Aims: To analyse nursing students' perception of the Magnet hospital attributes of the work environment at the hospitals where they perform their clinical placement and the relationship of this factor to their clinical learning environment and supervision, satisfaction and intention to stay in those hospitals once graduated.
Design: This study had a cross-sectional, correlational, design.
Methods: Data were collected using self-reported questionnaires from 180 nursing students at a university in southeast Spain between September-October 2018. Nursing work environment and clinical learning environment were measured using the Practice Environment Scale of the Nursing Work Index and Clinical Learning Environment, Supervision and Nurse Teacher scale, respectively. Students' satisfaction with the work environment and with the clinical learning process were measured using a four-point Likert scale developed by the researchers. Percentages, frequencies, mean, standard deviation, χ2 test, Mann-Whitney U test, Spearman and phi correlation were used to analyse the data.
Results: Nursing students' perception of greater Magnet-like features at work environment was associated with better clinical learning environment (Spearman rs = |0.22-0.54|; p < .01) and satisfaction with the work environment (Spearman rs = 0.18; p = .01) and with their learning process (Spearman rs = 0.21; p < .01). Greater intention to stay working in the hospital after graduation was significantly associated with greater satisfaction with the learning process (phi = 0.31; p < .01) and the work environment (phi = 0.23; p = .02).
Conclusion: Magnet-like features at the work environment lead to superior clinical learning environment and higher students' satisfaction, two factors that play a decisive role in their decision to stay at hospitals where they performed clinicals after graduation.
Impact: In the face of a global nurse shortage, nursing managers and faculty leaders should consider the improvement of nursing workplaces as a strategic alliance to promote satisfactory clinical learning experience and aid recruitment of nurses.
目的: 分析护理学生对临床实习医院工作环境的磁性医院属性的认知,以及该因素与毕业后临床学习环境、监管、满意度及留院意愿的关系。 设计: 本研究采用横向相关性设计。 方法: 从2018年9月到10月,在西班牙东南部的一家大学,采用自填式问卷从180名护理学生处采集数据。分别采用实习环境量表的护理工作指标和临床学习环境、监管及护理教师量表测量护理工作环境和临床学习环境。采用由研究员制定的四点李克特量表测定学生对于工作环境和临床学习过程的满意度。采用百分比、频率、平均值、标准偏差、χ2 测试、曼-惠特尼U检验、斯皮尔曼和phi相关系数来分析数据。 结果: 护理学生对工作环境中更具磁性特征的感知与更好的临床学习环境(斯皮尔曼rs=0.22-0.54 | p<0.01)和对工作环境(斯皮尔曼rs=0.18;p=0.01)及其学习过程的满意度(斯皮尔曼rs=0.21;p<0.01)相关。毕业后留在医院工作的意愿越高,对学习过程的满意度越高(phi=0.31;p<0.01),对工作环境的满意度越高(phi=0.23;p=0.02)。 结论: 工作环境中的磁性特征决定着更好的临床学习环境和更高的学生满意度,这两个因素对他们决定毕业后留在医院做临床医生起着决定性的作用。 影响: 在全球护士短缺的情况下,护理管理者和院系领导应考虑将改善护理工作环境视为一个战略联盟,以促进令人满意的临床学习经验,并协助招聘护士。.
Keywords: clinical learning environment; clinical placement; intention to stay; learning; magnet; nursing; retention; satisfaction; students; work environment.
© 2020 John Wiley & Sons Ltd.