Social Work, 56(1), 63–71.
Werner, K., & Gross, J. (2010). Emotion regulation and psychopathology: A conceptual framework. In A. Kring & D. Sloan (Eds.), Emotion regulation and psychopathology (pp. 13–37). New York, NY: The Guilford Press.
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