Bjørk Ida T, Berntsen Karin, Brynildsen Grethe, Hestetun Margrete
Department of Nursing Science, University of Oslo, Oslo, Norway.
J Clin Nurs. 2014 Oct;23(19-20):2958-67. doi: 10.1111/jocn.12532. Epub 2014 Jan 27.
To explore students' opinions of the learning environment during clinical placement in settings outside traditional hospital settings.
Clinical placement experiences may influence positively on nursing students attitudes towards the clinical setting in question. Most studies exploring the quality of clinical placements have targeted students' experience in hospital settings. The number of studies exploring students' experiences of the learning environment in healthcare settings outside of the hospital venue does not match the growing importance of such settings in the delivery of health care, nor the growing number of nurses needed in these venues.
A survey design was used.
The Clinical Learning Environment Inventory was administered to two cohorts of undergraduate nursing students (n = 184) after clinical placement in mental health care, home care and nursing home care.
Nursing students' overall contentment with the learning environment was quite similar across all three placement areas. Students in mental health care had significantly higher scores on the subscale individualisation, and older students had significantly higher scores on the total scale. Compared with other studies where the Clinical Learning Environment Inventory has been used, the students' total scores in this study are similar or higher than scores in studies including students from hospital settings.
Results from this study negate the negative views on clinical placements outside the hospital setting, especially those related to placements in nursing homes and mental healthcare settings.
Students' experience of the learning environment during placements in mental health care, home care and nursing homes indicates the relevance of clinical education in settings outside the hospital setting.
探讨学生对在传统医院环境以外场所进行临床实习期间学习环境的看法。
临床实习经历可能会对护理专业学生对相关临床环境的态度产生积极影响。大多数探讨临床实习质量的研究都以学生在医院环境中的经历为目标。探索学生在医院场所以外的医疗保健环境中学习环境体验的研究数量，与这些场所在医疗保健服务中日益增长的重要性不匹配，也与这些场所所需护士数量的不断增加不匹配。
采用调查设计。
在本科护理专业两个班级的学生（n = 184）完成在精神卫生保健、家庭护理和养老院护理的临床实习后，使用临床学习环境量表进行测量。
护理专业学生对所有三个实习领域学习环境的总体满意度相当相似。精神卫生保健专业的学生在个性化子量表上得分显著更高，年龄较大的学生在总量表上得分显著更高。与其他使用临床学习环境量表的研究相比，本研究中学生的总分与包括医院环境学生的研究得分相似或更高。
本研究结果否定了对医院环境以外临床实习的负面看法，尤其是那些与养老院和精神卫生保健环境实习相关的看法。
学生在精神卫生保健、家庭护理和养老院实习期间对学习环境的体验表明了医院环境以外场所临床教育的相关性。
