Royal Hobart Hospital, Hobart, Australia.
J Adv Nurs. 2012 Jun;68(6):1380-90. doi: 10.1111/j.1365-2648.2011.05851.x. Epub 2011 Nov 1.
This article is a report of a mixed method study of the quality of clinical placements for second year undergraduate nursing students in an acute care hospital.
In response to the current and predicted workforce shortages, greater numbers of nursing undergraduate places are being offered at tertiary institutions. This means that requests for clinical places in hospitals to support undergraduate students has risen. Little is known about the impact of increased numbers on the quality of clinical placement as a learning experience and this is of concern as demand grows and the means of assessing capacity is still unknown.
A 5-point Likert Scale questionnaire, including free text fields, was administered to undergraduates (n = 178), clinical facilitators (n = 22) and supervising ward nurses (n = 163) at two time points in 2009. The survey targeted the quality of the clinical placement in four domains: welcoming and belongingness; teaching and learning; feedback; confidence and competence. Findings. The findings demonstrated consistently high scoring of the clinical placement experience by both undergraduates and registered nurses. There were higher ratings of levels of support from clinical facilitators compared to supervising ward nurses evident in data associated with the items on the questionnaire relating to teaching and learning.
The results are indicative of the professional commitment of nursing staff to support the next generation of nurses. The findings also give a mechanism to communicate outcomes of undergraduate support to nurses in practice, and highlight steps which can be taken to ensure high quality clinical placement continues.
本文是一项混合方法研究报告,研究了一所急症医院第二年本科护理学生临床实习的质量。
为应对当前和预测的劳动力短缺问题,越来越多的护理本科课程在高等院校开设。这意味着医院对临床实习岗位的需求增加,以支持本科学生。人们对增加实习岗位数量对实习作为学习经验的质量的影响知之甚少,这令人担忧,因为需求不断增长,而评估能力的手段仍不明确。
2009 年,在两个时间点对 178 名本科生、22 名临床导师和 163 名监护病房护士进行了 5 点李克特量表问卷调查,包括自由文本字段。调查针对临床实习的四个领域的质量:欢迎和归属感;教学和学习;反馈;信心和能力。
调查结果显示,无论是本科生还是注册护士,他们对临床实习经历的评价都非常高。临床导师对教学和学习相关问题的支持水平的评价明显高于监护病房护士。
研究结果表明护理人员对支持下一代护士的专业承诺。研究结果还为向实践中的护士传达本科支持的结果提供了一种机制,并强调了确保高质量临床实习继续进行的步骤。