I am writing in response to the article "Five Recommendations for Preli-censure Clinical Nursing Education," written by Richard C. Maclntyre, Teri A. Murray, Cynthia S. Teel, and Judith F. Karshmer in the August 2009 issue (Vol. 48, No. 8, pp. 447-453). Having gone through two clinical rotations as a nursing student, I see the merit in the idea of having clinical time reflect the full scope of nursing decision making. Many would agree and say that shadowing nurses and trying to understand their every move, rather than concentrating on individual patients, might be better preparation for "the real world of nursing." By focusing on one patient and assessing the immediate impact of our actions, we gain experience; however, I feel that we, as students, are indeed missing how patient outcomes are interconnected with the nursing unit and larger systems issues.
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