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2012 | 12 | 4 | 192-197
Tytuł artykułu

Student, tutor and staff nurse perceptions of the clinical learning environment

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The aim of this exploratory study was to describe and compare student nurses (n=142), staff nurses (n=54) and nurse tutors (n=8) perceptions of the clinical learning environment (CLE), and to identify factors that enhanced or inhibited student learning. The setting was a private hospital in Penang, Malaysia. Data were collected using a structured, self-administered questionnaire that consisted of six a priori subscales. Principal component analysis supported a six factor solution and a reduction in the number of items from 44 to 34. Participants’ overall perception of the CLE was positive, though there were significant differences in 5 of the 6 subscales between the three groups. For students and their tutors, the most positive component of the CLE was ‘supervision by clinical instructors’. Staff nurses reported more favourably on the learner friendliness of the CLE than did students or tutors. Factors that enhanced student learning included students’ and staff nurses’ attitude towards student learning, variety of clinical opportunities, sufficient equipment, and adequate time to perform procedures. Factors that hindered student learning were: overload of students in the clinical unit, busy wards, and students being treated as workers.
Słowa kluczowe
Nurse Education in Practice , ISSN 14715953
Opis fizyczny
  • 1. Barnett, T.& Namasivayam, P.& Narudin, D.A.A., "A critical review of the nursing shortage in Malaysia", International Nursing Review, vol. 57, 2010, p.32-39
  • 2. Chan, D.S.K., "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, vol. 39, 5, 2002, p.517-524
  • 3. Chapple, M.& Aston, E.S., "Practice learning teams: a partnership approach to supporting students’ clinical learning", Nurse Education in Practice, vol. 4, 2, 2004, p.143-149
  • 4. Duchscher, J.E.B., "Transition shock: the initial stage of role adaptation for newly graduated registered nurses", Journal of Advanced Nursing, vol. 65, 5, 2009, p.1103-1113
  • 5. Dunn, S.V.& Burnett, P., "The development of a clinical learning environment scale", Journal of Advanced Nursing, vol. 22, 6, 1995, p.1166-1173
  • 6. Edwards, H.& Smith, S.& Courtney, M.& Finlayson, K.& Chapman, H., "Impact of clinical placement location on nursing students competence and preparedness for practice", Nurse Education Today, vol. 24, 4, 2004, p.248-255
  • 7. Elcock, K.S.& Curtis, P.& Sharples, K., "Supernumerary status – an unrealised ideal", Nurse Education in Practice, vol. 7, 1, 2007, p.4-10
  • 8. Evans, W.& Kelly, B., "Pre-registration diploma student nurse stress and coping measures", Nurse Education Today, vol. 24, 6, 2004, p.473-482
  • 9. Field, A., "Discovering Statistics Using SPSS", 2005
  • 10. Gibbons, C.& Dempster, M.& Moutray, M., "Surveying nursing students on their sources of stress: a validation study", Nurse Education Today, vol. 29, 2009, p.867-872
  • 11. Heath, P., "National Review of Nursing Education 2002 – Our Duty of Care", 2002
  • 12. Hosoda, Y., "Development and testing of a clinical learning environment diagnostics inventory for baccalaureate nursing students", Journal of Advanced Nursing, vol. 56, 5, 2006, p.480-490
  • 13. Lambert, V.& Glecken, M., "Clinical education facilitators: a literature review", Issues in Clinical Nursing, vol. 14, 2005, p.664-673
  • 14. Lewin, D., "Clinical learning environments for student nurses: key indices from two studies compared over a 25 year period", Nurse Education in Practice, vol. 7, 2006, p.238-246
  • 15. Macnee, C.L., "Understanding Nursing Research: Reading and Using Research in Practice", 2004
  • 16. Maben, J.& Latter, S.& Maclead Clark, J., "The theory–practice gap: impact of professional–bureaucratic work conflict on newly-qualified nurses", Journal of Advanced Nursing, vol. 55, 4, 2006, p.465-477
  • 17. Mnzava, M.& Savage, A., "Tanzanian student nurses’ perceptions of their clinical experience. 2005", Tanzania Health Research Bulletin, vol. 7, 2, 2005, p.94-97
  • 18. Nursing Board of Malaysia, "Standards and Guidelines for Nursing Programmes", 2006
  • 19. Papastavrou, E.& Lambrinou, E.& Tsangari, H.& Saarikiski, M.& Leino-Kilpi, H., "Student nurses experience of learning in the clinical environment", Nurse Education in Practice, vol. 10, 3, 2010, p.176-182
  • 20. Papp, I.& Markkanen, M.& von Bonsdorff, M., "Clinical environment as a learning environment: student nurses’ perceptions concerning clinical learning experiences", Nurse Education Today, vol. 23, 4, 2003, p.262-268
  • 21. Pearcey, P.A.& Elliot, B.E., "Student impressions of clinical nursing", Nurse Education Today, vol. 24, 5, 2004, p.382-387
  • 22. Penman, J.& Oliver, M., "Meeting the challenges of assessing clinical placement venues in a bachelor of nursing program", Journal of University Teaching and Learning Practice, vol. 1, 2, 2004, p.59-73
  • 23. Rattray, J.& Jones, M.C., "Essential elements of questionnaire design and development", Journal of Clinical Nursing, vol. 16, 2007, p.234-243
  • 24. Roberts, D., "Learning in clinical practice: the importance of peers", Nursing Standard, vol. 23, 12, 2008, p.35-41
  • 25. Roxburgh, M.& Watson, R.& Holland, K.& Johnson, M.& Lauder, W.& Topping, K., "A review of curriculum evaluation in United Kingdom nursing education", Nurse Education Today, vol. 28, 7, 2008, p.881-889
  • 26. Saarikoski, M.& Isoaho, H.& Leino-Kilpi, H.& Warne, T., "Validation of the clinical learning environment and supervision scale", International Journal of Nursing Education Scholarship, vol. 2, 1, 2005, Article 9
  • 27. Saarikoski, M.& Leino-Kilpi, H., "The clinical learning environment and supervision by staff nurses: developing the instrument", International Journal of Nursing Studies, vol. 39, 3, 2002, p.259-267
  • 28. Sand-Jecklin, K., "Evaluating the student clinical learning environment: development and validation of the SECEE inventory", Southern Online Journal of Nursing Research, vol. 1, 4, 2000
  • 29. Spouse, J., "Bridging theory and practice in the supervisory relationship: a sociocultural perspective", Journal of Advanced Nursing, vol. 33, 4, 2001, p.512-522
  • 30. Swain, J.& Pufahl, E.& Williamson, G.R., "Do they practise what we teach? A survey of manual handling practice amongst student nurses", Journal of Clinical Nursing, vol. 12, 2, 2003, p.297-306
  • 31. Timmins, F.& Kaliszer, M., "Aspects of nurse education programmes that frequently cause stress to nursing students – fact-finding sample survey", Nurse Education Today, vol. 22, 3, 2002, p.203-211
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