Do Therapeutic Recreation Mental Health Clinical Placements Provide Educational Experiences to Pre‐Registration Student Nurses?: A Mixed Methods Systematic Review.
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| Title: | Do Therapeutic Recreation Mental Health Clinical Placements Provide Educational Experiences to Pre‐Registration Student Nurses?: A Mixed Methods Systematic Review. |
|---|---|
| Authors: | Leplaw, Abigail, Fernandez, Ritin, Lewer, Kelly, Patterson, Christopher, Moxham, Lorna |
| Source: | International Journal of Mental Health Nursing. Feb2025, Vol. 34 Issue 1, p1-17. 17p. |
| Subjects: | School environment, Mental health, Internship programs, CINAHL database, Nursing education, Recording & registration, Experience, Systematic reviews, MEDLINE, Thematic analysis, Recreational therapy, Nursing students, Psychology information storage & retrieval systems, Social stigma, Vocational guidance |
| Abstract: | Clinical placements are a critical component in any pre‐registration student nurse's skill development and play an influential role in career specialisation upon registration. However, students are reporting to feel anxious and under prepared attending clinical placements, especially within mental health settings. Such a concern was highlighted in the Australian Government's Productivity Commission into Mental Health (2020). With recommendations for clinical placements to occur in therapeutic recreation environments, allowing increased interactions between students and individuals with a lived experience. Hence, this mixed methods systematic review aims to explore the experiences of pre‐registration student nurses completing their mental health clinical placement within a therapeutic recreation environment. Six databases were searched for the review; CINHAL, Medline, PsycINFO, Web of Science, Scopus and the ProQuest Dissertation and Theses database, yielding 10 214 articles. Data were imported to COVIDENCE for management and screening processes. Risk of bias was undertaken by two authors utilising the Joanna Briggs Institute's Critical Appraisal Checklist for qualitative and quasi‐experimental studies and McGill's Mixed Methods Appraisal Tool 2018 Version for mixed methods studies. Data were extracted manually for the 13 included articles which met the review inclusion criteria. Following a thematic analysis of the extracted data, three themes emerged: an optimal learning environment, impact on stigmatising beliefs and influence on future career. Findings identified that therapeutic recreation environments pose numerous education benefits for pre‐registration student nurses. It is apparent through an immersive mental health clinical placement; student nurses are able to increase their mental health understanding through the lens of those with lived experiences. Such environments challenge stigmatising beliefs held by students prior to clinical placements and can lead to an increased desire to pursue a career within the mental health speciality. This review offers an insight into the many benefits for pre‐registration student nurses who complete their mental health clinical placements in therapeutic recreation environments, including reduced stigmatising beliefs, increased mental health knowledge and improved clinical confidence. Trial Registration: PROSPERO: CRD42023476280 [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 183601441 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Do Therapeutic Recreation Mental Health Clinical Placements Provide Educational Experiences to Pre‐Registration Student Nurses?: A Mixed Methods Systematic Review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Leplaw%2C+Abigail%22">Leplaw, Abigail</searchLink><br /><searchLink fieldCode="AR" term="%22Fernandez%2C+Ritin%22">Fernandez, Ritin</searchLink><br /><searchLink fieldCode="AR" term="%22Lewer%2C+Kelly%22">Lewer, Kelly</searchLink><br /><searchLink fieldCode="AR" term="%22Patterson%2C+Christopher%22">Patterson, Christopher</searchLink><br /><searchLink fieldCode="AR" term="%22Moxham%2C+Lorna%22">Moxham, Lorna</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Mental+Health+Nursing%22">International Journal of Mental Health Nursing</searchLink>. Feb2025, Vol. 34 Issue 1, p1-17. 17p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22School+environment%22">School environment</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+education%22">Nursing education</searchLink><br /><searchLink fieldCode="DE" term="%22Recording+%26+registration%22">Recording & registration</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Recreational+therapy%22">Recreational therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+students%22">Nursing students</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Vocational+guidance%22">Vocational guidance</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Clinical placements are a critical component in any pre‐registration student nurse's skill development and play an influential role in career specialisation upon registration. However, students are reporting to feel anxious and under prepared attending clinical placements, especially within mental health settings. Such a concern was highlighted in the Australian Government's Productivity Commission into Mental Health (2020). With recommendations for clinical placements to occur in therapeutic recreation environments, allowing increased interactions between students and individuals with a lived experience. Hence, this mixed methods systematic review aims to explore the experiences of pre‐registration student nurses completing their mental health clinical placement within a therapeutic recreation environment. Six databases were searched for the review; CINHAL, Medline, PsycINFO, Web of Science, Scopus and the ProQuest Dissertation and Theses database, yielding 10 214 articles. Data were imported to COVIDENCE for management and screening processes. Risk of bias was undertaken by two authors utilising the Joanna Briggs Institute's Critical Appraisal Checklist for qualitative and quasi‐experimental studies and McGill's Mixed Methods Appraisal Tool 2018 Version for mixed methods studies. Data were extracted manually for the 13 included articles which met the review inclusion criteria. Following a thematic analysis of the extracted data, three themes emerged: an optimal learning environment, impact on stigmatising beliefs and influence on future career. Findings identified that therapeutic recreation environments pose numerous education benefits for pre‐registration student nurses. It is apparent through an immersive mental health clinical placement; student nurses are able to increase their mental health understanding through the lens of those with lived experiences. Such environments challenge stigmatising beliefs held by students prior to clinical placements and can lead to an increased desire to pursue a career within the mental health speciality. This review offers an insight into the many benefits for pre‐registration student nurses who complete their mental health clinical placements in therapeutic recreation environments, including reduced stigmatising beliefs, increased mental health knowledge and improved clinical confidence. Trial Registration: PROSPERO: CRD42023476280 [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/inm.13473 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 17 StartPage: 1 Subjects: – SubjectFull: School environment Type: general – SubjectFull: Mental health Type: general – SubjectFull: Internship programs Type: general – SubjectFull: CINAHL database Type: general – SubjectFull: Nursing education Type: general – SubjectFull: Recording & registration Type: general – SubjectFull: Experience Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: MEDLINE Type: general – SubjectFull: Thematic analysis Type: general – SubjectFull: Recreational therapy Type: general – SubjectFull: Nursing students Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Social stigma Type: general – SubjectFull: Vocational guidance Type: general Titles: – TitleFull: Do Therapeutic Recreation Mental Health Clinical Placements Provide Educational Experiences to Pre‐Registration Student Nurses?: A Mixed Methods Systematic Review. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Leplaw, Abigail – PersonEntity: Name: NameFull: Fernandez, Ritin – PersonEntity: Name: NameFull: Lewer, Kelly – PersonEntity: Name: NameFull: Patterson, Christopher – PersonEntity: Name: NameFull: Moxham, Lorna IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 14458330 Numbering: – Type: volume Value: 34 – Type: issue Value: 1 Titles: – TitleFull: International Journal of Mental Health Nursing Type: main |
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