临床教育现状及影响有效临床教育的因素：护理和助产学专业学生的观点。

The state of clinical education and factors affecting effective clinical education: the point of view of nursing and midwifery students.

机构信息

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Department of Statistics, Faculty of Science, University of Qom, Qom, Iran.

出版信息

BMC Med Educ. 2023 Dec 15;23(1):967. doi: 10.1186/s12909-023-04957-z.

DOI:10.1186/s12909-023-04957-z

PMID:38102611

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10724967/

Abstract

BACKGROUND

Clinical education is the basis of education in medical sciences. Clinical education, as the essence of education in nursing and midwifery, promotes social health, improves health care, and reduces mortality. Considering the position of nursing and midwifery, investigating the views of students in this field can be an effective step in improving clinical education. Therefore, the present study was conducted to investigate the status of clinical education and the factors affecting effective clinical education from the point of view of nursing and midwifery students.

METHODS

A descriptive-analytical study was conducted among nursing and midwifery students at Qazvin University of Medical Sciences in 2022-2023. Using available sampling, 242 students were included in the study. Students were included in the study if they completed at least one unit of in-person internship. Refusing to continue the study for any reason and having a practical nurse certificate were the criteria for exclusion from the study. The data collection tools included a demographic information questionnaire, a questionnaire to assess the status of clinical education, and a questionnaire on factors affecting effective clinical education. The data were analysed with descriptive and inferential statistics and SPSS 20 software.

RESULTS

The mean age of the participants in this study was 21.66 ± 2.25. A total of 180 (74.4%) of the participants were women, and the rest were men. The results showed that the general condition of clinical education is at an average level (103.16 ± 19.21). It was also found that the clinical education status of midwifery students was better than that of nursing students, and this difference was significant (p = 0.003). Among the fields of clinical education, the highest score belonging to the field of objectives and planning was reported on the average level (34.39 ± 6.66). Among the factors affecting effective clinical education, the highest score was given to the field of personal characteristics of the student (33.97 ± 5.99). The results showed that there is a significant relationship between the grades of the general state of clinical education with the academic semester (p = 0.001) and interest in the field of study (p < 0.040).

CONCLUSIONS

Based on the findings of the present study, clinical education is at an average level. Among the factors affecting effective clinical training, the field of personal characteristics of the student is more effective in clinical training. Providing educational facilities according to the number of students, using modern teaching methods, and determining and communicating the duties of professors and students can help to improve clinical education.

摘要

背景

临床教育是医学教育的基础。临床教育作为护理和助产学教育的核心，促进了社会健康，改善了医疗保健，并降低了死亡率。考虑到护理和助产学的地位，调查该领域学生的观点可以是改善临床教育的有效步骤。因此，本研究旨在调查护理和助产学学生从临床教育的角度来看临床教育的现状和影响有效临床教育的因素。

方法

这是 2022-2023 年在 Qazvin 医科大学进行的一项描述性分析研究。采用便利抽样法，共纳入 242 名护理和助产学学生。如果学生完成了至少一个单位的实地实习，就可以纳入研究。拒绝继续研究或持有执业护士证书的学生被排除在研究之外。数据收集工具包括一份人口统计学信息问卷、一份评估临床教育状况的问卷和一份评估影响有效临床教育的因素的问卷。数据采用描述性和推断性统计以及 SPSS 20 软件进行分析。

结果

本研究参与者的平均年龄为 21.66±2.25 岁。共有 180 名（74.4%）参与者为女性，其余为男性。结果显示，临床教育的一般状况处于中等水平（103.16±19.21）。还发现，助产学生的临床教育状况优于护理学生，且差异具有统计学意义（p=0.003）。在临床教育领域中，目标和规划领域的得分最高，平均水平为 34.39±6.66。在影响有效临床教育的因素中，学生个人特征领域的得分最高（33.97±5.99）。结果表明，临床教育总体状况的等级与学术学期（p=0.001）和对学习领域的兴趣（p<0.040）之间存在显著关系。