Sykepleiestudentenes kliniske praksis – om klinisk læringsmiljø og studenttilfredshet
DOI:
https://doi.org/10.7557/14.5414Emneord (Nøkkelord):
sykepleiepraksis, studenttilfredshet, klinisk læringsmiljø, veiledning, tverrsnittsstudie, nursing placement, student satisfaction, clinical learning environment, supervisionSammendrag
Nurse practice – clinical learning environment and student satisfaction
The purpose of this study was to investigate nursing students’ satisfaction with the clinical learning environment during clinical practice. A questionnaire was distributed to nursing students at a university (N=250) in Norway. Student satisfaction, task orientation, pedagogical atmosphere, supervisory relationship, and the premises of nursing on the ward were measured. Of the 250 students invited, 163 (66 %) completed the survey. Nursing students were largely satisfied with their clinical placement experiences, but they were more satisfied with hospital placements than home care placements. Supervision more than once a week and having one supervisor was important for student satisfaction. Students’ relationship with their supervisors was strongest associated with satisfaction with their clinical placements. Supervisors play an important role in nursing students’ satisfaction with their clinical practice, with results indicating that this should be emphasized in the development of nursing education. The results indicate that nursing guidance skills should be strengthened to ensure the quality of clinical placements in nursing education.
Statistikk
Referanser
Aigeltinger, E., Haugan, G. & Sørlie, V. (2012). Utfordringer med å veilede sykepleierstudenter i praksisstudier. Norwegian Journal of Clinical Nursing/Sykepleien Forskning, 7(2). https://doi.org/10.4220/sykepleienf.2012.0084
Alexandersen, I., Mathisen, T. & Nakrem, S. (2014). En ny praksismodell i sykepleierutdanningen for fremtidens behov? En Q-metodisk studie av erfaringer med samarbeidslæring i praksisstudiene. Vård i Norden, 34(2), 4-9.
Baglin, M. R. & Rugg, S. (2010). Student nurses' experiences of community-based practice placement learning: a qualitative exploration. Nurse Education In Practice, 10(3), 144-152. https://doi.org/10.1016/j.nepr.2009.05.008
Bing-Jonsson, P. C., Foss, C., & Bjørk, I. T. (2016). The competence gap in community care: Imbalance between expected and actual nursing staff competence. Nordic Journal of Nursing Research, 36(1), 27-37.
Borrott, N., Day, G. E., Sedgwick, M. & Levett-Jones, T. (2016). Nursing students' belongingness and workplace satisfaction: Quantitative findings of a mixed methods study. Nurse Education Today, 45, 29-34. https://doi.org/10.1016/j.nedt.2016.06.005
Bos, E., Alinaghizadeh, H., Saarikoski, M. & Kaila, P. (2015). Factors associated with student learning processes in primary health care units: A questionnaire study. Nurse education today, 35(1), 170-175. https://doi.org/10.1016/j.nedt.2014.09.012
Caspersen, J. & Kårstein, A. (2013). Kvalitet i praksis: Oppfatninger om kvalitet blant praksisveiledere. https://nifu.brage.unit.no/nifu-xmlui/bitstream/handle/11250/280417/NIFUrapport2013-14.pdf?sequence=1
Chan, D. (2002). Associations between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. International Journal of nursing studies, 39(5), 517-524. https://doi.org/10.1016/S0020-7489(01)00057-8
Chan, D. S. (2003). Validation of the clinical learning environment inventory. Western Journal of Nursing Research, 25(5), 519-532. https://doi.org/10.1177/0193945903253161
Cozby, P. C. & Bates, S. C. (2015). Methods in Behavioral Research. Australia: McGraw-Hill.
Creswell, J. W. (2014). Research design : qualitative, quantitative, and mixed methods approaches. Los Angeles, California: Sage publications.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. psychometrika, 16(3), 297-334. Hentet fra: https://link.springer.com/article/10.1007/BF02310555
Cooper, J., Courtney-Pratt, H. & Fitzgerald, M. (2015). Key influences identified by first year undergraduate nursing students as impacting on the quality of clinical placement: A qualitative study. Nurse Education Today, 35(9), 1004-1008. https://doi.org/10.1016/j.nedt.2015.03.009
Doyle, K., Sainsbury, K., Cleary, S., Parkinson, L., Vindigni, D., McGrath, I. & Cruickshank, M. (2017). Happy to help/happy to be here: Identifying components of successful clinical placements for undergraduate nursing students. Nurse Education Today, 49, 27-32. https://doi.org/10.1016/j.nedt.2016.11.001
Flott, E. A. & Linden, L. (2016). The clinical learning environment in nursing education: a concept analysis. Journal of advanced nursing, 72(3), 501-513. https://doi.org/10.1111/jan.12861
Ford, K., Courtney-Pratt, H., Marlow, A., Cooper, J., Williams, D. & Mason, R. (2016). Quality clinical placements: The perspectives of undergraduate nursing students and their supervising nurses. Nurse Education Today, 37, 97-102. https://doi.org/10.1016/j.nedt.2015.11.013
Forskrift om nasjonal retningslinje for sykepleierutdanning. (2019). Forskrift om nasjonal retningslinje for sykepleierutdanning (LOV-2005-04-01-15-§3-2). Hentet fra: https://lovdata.no/dokument/SF/forskrift/2019-03-15-412
Forskrift om felles rammeplan for helse- og sosialfagutdanninger. (2017). Forskrift om felles rammeplan for helse- og sosialfagutdanninger (LOV-2005-04-01-15-§3-2). Hentet fra: https://lovdata.no/dokument/SF/forskrift/2017-09-06-1353
Galletta, M., Portoghese, I., Aviles Gonzales, C. I., Melis, P., Marcias, G., Campagna, M., … Sardu, C. (2017). Lack of respect, role uncertainty and satisfaction with clinical practice among nursing students: the moderating role of supportive staff. Acta Bio-Medica: Atenei Parmensis, 88(3 -S), 43-50. https://doi.org/10.23750/abm.v88i3 -S.6613
Gautun, H., Øien, H., & Bratt, C. (2016). Underbemanning er selvforsterkende. Konsekvenser av mangel på sykepleiere i hjemmesykepleien og sykehjem(Lamont et al., 2015) (NOVA rapport 2016/6). Hentet fra https://sykepleien.no/sites/sykepleien.no/files/til-trykk-nova-r6-16-25-mai-2016_2.pdf
Gillespie, M. (2013). Student nurse perceptions of client groups and clinical placement areas. British Journal of Nursing, 22(6), 340-345.
Gjems, L. (2012). Kontekstuell veiledning. Snakke sammen, tenke sammen–lære sammen. I: Ulvestad, A., K. og Kärki, F., U.(Red.). Flerstemt veiledning, 125-139.
Haddeland, K., & Söderhamn, U. (2013). Sykepleierstudenters opplevelse av veiledningssituasjoner med sykepleiere i sykehuspraksis–En fenomenologisk studie. Nordisk sygeplejeforskning, 3(01), 18-32.
Hall, K. C. (2016). Role functions of staff nurse preceptors for undergraduate pre-licensure nursing students. Journal of Nursing Education and Practice, 6(7), 19. https://doi.org/10.5430/jnep.v6p19
Hamshire, C., Willgoss, T. G. & Wibberley, C. (2012). 'The placement was probably the tipping point' - The narratives of recently discontinued students. Nurse Education in Practice, 12(4), 182-186. https://doi.org/10.1016/j.nepr.2011.11.004
Haslam, S. A. (2004). Psychology in organizations. Sage.
Haslam, S. A., Jetten, J., O'Brien, A., & Jacobs, E. (2004). Social identity, social influence and reactions to potentially stressful tasks: Support for the self‐categorization model of stress. Stress and Health: Journal of the International Society for the Investigation of Stress, 20(1), 3-9.
Hauge, K. W., Brask, O. D., Bachmann, L., Bergum, I. E., Heggdal, W. M., Inderhaug, H., ... & Julnes, S. G. (2016). Kvalitet i praksisstudier i sykepleier-og vernepleierutdanning. Nordisk tidsskrift for helseforskning, 12(1), 19-33.
Haugan, G., Aigeltinger, E., & Sørlie, V. (2012). Relasjonen til veilederen betyr mye for sykepleierstudenter i sykehuspraksis. Norwegian Journal of Clinical Nursing/Sykepleien Forskning, 7(2).
Henderson, A., Cooke, M., Creedy, D. K. & Walker, R. (2012). Nursing students' perceptions of learning in practice environments: A review. Nurse Education Today, 32(3), 299-302. https://doi.org/10.1016/j.nedt.2011.03.010
Henriksen, N., Normann, H. K. & Skaalvik, M. W. (2012). Development and Testing of the Norwegian Version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) Evaluation Scale. International Journal of Nursing Education Scholarship, 9(1), 1-15. https://doi.org/10.1515/1548-923X.2239
Houghton, C. E., Casey, D., Shaw, D. & Murphy, K. (2013). Students' experiences of implementing clinical skills in the real world of practice. Journal of clinical nursing, 22(13/14), 1961-1969. https://doi.org/10.1111/jocn.12014
Hunter, D. (2010). How clinical practice placements affect professional development. Emergency Nurse: The Journal Of The RCN Accident And Emergency Nursing Association, 18(5), 30-34. Hentet fra http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=20882805&site=ehost-live
Jansson, I., & Ene, K. W. (2016). Nursing students’ evaluation of quality indicators during learning in clinical practice. Nurse education in practice, 20, 17-22.
Jääskeläinen, R. Think-aloud protocol (2010). In Gambier Y, van Doorslaer L (Eds.), Handbook of Translation Studies (pp. 371-374). Amsterdam; John Benjamins Publishing.
Lamont, S., Brunero, S. & Woods, K. P. (2015). Satisfaction with clinical placement -- The perspective of nursing students from multiple universities. Collegian, 22(1), 125-133. https://doi.org/10.1016/j.colegn.2013.12.005
Levett-Jones, T., & Lathlean, J. (2008). Belongingness: A prerequisite for nursing students’ clinical learning. Nurse education in practice, 8(2), 103-111.
Levett-Jones, T., Lathlean, J., Higgins, I. & McMillan, M. (2009). Staff-student relationships and their impact on nursing students' belongingness and learning. Journal of Advanced Nursing, 65(2), 316-324. https://doi.org/10.1111/j.1365-2648.2008.04865.x
Mathisen, P. & Høigaard, R. (2002). De veiledningslike samtalene. Norsk pedagogisk tidsskrift, 86(06), 473-479.
Onstad, R. F., Nordhaug, M., Iversen, A., Skommesvik, S., Haukland, M., Uppsata, S. E. & Tveiten, S. (2018). Kvalitet i praksisveiledning - en vedvarende utfordring? I S. Tveiten & A. Iversen (Red.), Veiledning i høyere utdanning. En vitenskapelig antologi. Bergen: Fagbokforlaget
Papastavrou, E., Dimitriadou, M., Tsangari, H. & Andreou, C. (2016). Nursing students’ satisfaction of the clinical learning environment: a research study. BMC nursing, 15(1), 44.
Papathanasiou, I. V., Tsaras, K. & Sarafis, P. (2014). Views and perceptions of nursing students on their clinical learning environment: Teaching and learning. Nurse Education Today, 34(1), 57-60. http://dx.doi.org/10.1016/j.nedt.2013.02.007
Ruyter, K. W. (2003). Forskningsetikk: beskyttelse av enkeltpersoner og samfunn Gyldendal akademisk.
Ryan, R. M., & Deci, E. L. (2000). Intrinsic and extrinsic motivations: Classic definitions and new directions. Contemporary educational psychology, 25(1), 54-67.
Saarikoski, M. & Leino-Kilpi, H. (2002). The clinical learning environment and supervision by staff nurses: developing the instrument. International journal of nursing studies, 39(3), 259-267. https://doi.org/10.1016/S0020-7489(01)00031-1
Secomb, J. (2008). A systematic review of peer teaching and learning in clinical education. Journal of clinical nursing, 17(6), 703-716. https://doi.org/10.1111/j.1365-2702.2007.01954.x
Skaalvik, M. W., Normann, H. K. & Henriksen, N. (2011). Clinical learning environment and supervision: experiences of Norwegian nursing students - a questionnaire survey. Journal of clinical nursing, 20(15-16), 2294-2304. https://doi.org/10.1111/j.1365-2702.2011.03727.x
Smedley, A. & Morey, P. (2010). Improving learning in the clinical nursing environment: perceptions of senior Australian bachelor of nursing students. Journal of Research in Nursing, 15(1), 75-88. https://doi.org/10.1177/1744987108101756
Stayt, L. C. & Merriman, C. (2013). A descriptive survey investigating pre-registration student nurses' perceptions of clinical skill development in clinical placements. Nurse Education Today, 33(4), 425-430. https://doi.org/10.1016/j.nedt.2012.10.018
Warne, T., Johansson, U.-B., Papastavrou, E., Tichelaar, E., Tomietto, M., Van den Bossche, K., Saarikoski, M. (2010). An exploration of the clinical learning experience of nursing students in nine European countries. Nurse Education Today, 30(8), 809-815. https://doi.org/10.1016/j.nedt.2010.03.003
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee‐Lorenz, A. & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for patient‐reported outcomes (PRO) measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in health, 8(2), 94-104.
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