肯尼亚卫理公会大学护生对临床教与学的认知

Doris Tuitoek, Agnes Mutinda, Phidelis Kubende
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摘要

研究方法:采用描述性横断面调查设计,调查对象为肯尼亚卫理公会大学的RN-BSN学生。样本量由Fisher等人确定,公式和参与者采用简单随机抽样的方式选取,符合入选标准者纳入本研究。通过自我管理的问卷收集数据,并使用SPSS version 26对数据进行分析,其中使用表格和数字呈现描述性数据。研究发现:61.7%的学生对临床实习感到满意,因为它提供了一个积极的学习环境,而84%的学生表示他们有机会将理论转化为实践。此外,59.1%的人对他们在临床领域的实践经验感到满意,58.3%的人对循证实践的使用不满意,54.8%的人对讲师参与临床培训不满意。对理论、实践和政策的独特贡献:本研究测试了Kolb经验模型,即学生需要通过具体经验、反思性观察、抽象概念化和积极实验来进行学习。这项研究支持了这种模式,即为了有效的学习,学生必须经历所有的学习周期。在政策方面,这项研究建议需要为卫生设施配备设备,并在医院雇用更多的护士,这些护士还将作为学生的导师,并将这些设施改善为教学和转诊中心。在实践中,医院应该确定临床导师来监督循证实践和批判性思维在护理实践中的实施,而机构应该雇佣更多的临床讲师,并在临床学习环境中确定临床导师和导师。
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NURSING STUDENTS’ PERCEPTION ON CLINICAL TEACHING AND LEARNING AT KENYA METHODIST UNIVERSITY, KENYA
Purpose: To explore RN-BSN students’ perception on clinical placements, mentorship and supervision in clinical teaching and learning. Methodology: The study adopted a descriptive cross-sectional survey design among RN-BSN students studying at Kenya Methodist University. The sample size was determined by Fisher et al., formula and the participants were selected through simple random sampling, those who met the eligibility criteria were included in the study. Data was collected through a self-administered questionnaire and data was analysed by use of SPSS version 26, where descriptive data was presented by the use of tables and figures. Findings: This study revealed that 61.7% of the students were satisfied with the clinical placements as it provided a positive learning environment, while 84% reported they had the opportunity to transfer theory into practice. In addition, 59.1% were satisfied with the hands-on experience they had in the clinical area however, 58.3% were dissatisfied with the use of Evidence-based practice and 54.8% were dissatisfied with the involvement of lecturers in clinical training. Unique Contribution to Theory, Practice and Policy: This study tested the Kolb Experiential model where for learning to take place the students need to go through concrete experience, reflective observation, abstract conceptualization and active experimentation. This study is in support of this model that for effective learning to take place the student has to undergo all the learning cycle. In policy, this study recommends the need to equip health facilities and employ more nurses in the hospitals who will also act as mentors to students and improve these facilities into teaching and referral centres. In practice, hospitals should identify clinical mentors who will oversee the implementation of Evidence-Based Practice and critical thinking into the nursing practice, while, institutions should employ more clinical instructors, and identify clinical mentors and preceptors in the clinical learning environments.
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