Mostly not. Across the National Student Survey (NSS) open-text, contact time attracts a strongly negative tone (index −26.8), with disabled students at −31.0 compared with −26.1 for others. In adult nursing, placements dominate student commentary (20.6%) and carry a slightly negative index (−3.0), so predictable taught and supervised time matters for learning and confidence. The category aggregates students’ views on the amount, reliability and accessibility of taught time across subjects, while this CAH covers pre‑registration adult nursing programmes across the UK; those wider patterns frame the pressures described below.
Starting university can be daunting for adult nursing students. Their contact time spans lectures, seminars and clinical placements that are essential to competence. Regularly analysing student voice allows programme teams to adjust schedules, teaching approaches and support so that taught content and placement learning align.
Where is contact time falling short for adult nursing?
Students report too few opportunities for face-to-face clarification and practice. Reduced lectures, limited access to staff and inconsistent timetables weaken the link between theory and practice and depress satisfaction. Prioritise predictable delivery: track planned versus delivered hours by module, minimise short-notice changes, and auto-schedule replacements when sessions are cancelled. Provide accessible alternatives (recordings, repeat seminars) when clashes or cancellations occur, and make staff availability visible and reliable.
How can online learning support hands-on practice?
Screen-only teaching struggles to convey complex clinical judgement and procedures. Students value live interaction, structured case discussions and instructor feedback. Blend synchronous sessions with purposeful virtual simulations, and use small-group breakout time to observe reasoning and check understanding. Standardise office hours and channel queries to a single source of truth so students know where to get timely answers.
What travel and timetabling obstacles reduce engagement?
Long commutes to dispersed clinical sites, tight turnarounds and fragmented days sap energy and limit study time. Coordinate placement locations and on‑campus sessions to reduce unnecessary travel and avoid back‑to‑back commitments across sites. Align timetabling with typical shift patterns, and offer support for travel costs where possible. Because disabled students report more negative experiences of contact time overall, prioritise adjustments that reduce unpredictability and fatigue.
Are placement rules and hours supporting learning?
Students describe rota instability, unclear rules and limited on‑site feedback as barriers to learning and confidence. Treat placements as a designed service: confirm site capacity before timetables go live, protect rota windows, issue concise pre‑placement information on travel/time expectations, and build a short, structured feedback moment into every placement week. Tight coordination between university and providers helps integrate placement hours with academic deadlines.
How does workload pressure affect wellbeing and attainment?
Assessment peaks and clinical responsibilities converge, risking burnout and weaker academic performance. Programme teams can smooth the load by staggering deadlines, publishing assessment briefs and marking criteria early, and providing consistent exemplars. Protect access to personal tutoring and wellbeing support, and use short pulse surveys to spot pressure points and respond quickly.
Do students prefer face-to-face or online learning?
Most adult nursing students prefer in‑person contact for skills acquisition, immediate feedback and cohort cohesion. Hybrid models work when online elements add flexibility without displacing essential hands‑on teaching. Invest in regular, supervised practice and use online time for preparation, debrief and reflection.
What should universities change next?
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