高职护理专业学生实习成绩与临床学习环境的分析

The practice performance and clinical learning environment among associated degree nursing students

目的了解高职护理专业学生实习成绩情况,以及其对临床学习环境的评价。方法采用便利抽样方法,选择在浙江省36家二级甲等以上教学医院实习的高职护理学生为调查对象,应用临床学习环境(氛围)评价量表、学生成绩登记表对其进行调查。结果学生对临床学习环境评价总分为(173.07±16.02)分,各维度评分由高到低为:任务定位(26.68±3.98)分,人际关系(26.01±4.60)分,学生参与性(25.64±4.44)分,工作氛围和团队文化(25.54±4.42)分,创新性(25.41±4.60)分,个性化(24.50±5.36)分。学生实习成绩最低分为60.00分,最高分为99.25分,呈偏态分布,偏态系数-2.22;三级甲等医院实习生实习成绩低于三级乙等、二级甲等医院。实习成绩与临床学习环境各维度无相关性。结论护理专业学生实习成绩偏高,学生实习成绩与其对临床学习环境的评价不相关。建议引入形成性评价、第三方考核制度,重视学生个性化和创新性培养,加强细节管理,提高实习效果。

Objective To investigate the practice performance among associated degree nursing students and their perceptions of clinical learning environment. Methods The associated degree nursing students from 36 hospitals in Zhejiang province were recruited and investigated by using Clinical Learning Environment Inventory. Their practice performance was recorded based on the practice records. Results The total score of clinical learning environment was （173.07±16.02）,and the factor scores were ranked as task location （26.68 ±3.98 ）, interpersonal relation （26.01±4.60）, student participation （25.64±4.44）, work atmosphere and team culture （25.54±4.42） ,innovation （25.41±4.60） ,and individuation （24.50±5.36）.The students＇ practice performance covered from 60.00 to 99.25 points. The scores showed skewness distribution,and the coefficient of skewness was -2.22. The students＇ practice performance was significantly higher in upper first-class hospitals than that in middle first-class or upper second-class hospitals. No relationship was found between the practice performance and their perceptions of clinical learning environment. Conclusion The score of practice performance among associated degree nursing students is relatively high,which is not correlated with their perceptions of clinical learning environment. It is suggested to apply formative assess- ment and third party evaluation system,pay close attention to the training of students＇ individuation and innovation,and strengthen particular management and thereby to improve the effectiveness of clinical practice.