Cremonini Valeria, Ferri Paola, Artioli Giovanna, Sarli Leopoldo, Piccioni Enrico, Rubbi Ivan
PhD, MSN, RN, School of Nursing, ASL Romagna and University of Bologna, Italy.
Acta Biomed. 2015;86 Suppl 3:194-204.
Student satisfaction is an important element of the effectiveness of clinical placement, but there is little consensus in the literature as to the preferred model of clinical experience for undergraduate nursing students. The aim of this study was assess, for each academic year, students' perception of the roles of nurse teachers (NT) and clinical nurse supervisors (CNS) who perform tutoring in both apprenticeship and laboratories and to identify and evaluate students' satisfaction with the environment of clinical learning.
This analytic cross-sectional study was conducted in a sample of 173 nursing students in the Northern Italy. The research instrument used is the Clinical learning environment, supervision and nurse teacher (CLES+T) evaluation scale. Data were statistically analysed.
94% of our sample answered questionnaires. Students expressed a higher level of satisfaction with their training experiences. The highest mean value was in the sub-dimension "Pedagogical atmosphere on the ward". Third year students expressed higher satisfaction levels in their relationship with the CNS and lower satisfaction levels in their relationship with the NT. This result may be due to the educational model that is adopted in the course, in which the simulation laboratory didactic activities of the third year are conducted by CNS, who also supervises experiences of clinical learning in the clinical practice.
The main finding in this study was that the students' satisfaction with the supervisory relationship and the role of NT depend on how supervision in the clinical practice and in the simulation laboratory is organized.
学生满意度是临床实习效果的一个重要因素，但对于本科护理专业学生而言，何种临床实习模式更为理想，学界尚未达成共识。本研究旨在评估每个学年学生对于在学徒制及实验室中担任辅导工作的护士教师（NT）和临床护士督导（CNS）角色的看法，并确定和评估学生对临床学习环境的满意度。
本分析性横断面研究以意大利北部的173名护理专业学生为样本。所使用的研究工具为临床学习环境、督导及护士教师（CLES+T）评估量表。对数据进行了统计分析。
我们样本中的94%回答了问卷。学生对其培训经历表达了较高水平的满意度。均值最高的是“病房教学氛围”这一维度。三年级学生对与CNS的关系满意度较高，而对与NT的关系满意度较低。这一结果可能归因于课程中采用的教育模式，即三年级的模拟实验室教学活动由CNS开展，CNS同时也督导临床实习中的临床学习经历。
本研究的主要发现是，学生对督导关系及NT角色的满意度取决于临床实习和模拟实验室中的督导是如何组织的。
