Effect of Early Exposure to Clinical Areas Essay
New trend in the nursing course is the new curriculum wherein one of its features is to expose the students in the clinical area as early as possible - Effect of Early Exposure to Clinical Areas Essay introduction. In the old curriculum, nursing students start to have an exposure to the clinical area during the third year level while in the new curriculum, pre-clinical exposure begins on their first year level. The newest program of the Commission on Higher Education (CHED) for the nursing students and nursing schools included the early exposure to clinical area, advanced learning of the nursing theories and procedures and early capping and pinning ceremony.
According to the CHED Memorandum Order No. 14 Series of 2009, this curriculum is a four-year program consisting of general education and professional courses. Professional courses begin in the first year and threads through the development of competencies up the fourth year level. The BSN program provides an intensive nursing practicum that will refine clinical skills from the first year level to ensure basic clinical competencies required of a beginning nurse practitioner.  In China, there was a survey regarding early exposure of nursing students.
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Questionnaire was used to investigate 83 nursing freshmen in terms of specialty thinking, learning motive and teaching methods. Results In view of early clinical practice, 91. 5% of the students thought their specialty thinking was consolidated, 98. 79% thought they established correct nursing consciousness. 97. 59% and 93. 98% of them thought early clinical practice inspired their learning motives and stimulated their potential in learning and meanwhile their comprehensive ability was strengthened.
Conclusion, early clinical practice poses active influence on specialty thinking, learning motive and comprehensive ability of nursing undergraduates in the first year. On the other hand, the reforms of teaching methods and training of clinical teachers need strengthening.  Another research was conducted in the same country, at LI Shouguo,XU Juanjuan, WANG Rui( Nursing Department,Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China). The objective is to find out the differences in the attitude towards the early exposure of nurse students to clinical practice between urse students and their instructors. A self-designed questionnaire was used to conduct a survey in 111 nurses who were engaged in both clinical work and nursing instruction and 118 nurse students enrolled in 2003,2004 and 2005. Results about 57. 3% of nurse student believed it is very necessary to expose to clinical practice at early stage and only 24. 32% of teachers believed it is necessary. There was a significant difference between the two groups in the attitude (P0. 01). The undergraduate nurse student wished to learn knowledge in communication and health education and to expose themselves to clinical work for 3 days each month.
Conclusion: It is necessary for nurse students to have an early exposure to clinical work and such clinical practice should be scheduled based on the needs of student and teachers’ work schedule.  At this point, it is important to note that, “Competent practice is a major legal safeguard for nurses. Nurses need to provide care that is within the legal boundaries of practice and within the boundaries of Agency policies and procedure. Every nurse is responsible for ensuring that his/her education and experience are adequate to meet the responsibilities delivered in the job description”. 4] As stated in the Scope of Nursing Practice (per. R. A. 9173, Philippine Nursing Act of 2002),” It is the duty of the nurse to teach, guide and supervise students in nursing education program, including the administration of Nursing Services in varied setting such as hospitals and clinics; undertake consultation series; engage in activities that require the utilization of knowledge and decision making skills of a registered nurse; and undertake nursing and health human resource development training and research, which shall include, but not limited to, the development of advance nursing practice”. 5] The general purpose of this study is to know the impact or effect of early exposure to clinical areas of the nursing students to their overall performance. We will see whether early exposure helps to improve the performance of BSN students in clinical areas and as well as their academic performance, and/or the negative effects of this early exposure.
Another purpose of this research is that, since this new curriculum is just been started, there is a need to study the effect or end-product of this new program. We will see whether this early exposure motivates the students to strive so that they are able to be a competent student nurses or this early exposure pose as a bigger challenge to each students. This study will give an idea not only to the ursing department of Naga College Foundation but also to every school that offers nursing on how they are going to improve the quality of their education. Another purpose why there is a need to conduct this study is to evaluate if the students are able to adapt and to adjust in the sudden exposure in the clinical area, if they can absorb what they have experienced and if they are able to do the procedures very well in the hospital or in the community.
This study would also offer facts to the institution that will lead them to take necessary actions for the betterment of their students as well as they will identify what they need to change, what they are lacking, and what are the things they should implement to help the students. This research will be helpful to the institution in producing highly competent and world class nurses. As a part of this new curriculum and the pioneering batch, we were able to expose early to clinical area and that time, we were anxious on what the scenario would be and we were able to observe different skills in nursing field.
There were also some procedures that we’ve encounter prior to our concept to be taught in school. Being exposed early to clinical area boost our knowledge because there are some things and procedures that are not being taught in our academic subjects. We were also motivated enough to study well so that we will be a competent student nurses and we are not afraid to go along with other student nurses.