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护理专业学生对使用临床教育评估工具AssCE的看法及其对临床学习环境的总体看法——一项横断面相关性研究。

Nursing students' perceptions of using the Clinical Education Assessment tool AssCE and their overall perceptions of the clinical learning environment - A cross-sectional correlational study.

作者信息

Engström Maria, Löfmark Anna, Vae Karen Johanne Ugland, Mårtensson Gunilla

机构信息

Faculty of Health and Occupational Studies, University of Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.

Faculty of Health and Occupational Studies, University of Gävle, Sweden; Faculty of Health Education, Stord/Haugesund University College, Norway.

出版信息

Nurse Educ Today. 2017 Apr;51:63-67. doi: 10.1016/j.nedt.2017.01.009. Epub 2017 Jan 22.

Abstract

BACKGROUND

Clinical education is a vital part of nursing students' learning; the importance of assessment tools and feedback in stimulating student learning has been stressed, but this needs to be studied in more detail.

OBJECTIVES

To examine relationships between nursing students' perceptions of using an Assessment tool in Clinical Education (AssCE) during their mid-course discussion and final assessment, the content discussed during these meetings between the student, preceptor and nurse teacher and the students' overall perception of the clinical learning environment.

DESIGN

A cross-sectional, correlational design was used.

SETTING AND PARTICIPANTS

A convenience sample of 110 nursing students from one Norwegian university college with two campuses.

METHODS

Data were collected with self-developed questionnaires and analysed using logistic regression with SPSS and the PROCESS macro for mediation analysis.

RESULTS

There was a positive relationship between nursing students' perceptions of using the assessment tool AssCE and their overall perception of the clinical learning environment. This relationship was, in turn, mediated by the content discussed during the formative mid-course discussion and summative final assessment.

CONCLUSIONS

Our conclusion is that the assessment tool AssCE supported students' clinical learning and that this relationship, in turn, was mediated by the degree to which the conversation during the assessment meeting focused on the student's knowledge, skills and professional judgement.

摘要

背景

临床教育是护生学习的重要组成部分;评估工具和反馈在促进学生学习方面的重要性已得到强调,但仍需更详细地研究。

目的

探讨护生在课程中期讨论和期末评估中对临床教育评估工具(AssCE)使用的认知、学生、带教老师和护士教师在这些会议中讨论的内容以及学生对临床学习环境的总体认知之间的关系。

设计

采用横断面相关性设计。

地点和参与者

来自挪威一所拥有两个校区的大学学院的110名护生组成的便利样本。

方法

使用自行编制的问卷收集数据,并使用SPSS进行逻辑回归分析以及使用PROCESS宏进行中介分析。

结果

护生对评估工具AssCE使用的认知与他们对临床学习环境的总体认知之间存在正相关关系。反过来,这种关系由形成性的课程中期讨论和总结性的期末评估中讨论的内容所介导。

结论

我们的结论是,评估工具AssCE支持学生的临床学习,而这种关系又由评估会议期间对话聚焦于学生知识、技能和专业判断的程度所介导。

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