Carlson Elisabeth, Idvall Ewa
Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, SE-20506 Malmö, Sweden.
Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, SE-20506 Malmö, Sweden; Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden.
Nurse Educ Today. 2014 Jul;34(7):1130-4. doi: 10.1016/j.nedt.2014.01.009. Epub 2014 Jan 31.
One major challenge facing the health care systems worldwide is the growing demand for registered nurses able to provide qualified nursing care for a vulnerable population. Positive learning experiences during clinical practice influence not only learning outcomes, but also how students reason in relation to future career choices.
To investigate student nurses' experiences of the clinical learning environment during clinical practice in nursing homes, and to compare perceptions among student nurses with or without prior work experience as health care assistants in elderly care.
A cross-sectional study was designed, utilising the Swedish version of the CLES+T evaluation scale.
260 student nurses (response rate 76%) who had completed a five week long clinical placement in nursing homes returned the questionnaire during the data collection period in 2011-2012. Data were analysed using descriptive statistics. Mann-Whitney U-test was used to examine differences in relation to students with or without prior experience of elderly care.
Overall, the clinical learning environment was evaluated in a predominantly positive way. The sub-dimension Supervisory relationship displayed the highest mean value, and the lowest score was calculated for the sub-dimension Leadership style of the ward manager. Statistical significant differences between sub-groups were displayed for four out of 34 items.
The supervisory relationship had the greatest impact on how student nurses experienced the clinical learning environment in nursing homes. It is therefore, of utmost importance that collaborative activities, between educational and nursing home settings, supporting the work of preceptors are established and maintained.
全球医疗保健系统面临的一个主要挑战是，对能够为弱势群体提供合格护理服务的注册护士的需求日益增长。临床实习期间积极的学习经历不仅会影响学习成果，还会影响学生对未来职业选择的思考方式。
调查实习护士在养老院临床实习期间对临床学习环境的体验，并比较有无老年护理保健助理工作经验的实习护士之间的看法。
采用瑞典版的CLES+T评估量表进行横断面研究。
260名完成了在养老院为期五周临床实习的实习护士在2011 - 2012年数据收集期间返回了问卷。使用描述性统计分析数据。采用曼-惠特尼U检验来检验有无老年护理经验学生之间的差异。
总体而言，临床学习环境的评价主要是积极的。“监督关系”子维度的均值最高，而病房护士长的“领导风格”子维度得分最低。34个项目中有4个项目在亚组之间显示出统计学显著差异。
监督关系对实习护士如何体验养老院的临床学习环境影响最大。因此，在教育机构和养老院之间建立并维持支持带教老师工作的协作活动至关重要。
