Senior Lecturer. Philosophy Department, University of Nigeria, Nsukka.
Ph.D. student and research consultant. Department of Sociology/Anthropology, University of Nigeria, Nsukka.
Invest Educ Enferm. 2024 Jun;42(2). doi: 10.17533/udea.iee.v42n2e09.
To describe the Factors to Effective Clinical Experience and Willingness to pursue Career in Rural Health Facilities among Nursing Students on Clinical Placement in southeast Nigeria.
The study was conducted among 48 rural health centres and general hospitals with 528 respondents from different higher institutions of learning serving in these health facilities for their clinical experience. The study applied survey design and utilized questionnaire instrument for data collection.
Majority of the students (60%) agreed that their school lacked functional practical demonstration laboratory for students' clinical practice, 66.7% agreed that their school lab lacked large space for all the students to observe what is being taught, 79.9% that their school lab lacked enough equipment that can enable many students to practice procedures; majority of the students (79.9%) answered that the hospitals where they are on clinical placement lacked enough equipment needed for the students on each shift of practice, 59.9% agreed that student/client ratio in each ward during clinical experience periods was not enough for students' practice under supervision, while 73.3% indicated that their school lacked library with current nursing texts for references. Personal, socioeconomic and institutional factors explain the 76% of the variance of effective clinical experience and the 52% of the variance of the willingness to work in rural health facilities in the future if offered employment.
The factors surrounding effective clinical experience in rural healthcare facilities in southeastern Nigeria are unfavorable and could discourage future nurses from working there. It is necessary to implement strategies to improve the management of these centers in order to promote the perspective of improving sustainable rural health in this region.
描述尼日利亚东南部农村卫生机构中护理学生临床实习经历和从事农村卫生工作意愿的影响因素。
本研究在 48 个农村卫生中心和综合医院进行,共有来自不同高等院校的 528 名学生在这些卫生机构进行临床实习。该研究采用了调查设计,并使用问卷调查工具收集数据。
大多数学生(60%)认为他们的学校缺乏用于学生临床实践的功能齐全的实践演示实验室,66.7%认为他们的学校实验室缺乏足够的空间供所有学生观察正在教授的内容,79.9%认为他们的学校实验室缺乏足够的设备使许多学生能够练习程序;大多数学生(79.9%)表示,他们所在的临床实习医院缺乏每个实习班次学生所需的足够设备,59.9%同意在临床实习期间每个病房的学生/患者比例不足以为学生提供监督下的实践,而 73.3%表示他们的学校缺乏可用于参考的当前护理教材的图书馆。个人、社会经济和机构因素解释了 76%的有效临床经验差异,以及 52%的未来愿意在农村卫生机构工作的差异,如果有就业机会的话。
在尼日利亚东南部农村医疗保健机构中,有效临床经验的相关因素并不理想,可能会阻碍未来的护士在那里工作。有必要实施战略来改善这些中心的管理,以促进改善该地区可持续农村卫生的观点。