An Investigation of the Status of Clinical Learning Environment in Undergraduate Nursing Students' in the late Clinical Practice Stage in Sichuan Province_West China Medical Journal

Authors：

 YANGXiao-ling ^1,2 ,  CHENHong ^1,2

1. Nursing Department, West China Hospital, Sichuan University, Chendu, Sichuan 610041, P. R. China;
2. Department of Nursing, West China Medical School, Sichuan University, Chendu, Sichuan 610041, P. R. China;

Corresponding?author：

CHENHong, Email: hchenwsp@yahoo.ca

Keywords：

Nursing undergraduate students; Clinical practice stage; Clinical learning environment

DOI：

10.7507/1002-0179.20150506

Video：

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Objective To explore the status of clinical learning environment in undergraduate nursing students in the late clinical practice stage in Sichuan Province. Method The sampling was performed in a layered-randomized and geometric proportional way. A total of 1 027 nursing students from 6 nursing schools in Sichuan Province between May and July 2012 were included. Data were collected by the self-rating questionnaires, including demographic sheet, and the nursing clinical learning environment scale. Results The general score of evaluation for clinical learning environment by the nursing undergraduates was 144.99±26.60, and the average score of the items was 3.45±0.63. The average scores were 3.41±0.74, 3.59±0.64, 3.43±0.69, 3.45±0.73, 3.35±0.77, and 3.49±0.69, representing the personality, task orientation, working atmosphere and team spirit, innovation, interpersonal relation, and student participation, respectively. Conclusions The assessments about clinical learning environment of nursing undergraduates in Sichuan province are medium grade and the evaluation dimensions of personality and interpersonal relationships low. It is necessary to improve clinical learning environment in the future.

Citation： YANGXiao-ling, CHENHong. An Investigation of the Status of Clinical Learning Environment in Undergraduate Nursing Students' in the late Clinical Practice Stage in Sichuan Province. West China Medical Journal, 2015, 30(9): 1765-1769. doi: 10.7507/1002-0179.20150506 Copy

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4.	王惠珍, 曾毅, 高鈺琳, 等. 高護生臨床實習早期心理壓力源調查與分析[J]. 南方護理學報, 2004, 11(9):7-9.
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22.	Fretwell JE. An inquiry into the ward learning environment[J]. Nurs Times, 1980, 76(26):69-75.
23.	Edwards HE, Chapman H, Nash RE. Evaluating student learning:an Australian case study[J]. Nurs Health Sci, 2001, 3(4):197-203.
24.	梁茜. 影響臨床實習教學質量的因素及對策[J]. 職業與健康, 2006, 22(2):133-134.
25.	穆賢, 王艷茹. 護理本科生對臨床實習環境的評價[J]. 護理學雜志, 2010, 25(20):73-74.

1. 楊敏, 馬愛群, 王文如. 我國護理本科生對臨床學習環境的認知調查[J]. 護理學雜志, 2003, 18(4):297-299.
2. 楊敏, 馬愛群, 王文如, 等. 護理本科生對臨床學習環境認知與其實習表現相關分析[J]. 中華護理雜志, 2004, 39(5):339-341.
3. Dunn SV, Bumett P. The development of a clinical learning environment scale[J]. J Adv Nurs, 1995, 22(6):1166-1173.
4. 王惠珍, 曾毅, 高鈺琳, 等. 高護生臨床實習早期心理壓力源調查與分析[J]. 南方護理學報, 2004, 11(9):7-9.
5. 司風華, 李冬紅, 李冬梅. 不同時期臨床護理帶教特點與對策[J]. 齊魯護理雜志, 2006, 12(9B):1828.
6. 劉喜文, 尼春萍, 馬進, 等. 臨床實習初期護生與護士人格特征的調查[J]. 護理研究, 2005, 19(10):851-852.
7. 臧爽, 李紅麗, 楊凡. 本科護生畢業實習末期臨床實習行為的評價[J]. 護理學雜志, 2007, 22(17):49-51.
8. 朱聞溪. 護理臨床學習環境評價量表的編制與檢驗[D]. 沈陽:中國醫科大學, 2005.
9. 崔慧霞. 我國護理本科生對臨床學習環境評價與其臨床實習表現自評關系的研究[D]. 北京:北京協和醫學院, 中國醫學科學院, 清華大學醫學部, 中國醫學科學院, 2008.
10. 郭飏. 五年制高職護生臨床學習環境評價及影響因素研究[D]. 長沙:中南大學, 2008.
11. Smith P. Recruit and ratain. The emotional labour of nursing[J]. Nurs Times, 1988, 84(44):50-51.
12. 平翠香, 張波, 李秀芳. 護理實習生臨床實習效果的調查研究[J]. 醫學理論與實踐, 2004, 17(10):1230-1231.
13. 朱勝春, 金鈺梅. 護生臨床實踐機會獲取情況調查及分析[J]. 解放軍護理雜志, 2004, 21(11):44-46.
14. 崔慧霞, 劉華平, 郭愛敏, 等. 臨床學習環境對護理本科生臨床實習表現的影響[J]. 護理學雜志, 2011, 26(1):41-43.
15. 宮玉花, 王艷, 陸虹. 對臨床教師有效教學行為的調查[J]. 中華護理雜志, 2003, 38(1):10-13.
16. Ashworth P, Morrison P. Some ambiguities of the student's role in undergraduate nurse training[J]. J Adv Nurs, 1989, 14(12):1009-1015.
17. Baillie L. Factors affecting student nurses' learning in community placements:a phenomenological study[J]. J Adv Nurs, 1993, 18(7):1043-1053.
18. Sellek T. Satisfying and anxiety-creating incidents for nursing students[J]. Nurs Times, 1983, 78(48):137-140.
19. Windsor A. Nursing students' perceptions of clinical experience[J]. J Nurs Educ, 1987, 26(4):150-154.
20. 嚴利, 田繼書, 夏琳. 大中專實習護生職業心態調查分析及對策[J]. 護理學雜志, 2006, 21(22):71-73.
21. 鄭群英, 游惠珍. 護生臨床實習中存在的問題及其對策[J]. 福建醫藥雜志, 2009, 31(1):170.
22. Fretwell JE. An inquiry into the ward learning environment[J]. Nurs Times, 1980, 76(26):69-75.
23. Edwards HE, Chapman H, Nash RE. Evaluating student learning:an Australian case study[J]. Nurs Health Sci, 2001, 3(4):197-203.
24. 梁茜. 影響臨床實習教學質量的因素及對策[J]. 職業與健康, 2006, 22(2):133-134.
25. 穆賢, 王艷茹. 護理本科生對臨床實習環境的評價[J]. 護理學雜志, 2010, 25(20):73-74.

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An Investigation of the Status of Clinical Learning Environment in Undergraduate Nursing Students' in the late Clinical Practice Stage in Sichuan Province

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