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解读菲律宾学生护士对临床带教教师属性的偏好:一项联合分析。

Explicating Filipino student nurses' preferences of clinical instructors' attributes: A conjoint analysis.

作者信息

Factor Elisa Monette R, de Guzman Allan B

机构信息

The Graduate School, College of Education, College of Nursing, University of Santo Tomas, Manila 1015, Philippines.

The Graduate School, College of Education, College of Nursing, University of Santo Tomas, Manila 1015, Philippines.

出版信息

Nurse Educ Today. 2017 Aug;55:122-127. doi: 10.1016/j.nedt.2017.05.009. Epub 2017 May 17.

Abstract

The role of clinical instructor in student nurses' preparation for the professional nursing practice cannot be underestimated. The extent to which such role is achieved depends highly on the instructors' ability to realize the desired qualities expected of them. While a number of empirical studies have qualitatively explored the attributes of an effective clinical instructor, no attempt has ventured yet on the power of experimental vignettes for conjoint analysis in explicating the preferences of a select group of Filipino student nurses relative to their clinical instructors' attributes. Junior and senior nursing students (n=227), recruited from one of the comprehensive universities in the Philippines, were asked to sort out orthogonal cards generated by Sawtooth Software. As shown, the full-profile conjoint analysis was considerably fit for this study: Pearson's R=0.988, (p<0.05) and Kendall's t=0.944, (p<0.05). Results indicated that the student nurses are one in terms of their most preferred clinical instructor attribute, which was clinical teaching capacity (38.14%) followed by interpersonal relationship and caring behavior (33.17%). In regard to the clinical teaching capability, a clinical instructor who parallels clinical teaching skills with the students' understanding and experience (0.089) was the highest part-worth. As for the interpersonal relationship and caring behavior, the highest part-worth was a clinical instructor who respects a student nurse as an individual and cares about him/her as a person (0.114). Findings of this study can be a basis for clinical instructors as to which qualities to cultivate best to facilitate a first-rate clinical nursing instruction. Likewise, the results of this study can inform current practices of clinical instructors by making them aware of how they can nurture a pedagogical approach consistent with the student nurses' preferences.

摘要

临床带教老师在护生专业护理实践准备过程中的作用不可低估。该作用的实现程度在很大程度上取决于带教老师能否具备预期的理想品质。虽然已有多项实证研究对有效临床带教老师的特质进行了定性探索,但尚未有人尝试运用实验 vignettes 进行联合分析,以阐明一组特定的菲律宾护生对临床带教老师特质的偏好。从菲律宾一所综合性大学招募了初级和高级护理专业学生(n = 227),要求他们对 Sawtooth 软件生成的正交卡片进行分类。如图所示,全轮廓联合分析非常适合本研究:Pearson's R = 0.988,(p < 0.05)以及 Kendall's t = 0.944,(p < 0.05)。结果表明,护生在他们最偏好的临床带教老师特质方面是一致的,其中临床教学能力(38.14%)最为突出,其次是人际关系和关爱行为(33.17%)。在临床教学能力方面,与学生的理解和经验相匹配临床教学技能的临床带教老师(0.089)具有最高的部分价值。至于人际关系和关爱行为,最高部分价值是将护生作为个体尊重并关心其个人情况的临床带教老师(0.114)。本研究的结果可为临床带教老师提供依据,使其了解应着重培养哪些品质以促进一流的临床护理教学。同样,本研究结果可让临床带教老师了解如何培养符合护生偏好的教学方法,从而为其当前的教学实践提供参考。

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