Berkshire Healthcare NHS Foundation Trust, Bracknell, UK
Oxford Academic Health Science Network, Oxford, UK.
BMJ Open Qual. 2024 Jan 3;13(1):e002504. doi: 10.1136/bmjoq-2023-002504.
There is an expanding workforce gap in the NHS. Alongside national programmes to train, recruit and retain staff, efforts are needed on a local level. Clinical placements can make up to a third of healthcare student's time while at university thus placement experience is an important factor to reducing attrition rates at universities and increase conversion rates from student to qualified professional. This quality improvement project aimed to increase reported rates of students' satisfaction to 100% for each item of the student experience survey by March 2024 within Berkshire Healthcare National Health Service (NHS) Foundation Trust.To gain a deeper understanding of the experience and problems within healthcare student clinical placements interviews of students and staff were conducted alongside a literature review, which revealed six key themes around student placement experience: belonging and acceptance, familiarity and continuity, confidence and competence, preparation and preparedness, supervision and support, feeling overwhelmed/stress/impact on social and emotional health. These themes were translated into a student experience survey to achieve baseline and subsequent measurements.Changes were introduced to improve student satisfaction with clinical placements based on the baseline data of student satisfaction reported in the first student experience survey. Changes included introducing student inductions, better access to IT, student induction packs and newsletters. While the quantitative measurements of the items on the student experience survey remained positive, the nature of the qualitative feedback reflected the impact of the changes. Additionally, the improved communication and collaboration across teams because of the process highlighted the need for clear streamlined administrative processes. Regular review of student feedback has enabled timely feedback processes to placements and visible follow-up for students, highlighting the investment in them as the future workforce.
英国国家医疗服务体系（NHS）的劳动力缺口正在扩大。除了开展全国范围内的培训、招聘和留住员工的项目外，还需要在地方层面上做出努力。临床实习可能占医学生大学期间时间的三分之一，因此实习经验是降低大学辍学率和提高学生到合格专业人员转化率的一个重要因素。该质量改进项目旨在到 2024 年 3 月，将英国贝克斯希尔国民保健制度基金会信托医疗保健学生实习体验调查的每个项目的学生满意度报告率提高到 100%。为了更深入地了解医学生临床实习的体验和问题，对学生和工作人员进行了访谈，并进行了文献回顾，结果揭示了学生实习体验的六个关键主题：归属感和接纳度、熟悉度和连续性、信心和能力、准备度和预备性、监督和支持、感到不知所措/压力/对社会和情感健康的影响。这些主题被转化为学生体验调查，以实现基线和后续测量。根据第一次学生体验调查中报告的学生满意度基线数据，引入了一些措施来提高学生对临床实习的满意度。这些变化包括引入学生入职培训、更好地访问 IT 资源、学生入职包和时事通讯。虽然学生体验调查项目的定量测量结果仍然是积极的，但定性反馈的性质反映了变化的影响。此外，由于这一过程，团队之间的沟通和协作得到了改善，这凸显了对明确简化的行政流程的需求。定期审查学生反馈意见，使实习反馈过程及时，为学生提供可见的后续行动，突显了对他们作为未来劳动力的投资。
