{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T20:41:32Z","timestamp":1781469692302,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008721","name":"University College London Hospitals NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008721","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to document the process of the implementation and the perceived impact and sustainability of the Expansive Learning in Practice Model and its associated costs to inform future rollout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A mixed\u2010method rapid evaluation was conducted, comprising both qualitative and economic workstreams to document the implementation of the Expansive Learning in Practice Model and its associated costs. Semi\u2010structured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944) were carried out with student nurses, student assessors, and staff involved in the delivery of the Model. The qualitative workstream utilised a rapid cycle evaluation approach, where data were collected and analysed in parallel, and preliminary findings were shared with stakeholders as the study was ongoing. The quantitative workstream relied on routinely collected data about non\u2010staff\u2010related costs, staff\u2010related costs, and data on students' participation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The main themes developed from the qualitative data included the organisation of the Expansive Learning Experiences, the supportive environment, the enhanced learning experience, and capacity building. Participants perceived that the model had a positive impact on student practice (including preparation and confidence) and on student nurse satisfaction. At the end of the programme, it is estimated that the programme will have cost about \u00a3523,572.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This model can be used as a framework for hospitals aiming to improve the learning experiences for student nurses. Improvements could be made by increasing staff buy\u2010in and the streamlining of spoke opportunities. Future studies should focus on evaluating the long\u2010term impact of the model, particularly the impact on generating student placement capacity. The evaluation also highlights the need for solutions for potential educational staff shortages, which could pose a risk to maintaining sufficient practice placement capacity for student nurses in healthcare settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Study participants perceived an improvement in student nurses' learning experiences and student nurse placement capacity as a result of the implementation of this model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The relevant EQUATOR guidelines followed for reporting were the GRAMM guidelines (Good Reporting of a Mixed Methods Study).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>The study centred around student nurse and staff experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70315","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:32:26Z","timestamp":1761658346000},"page":"6774-6791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Expansive Learning in Practice: A Rapid Evaluation of a Student Nurse Placement Model (Empirical Research Mixed Methods)"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5625-1953","authenticated-orcid":false,"given":"Ailey","family":"McLeod","sequence":"first","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syka","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Moniz","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Mitchinson","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"},{"name":"Marie Curie Palliative Care Research Department, Division of Psychiatry, UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthalia","family":"Massou","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"},{"name":"Department of Public Health and Primary Care University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0853-0925","authenticated-orcid":false,"given":"Rachel","family":"Taylor","sequence":"additional","affiliation":[{"name":"University College London Hospitals NHS Foundation Trust  London UK"},{"name":"University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinead","family":"Mehigan","sequence":"additional","affiliation":[{"name":"Middlesex University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Hill","sequence":"additional","affiliation":[{"name":"University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rozalia","family":"Dobrogowska","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Vindrola\u2010Padros","sequence":"additional","affiliation":[{"name":"Department of Targeted Intervention Rapid Research Evaluation and Appraisal Lab (RREAL), UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2014.03.005"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12487"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X251338536"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.104253"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12438"},{"key":"e_1_2_13_7_1","volume-title":"Unit Costs of Health and Social Care 2015","author":"Curtis L. 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