使用印度尼西亚曼彻斯特临床安置指数(i-mcpi)评估医院和社区临床学习环境的质量

Audelia Kathleen Sulaiman, Carolyn Carolyn, Natalia Puspadewi, E. Rukmini
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摘要

背景:临床实习对培养提供病人护理的基本能力至关重要。因此,临床学习环境评估是保证临床学习质量的必要手段。印度尼西亚曼彻斯特临床实习指数(I-MCPI)是评估医院和社区实习的学习环境质量和培训质量的工具。本研究旨在(1)使用I-MCPI测量雅加达一所医学院的CLE质量;(2)探索I-MCPI的定性数据,以得出关于CLE的综合结论。方法:155名被调查者在线填写I-MCPI, 10名被调查者进行深度访谈。使用原始MCPI提供的指南对定量数据进行分析。采用内容分析法对数据进行定性分析。结果:通过定量数据得出18个临床实习单位的排名,其中包括基层教学医院及其网络临床实习单位。初级卫生保健(PHC)安置趋势在CLE和培训质量方面排名较低。基层教学医院排名第六。质性结果发现导师角色、学生参与、学习设施等问题是影响CLE的重要因素。结论:大多数被调查者对学校临床轮转学习质量感到满意。然而,受访者建议更多地支持学生积极参与临床服务,发挥临床技能,并鼓励学习设施,以优化CLE。
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USING THE INDONESIAN MANCHESTER CLINICAL PLACEMENT INDEX (I-MCPI) TO ASSESS THE QUALITY OF HOSPITAL-BASED AND COMMUNITY-BASED CLINICAL LEARNING ENVIRONMENT
Background: Clinical placement is crucial to develop the fundamental competencies in providing patient care. Therefore, clinical learning environment (CLE) assessment is necessary to ensure its quality. The Indonesian Manchester Clinical Placement Index (I-MCPI) is an instrument for assessing the quality of the learning environment and the quality of training in both hospital and community placements. This study aimed to (1) measure the CLE quality of a school of medicine in Jakarta using I-MCPI and (2) explore the qualitative data resulted from the I-MCPI to draw a comprehensive conclusion about CLE.Methods: 155 respondents filled the online I-MCPI, and ten respondents participated in the in-depth interviews. The quantitative data were analyzed using the guideline provided by the original MCPI. The qualitative data analysis was performed using content analysis method.Results: Quantitative data resulted in ranks of the 18 clinical placements, including primary teaching hospital and its network clinical placements. Trends in Primary Health Care (PHC) placement showed lower rank on the CLE and the training quality. The primary teaching hospital was in the sixth position. The qualitative results identified issues of the supervisor’s role, students’ involvement, and learning facilities were identified as significant factors that influenced CLE.Conclusion: Most respondents were satisfied with the quality of learning in clinical rotation at the school. However, respondents suggested more support for students to be actively involved in clinical services, perform clinical skills, and encourage learning facilities to optimize the CLE.
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