Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almeria Sacramento S/N, Almería, Spain.
Research Group of Health Sciences CTS-451, Almeria, Spain.
J Adv Nurs. 2021 Feb;77(2):787-794. doi: 10.1111/jan.14629. Epub 2020 Nov 19.
To analyse nursing students' perception of the Magnet hospital attributes of the work environment at the hospitals where they perform their clinical placement and the relationship of this factor to their clinical learning environment and supervision, satisfaction and intention to stay in those hospitals once graduated.
This study had a cross-sectional, correlational, design.
Data were collected using self-reported questionnaires from 180 nursing students at a university in southeast Spain between September-October 2018. Nursing work environment and clinical learning environment were measured using the Practice Environment Scale of the Nursing Work Index and Clinical Learning Environment, Supervision and Nurse Teacher scale, respectively. Students' satisfaction with the work environment and with the clinical learning process were measured using a four-point Likert scale developed by the researchers. Percentages, frequencies, mean, standard deviation, χ test, Mann-Whitney U test, Spearman and phi correlation were used to analyse the data.
Nursing students' perception of greater Magnet-like features at work environment was associated with better clinical learning environment (Spearman rs = |0.22-0.54|; p < .01) and satisfaction with the work environment (Spearman rs = 0.18; p = .01) and with their learning process (Spearman rs = 0.21; p < .01). Greater intention to stay working in the hospital after graduation was significantly associated with greater satisfaction with the learning process (phi = 0.31; p < .01) and the work environment (phi = 0.23; p = .02).
Magnet-like features at the work environment lead to superior clinical learning environment and higher students' satisfaction, two factors that play a decisive role in their decision to stay at hospitals where they performed clinicals after graduation.
In the face of a global nurse shortage, nursing managers and faculty leaders should consider the improvement of nursing workplaces as a strategic alliance to promote satisfactory clinical learning experience and aid recruitment of nurses.
分析护理学生对实习医院工作环境的磁性医院属性的看法，以及这一因素与他们的临床学习环境和监督、对医院的满意度以及毕业后留在这些医院的意愿之间的关系。
本研究采用了横断面相关性设计。
2018 年 9 月至 10 月，在西班牙东南部的一所大学，通过自填式问卷收集了 180 名护理学生的数据。护理工作环境和临床学习环境分别采用护理工作指数实践环境量表和临床学习环境、监督和护士教师量表进行测量。学生对工作环境和临床学习过程的满意度采用研究人员开发的四点李克特量表进行测量。采用百分比、频率、均值、标准差、卡方检验、Mann-Whitney U 检验、Spearman 相关和 phi 相关对数据进行分析。
护理学生对工作环境中更具磁性特征的感知与更好的临床学习环境（Spearman rs = 0.22-0.54；p <.01）和对工作环境（Spearman rs = 0.18；p =.01）和学习过程（Spearman rs = 0.21；p <.01）的满意度相关。毕业后更愿意留在实习医院工作与对学习过程（phi = 0.31；p <.01）和工作环境（phi = 0.23；p =.02）的满意度显著相关。
工作环境中的磁性特征导致更好的临床学习环境和更高的学生满意度，这两个因素在他们毕业后决定留在实习医院工作的决定中起着决定性的作用。
在全球护士短缺的情况下，护理管理人员和教师领导应该考虑改善护理工作场所，将其作为促进令人满意的临床学习体验和招聘护士的战略联盟。
