Doctoral Programme in Public Health Sciences, Department of Clinical Sciences and Community Health, University of Milan, Via Vanzetti 5, 20133 Milan, Italy; School of Nursing, Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.
School of Nursing, Department of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.
Intensive Crit Care Nurs. 2021 Oct;66:103074. doi: 10.1016/j.iccn.2021.103074. Epub 2021 Jun 5.
To explore students' perceived quality of the intensive care unit learning environment during their rotations; to compare these perceptions with that reported by students attending other settings and to assess correlations between the perceptions regarding the quality of the environment and the competences learned.
A secondary analysis of data collected by a national cross-sectional study carried out in Italy. A total of 9607 nursing students participated; they ranked the intensive care units' quality, as assessed by the Clinical Learning Quality Evaluation Index; the perceived competences learned were also ranked with a Likert scale; from 0 = None to 3 = Very much.
A total of 323 (3.5%) participants attended their rotation in an intensive care unit. They perceived the quality of the environment to be significantly higher (n = 2.11 out of 3) than those rotating in non-intensive care unit wards (n = 1.91; p < 0.001). The competences learned by intensive care unit students were significantly higher than that reported by students attending non-intensive care unit wards (n = 2.31 out of 3 vs 2.06 out of 3; p < 0.001).
Intensive care units are highly appreciated by students, both in terms of their quality learning environment and their capacity to promote learning compared to other settings. Therefore, intensive care units should be considered as a place for clinical rotation to promote positive attitudes regarding critical care patients.
探讨学生在轮转期间对重症监护病房学习环境的感知质量；将这些感知与在其他环境中学习的学生的报告进行比较，并评估环境质量感知与所获得的能力之间的相关性。
对在意大利进行的全国性横断面研究中收集的数据进行二次分析。共有 9607 名护理专业学生参与；他们对临床学习质量评估指数评估的重症监护病房的质量进行了排名；所获得的感知能力也通过李克特量表进行了排名；从 0=无到 3=非常多。
共有 323 名（3.5%）学生在重症监护病房进行轮转。他们认为环境质量明显更高（n=2.11 分），而在非重症监护病房轮转的学生则认为环境质量稍低（n=1.91 分；p<0.001）。重症监护病房学生所获得的能力明显高于非重症监护病房学生（n=2.31 分，而 n=2.06 分；p<0.001）。
重症监护病房受到学生的高度评价，无论是在学习环境质量还是在促进学习方面，都优于其他环境。因此，重症监护病房应被视为临床轮转的场所，以促进对危重症患者的积极态度。
