Nursing Education Internship: Working Towards a Dream

– Floro Cubelo –

When the opportunity knocked once, I opened it. This internship programme offered by the Institute of Public Health and Clinical Nutrition, in collaboration with the Department of Nursing Science has opened the portal towards my dream of the teaching profession in Finland. Rigorous preparations were conducted before getting into the internship place. One is the completion of several documents and complying with the bureaucracy for the protection of several parties including the intern, the university and the host institution. However, it was easy to comply with the requirements. The communication via electronic mail with the International Coordinator of Jyväskylä University of Applied Sciences (JAMK), Marjo Palovaara and Internship Coordinator, Assistant Professor Arja Erkkilä went through according to my plan. Both parties were very welcoming and open-minded with the justified plan. Then voila, I got the internship place!

Since time immemorial way back in the Philippines, I have had an active desire to be in the teaching profession. I went lecturing at several institutions regarding the promotion of a healthy lifestyle in particular to the promotion of a healthy and stable musculoskeletal system through a non-pharmacological approach. I have also been a part-time lecturer in the College of Nursing in one institution teaching about Community Health Nursing, Psychiatric Nursing, Maternal and Child Nursing and as well as Medical-Surgical Nursing. Since then, my interest in Nursing Education remains on fire and I have carried it all the way when I moved to Finland. Working as a Contingent Nurse in a Health Centre District Hospital, I have seen and heard sentiments from the International Nursing Students about their practice, the integration phase and the achievement of their goals in Finland. As I was one of them way back five years ago, I pledged to persistently improve my mentorship approach in a way I wanted it to be when I was a student. This pushed me to apply for the MPH programme and specialize in the Health Promotion in Nursing Science track, hoping someday to become a Nurse Educator in Finland.

Since the Nursing Science track has just recently been merged with the MPH programme as a new track, this internship is also the first time in the Department. I could have applied to the World Health Organization- Southeast Asian Region in the Philippines, but I chose to follow my dream, as I wanted to stay in Finland. During the first day of my internship, Marjo gladly welcomed me to take part in her Preoperative Nursing lecture, and it was at the same time a refreshment of my operating room nursing knowledge. As days went by, I have taken part in most of the lectures of other nursing lecturers in the different fields of nursing, and even joined simulations, which were absolutely exhilarating, fun and exciting. Clinical Educators (including Xiao, Anu, William, Teija, Kaisu and Margit) gave me the chance to be a patient, guide and give feedback to students.

Since my speciality for the MPH programme is on Health Promotion, I have also been part of the two courses that were going on during the time of my internship including Basics of Health Promotion and Counselling of Health Promotion and Wellbeing. These courses value the concept of learning by doing. Health Promotion was not just discussed and left in the four corners of the classroom as we did so many physical activities in the University’s gymnasium hall and had moments to flex, jump, exercise and move like thunders.

The most satisfying moment in my practice is the side-talks with the international nursing students. The moment you asked them questions about their situations (emotions, wishes and hopes, dreams and plans) in Finland, gave me the chance to encourage and inspire them to keep pursuing their dreams and not give up living in the country. Finland faces threats on nursing shortage, so I would be glad to become an advocate in promoting the nursing profession to other foreigners as well.

During the last day of the Basics of Health Promotion, we had exchange students from Estonia and it was just incredible hearing their project reports together with the international students of JAMK. I was also glad to meet Estonian Nurse Educators and even gave me a personalized pen from the Tartur Health Care College at the end of the lecture.

The teaching strategies contained combinations of approaches that help stimulate the students’ critical thinking. I appreciated a lot the “half-sphere-formation” of the classroom set-up, which in my opinion helps students to be in a culture of closeness. The simultaneous video and discussion among students generated ideas of improvement both from their side and from the one performing the return demonstration. Most students like the open forum/discussion where they can do rebuttals or support ideas. The recapitulation phase facilitates the students to remember the vital areas of the learning process.

One skill that I still lack that I might work on in the future, is to understand the level of learning capacity of the students- whether some profound concepts get into their comprehension, so discussions and lectures would be according to what they can understand and use in the future working life.
I had also the chance to get in touch with one project facilitated by JAMK called Hyvinvointikioski, which is funded by the European Commission in terms of analyzing other similar projects in the major cities in Finland including the following but not limited to Kuopio, Espoo and Nokia.

After this internship, I have realized that I have so much passion in teaching nursing students in as much as I did before I left the Philippines. To teach in the field of nursing in Finland would be an enormous privilege to treasure, being one of the finest in the education systems in the world. After all, I still have more things to work on- utilization of the latest teaching strategies that are evidence-based, another work year experience as a Registered Nurse in particular to being a Float Nurse and as well as the pursuance of my Master’s Degree in Public Health major in Health Promotion in Nursing Science.
There is so much to learn from the Finnish education system. The value of independence and freedom in the utilization of time, teaching strategies, satisfaction of the students and the embracement of their feedback make it a unique defining way on how to become a teacher. I believe that an environment of an authoritarian approach promote less learning and retention from the students. The University of Applied Sciences experience reminds me that whoever wants to enter the teaching profession should value a student friendly environment where no student is left behind on the journey to success. Teachers are like parents who set rules, guide their children but after all, maintain authority and value towards education.

There are three types of goals in Nursing Care Plan (goal met, goal partially met and goal not met), and I daresay, that my goals are met for this internship period.

Let my dreams continue to flourish!

INTO THE SYSTEMATIC REVIEW … My intership experience!!

– Prativa Basnet –

During the orientation courses of public health programme we had been informed about some of the organizations that we could possibly work as an intern and gain hands-on experience in the field of our interest. I deeply wanted to get involved in some research work to learn and contribute to the publications but was not hopeful I might find any opportunity.

In one of the lectures for the course Research Process in Public Health, I had an opportunity to know more about the Finnish Institute of Public Health and the cochrane review work. I didn’t wait longer to send my CV and express my interest to work as a volunteer in a systematic review. Fortunately, my call was heard and I was invited for an interview and then after solemn discussion on my experience, interest and motivation the reaction was positive.

Things started to roll on. I was assigned to work in an existing systematic review already done by the Cochrane Work Review Group. The main author of the paper was Henk Van der Molen from Netherlands. I got introduced with him on the second day of the internship. He was happy to include me in his team and that made me even glad to begin the work as a team. I had to update the recent evidences and publications on the subject we were working in. Basically as the process of systematic review, with the existing search strategy we retrived all the articles published after September 2012. The articles were screened in the webtool covidence.org considering the inclusion and exclusion criteria. Initially the title screening was done followed by the abstract screening. From the filtered articles, the full text review was done and we choose the articles for the recent update that met the selection criteria. The PICO answer format for each article was followed. The data extraction was done from each of the articles and tallied the information with the team and agreed upon for every component. For each of the article the risk of bias assessment was done and using the software RevMan5.3 the information was updated and analysed. Though I have worked for many years in health programs in my country, working in a systematic review like this was something I was doing into for the first time. I was fortunate because the team members were so kind and patient to brief me in detail. So in a positive team, I got to learn and complete the work in a very smooth manner. We had interrupted time series studies that I had to deal and understand. To learn to interpret the results and summarize the most current scientific evidence on the effectiveness of interventions to prevent injuries associated with construction work; grading the quality of each evidence based on GRADE approach was interesting. After months of hardwork, finally the review work was complete and so was my term of internship. I am hopeful the publication will be soon available publicly!

Namaste!!

– Sujala Mathema-

I am Sujala Mathema from Nepal and I did my internship in Cochrane work. Cochrane Work is one of the branches of Cochrane. Cochrane is a non-profit organization that works in producing systematic reviews on health care interventions and promotes use of clinical trials. However, Cochrane work reviews topic related to effectiveness of occupational health interventions. These interventions help to improve adverse health outcomes at work like exposure to hazardous agent at work, harmful behaviors at work, occupational diseases, disorders, injuries, disability or sick leave. Nevertheless, the interventions also help in health promotion at work.

I learned about systematic review in my Master’s program in public health. I wanted to utilize my acquired knowledge into practice. Cochrane work has given me a platform to make use of my knowledge and work independently on systematic review. I was lucky enough to have this institute in Kuopio where I am living currently. The working environment is very flexible and comforting. The staffs in the institute is very welcoming and humble. It is a wonderful place to work if you want to take your study and internship simultaneously. This experience will not only make you learn about systematic review but give you an experience to work in a Finnish working environment. I highly recommend this institute to those students who have interest to learn about systematic review.

So, what we do in Cochrane???? You can find out about Cochrane review from the link given below. https://www.youtube.com/watch?v=IGMiVGfWRH0

If you want to know more about Cochrane work, here is the link for it http://work.cochrane.org/

Kia Ora from Aotearoa!

– Lucy Wu –

Aotearoa is the Māori name for New Zealand and translates to the ‘land of the long white cloud’. I am incredibly fortunate to call this stunning country my home. Below is one of our famous black sand beaches from the west coast of the North Island.

Finland and Aotearoa are on opposite sides of the world, so here are a few facts about Aotearoa…

– Kia Ora means ‘to be well/healthy’ and is used as a greeting, farewell and expression of thanks
– Aotearoa is made of 2 main islands, North Island and South Island, with around 600 smaller islands within its waters
– Our national bird is the Kiwi; we also refer to ourselves as Kiwis
– We have the longest place name in the world
‘Taumatawhakatangihangakoauauotamateapokaiwhenuakitanatahu’ which is roughly translated as “the place where Tamatea, the man with the big knees, who slid, climbed and swallowed mountains, known as the land-eater, played his nose flute to his loved ones”.
– First country to give women the vote in 1893
– Wellington is the southernmost capital in the world
– We have a very diverse and multicultural population with people from all around the world
– Auckland is the largest city where about 1.5 million people live; this is just over 1/3 of the county’s population
– Sir Edmund Hilary was first to climb Mt Everest and is on the $5 note
– We are a very friendly country where it is normal to smile and say hello to people you pass on the street, even when you don’t know them!

I went to Finland to complete a Master’s in Public Health and came back to complete an internship at a primary health organisation in Auckland called ProCare Health Ltd.

During this internship I worked on a project to help with the government’s goal of Smokefree 2025 where they aim to have less than 5% of the population smoking. The current rate is just over 15% with great variation depending on ethnicity, age and socioeconomic status. The internship itself was very challenging and it was a taste of how national policies and programs are actually implemented in the field. I was fortunate enough to attend many community events, below is the annual lantern festival where we got some delicious food!

Aotearoa is a very complex country from the health lens as it is not a homogenous population. There are specific needs for each population, which makes it incredibly hard to decide from the local to national level which issues to focus on and dedicate funding too. Though the country is highly developed, very blessed geographical and possess an open mind-set over all – there are still many challenges to overcome. In light of all the challenges and complexities, Aotearoa offers unique opportunities to make an impact and learn a great deal along the way. The country is fortunate enough to provide the opportunity to be at the forefront for many disciplines, from rowing to farming to earthquake engineering. The people, the nature and the food are definitely worth the long flight down to the bottom of the world.

Welcome to read Public Health students in action blog! This blog gives you glimpses into what it's like to be a public health master´s degree student in practical training. Here you will find posts by our international students who are doing their internships in Finland or abroad.