Abstracts
Abstract
Introduction: Post-secondary institutions are seeing increasing numbers of students requiring accommodation. In the clinical education of nursing students with physical and/or sensory disabilities, it is unclear what strategies are available to promote students’ success.
Objective: The objective of this scoping review protocol is to identify the available evidence on strategies that have been implemented to support the clinical education of nursing students who require accommodation for a physical and/or sensory disability in the learning environment.
Inclusion Criteria: This scoping review will consider studies that include nursing students with physical and/or sensory disabilities in any regulated nursing designation programs that use clinical placements as a component of nursing education. Peer-reviewed quantitative, qualitative, and mixed-methods studies; systematic reviews; unpublished dissertations; policy reports from schools of nursing; and text and opinion papers that focus on clinical education of nursing students will be included without limitations on language.
Methods: Databases to be searched include Ovid MEDLINE, CINAHL (EBSCO), ERIC (EBSCO), APA PsycInfo (EBSCO), Web of Science, and Scopus. Unpublished studies and gray literature searches will be undertaken in ProQuest Dissertations & Theses and a limited number of relevant nursing websites. No limit on date or region will be applied. Records will be screened and extracted by two independent reviewers. Results will be presented as tables with an accompanying narrative summary.
Discussion: As the number of students with physical and/or sensory disabilities in nursing education increases, nursing programs and educators must be aware of how to support these students to complete their education. The clinical learning environment poses unique challenges that need to be explored further. Findings will have implications for policy and programming in nursing education.
Keywords:
- accommodations,
- clinical placements,
- education,
- nursing students,
- physical disability,
- sensory disability
Résumé
Introduction : Un nombre grandissant d’étudiantes et étudiants d’établissements d’enseignement post-secondaires ont besoin de mesures d’accommodement. Dans la formation clinique infirmière, les stratégies offertes pour favoriser la réussite des étudiantes et étudiants ayant une incapacité physique ou sensorielle ne sont pas clairement établies.
Objectif : Le but de ce protocole pour une revue de la portée est de repérer les données probantes concernant des stratégies qui ont été mises en œuvre pour soutenir la formation clinique des étudiantes et étudiants en sciences infirmières ayant besoin de mesures d’accommodement en raison d’une incapacité physique ou sensorielle dans leur milieu d’apprentissage.
Critères d’inclusion : Cette revue de la portée considérera les études qui incluent des étudiantes infirmières et étudiants infirmiers ayant une incapacité physique ou sensorielle inscrits dans un programme menant à l’obtention d’un droit de pratique qui ont recours à des stages en milieu clinique dans le cadre de la formation infirmière. Les études quantitatives, qualitatives et à méthodes mixtes évaluées par les pairs; les revues systématiques; les thèses non publiées; les documents de politiques des écoles de sciences infirmières; les textes et les articles d’opinions portant sur la formation clinique des étudiantes infirmières et étudiants infirmiers seront inclus sans limitation à l’égard de la langue.
Méthodes : Les bases de données à consulter incluent Ovid MEDLINE, CINAHL (EBSCO), ERIC (EBSCO), APA PsycInfo (EBSCO), Web of Science et Scopus. Le repérage d’études non publiées et de littérature grise sera effectué dans ProQuest Dissertations & Theses ainsi que dans un nombre limité de sites Web pertinents en sciences infirmières. Il n’y aura pas de limite de date ou de région. Les documents seront examinés et les données extraites par deux réviseures ou réviseurs indépendants. Les résultats seront présentés sous forme de tableaux accompagnés d’un compte rendu sommaire.
Discussion : Comme le nombre d’étudiantes et étudiants en sciences infirmières ayant une incapacité physique ou sensorielle augmente, les programmes et les corps enseignants en sciences infirmières doivent pouvoir soutenir ces étudiantes et étudiants pour qu’ils terminent leurs études. Les environnements d’apprentissage cliniques posent des défis uniques qui doivent être étudiés davantage. Les conclusions entraîneront des répercussions sur les politiques et les programmes de formation en sciences infirmières.
Appendices
Bibliography
- Abdullah, N., Low, K. E. Y., & Feng, Q. (2019). Sensory disability. In D. Gu & M. E. Dupre (Eds.), Encyclopedia of gerontology and population aging (pp. 1–7). Springer.
- British Columbia College of Nurses and Midwives. (2021). Requisite skills and abilities. https://www.bccnm.ca/BCCNM/educators/Pages/requisite_skills_abilities.aspx
- Canadian Charter of Rights and Freedoms, s 7, Part I of the Constitution Act, 1982, being Schedule B to the Canada Act 1982 (UK), 1982, c 11. https://laws-lois.justice.gc.ca/eng/const/page-12.html
- Canadian Association of University Teachers. (2024, August). Facilitating student accommodations: What academic staff and academic staff associations need to know. https://www.caut.ca/wp-content/uploads/2024/09/caut-legal-advisory-facilitating-student-accommodations_2024-08_0-2.pdf
- Canadian University Survey Consortium. (2022). 2022 first-year students survey master report. https://cusc-ccreu.ca/wordpress/?lang=en&download=1084&tmstv=1761571443
- College of Nurses of Ontario. (2012). Fact sheet: Requisite skills and abilities for nursing practice in Ontario. https://cno.org/Assets/CNO/Documents/Standard-and-Learning/Practice-Standards/41078-skillabilities-4pager-final.pdf
- Epstein, I., Khanlou, N., Ermel, R. E., Sherk, M., Simmonds, K. K., Balaquiao, L., & Chang, K.-Y. (2021). Students who identify with a disability and instructors’ experiences in nursing practice: A scoping review. International Journal of Mental Health and Addiction, 19(1), 91–118. https://doi.org/10.1007/s11469-019-00129-7
- Epstein, I., Stephens, L., Severino, S. M., Khanlou, N., Mack, T., Barker, D., & Dadashi, N. (2020). “Ask me what I need”: A call for shifting responsibility upwards and creating inclusive learning environments in clinical placement. Nurse Education Today, 92, 104505. https://doi.org/10.1016/j.nedt.2020.104505
- Haghiri-Vijeh, R., Huel, C., Maimets, I.-K., Montague, J., Clark, N., Lou, N. M., & Lee, E. O. J. (2025). Strategies to support the mental health and well-being of migrant LGBTQIA+ college and university students: A scoping review protocol. JBI Evidence Synthesis, 23(6), 1274–1282. https://doi.org/10.11124/JBIES-24-00148
- Horkey, E. (2019). Reasonable academic accommodation implementation in clinical nursing education: A scoping review. Nursing Education Perspectives, 40(4), 205–209. https://doi.org/10.1097/01.NEP.0000000000000469
- Howlin, F., Halligan, P., & O’Toole, S. (2014). Evaluation of a clinical needs assessment and exploration of the associated supports for students with a disability in clinical practice: Part 2. Nurse Education in Practice, 14(5), 565–572. https://doi.org/10.1016/j.nepr.2014.06.009
- Khanlou, N., Bender, A., Mill, C., Vazquez, L. M., & Rojas, L. (2018). Youth experiences of cultural identity and migration: A systems perspective. In S. Pashang, N. Khanlou, & J. Clarke (Eds.), Today’s Youth and Mental Health (pp. 57–76). Springer. https://doi.org/10.1007/978-3-319-64838-5_4
- Lanthier, S., Tishcoff, R., Gordon, S., & Colyar, J. (2023). Accessibility services at Ontario colleges and universities: Trends, challenges and recommendations for government funding strategies. https://heqco.ca/wp-content/uploads/2023/11/Accessibility-Services-at-Ontario-Colleges-and-Universities-FINAL-English.pdf
- L’Ecuyer, K. M. (2019). Clinical education of nursing students with learning difficulties: An integrative review (part 1). Nurse Education in Practice, 34, 173–184. https://doi.org/10.1016/j.nepr.2018.11.015
- Levey, J. A. (2018). Universal design for instruction in nursing education: An integrative review. Nursing Education Perspectives, 39(3), 156–161. https://doi.org/10.1097/01.NEP.0000000000000249
- Leyser, Y., & Greenberger, L. (2008). College students with disabilities in teacher education: Faculty attitudes and practices. European Journal of Special Needs Education, 23(3), 237–251. https://doi.org/10.1080/08856250802130442
- Luckowski, A. (2016). The lived experience in the clinical setting of nursing students with disabilities. Nursing Education Perspectives, 37(5), 256–261. https://doi.org/10.1097/01.NEP.0000000000000063
- Maheady, D. C. (1999). Jumping through hoops, walking on egg shells: The experiences of nursing students with disabilities. Journal of Nursing Education, 38(4), 162–170. https://doi.org/10.3928/0148-4834-19990401-06
- Marcellus, L., Jantzen, D., Humble, R., Sawchuck, D., & Gordon, C. (2021). Characteristics and processes of the dedicated education unit practice education model for undergraduate nursing students: A scoping review. JBI Evidence Synthesis, 19(11), 2993–3039. https://doi.org/10.11124/JBIES-20-00462
- McDonnell, L. M., McLaughlin, M. J., & Morison, P. (Eds.). (1997). Educating one & all: Students with disabilities and standards-based reform. National Academy Press. https://nap.nationalacademies.org/catalog/5788/educating-one-and-all-students-with-disabilities-and-standards-based
- Montague, J., Haghiri-Vijeh, R., Tsui, J., Connell, M., & Atack, L. (2023). Nursing students desire to belong in online learning environments. Part 1: A mixed-methods study. Quality Advancement in Nursing Education - Avancées en formation infirmière, 9(2), Article 2. https://doi.org/10.17483/2368-6669.1379
- Moreland, C. J., Meeks, L. M., Nahid, M., Panzer, K., & Fancher, T. L. (2022). Exploring accommodations along the education to employment pathway for deaf and hard of hearing healthcare professionals. BMC Medical Education, 22(1), Article 345. https://doi.org/10.1186/s12909-022-03403-w
- Ontario Human Rights Commission. (2018). Accessible education for students with disabilities: Policy. https://www.ohrc.on.ca/sites/default/files/Policy%20on%20accessible%20education%20for%20students%20with%20disabilities_FINAL_EN.pdf
- Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
- Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Scoping reviews. In E. Aromataris, C. Lockwood, K. Porritt, B. Pilla, & Z. Jordan (Eds.), JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-01
- Riddell, S., & Weedon, E. (2014). Disabled students in higher education: Discourses of disability and the negotiation of identity. International Journal of Educational Research, 63, 38–46. https://doi.org/10.1016/j.ijer.2013.02.008
- Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
- Tsui, J., Astrop, M., Balakumaran, J., Persaud, T., & Grey, C. (2023, May 29–30). Nursing students experience with academic accommodation in Ontario: A qualitative descriptive study [Conference presentation]. Canadian Association of Schools of Nursing Biennial Canadian Nursing Education Conference, St. John’s, NL, Canada.
- Tsui, J., Astrop, M., Balakumaran, J., Persaud, T., & Grey, C. (2024). Baccalaureate and practical nursing students’ experience with academic accommodation: A qualitative descriptive study. Teaching and Learning in Nursing, 20(1), e48–e53. https://doi.org/10.1016/j.teln.2024.07.025

