Nursing degree students' clinical placement experiences in Australia: A survey design.


Journal

Nurse education in practice
ISSN: 1873-5223
Titre abrégé: Nurse Educ Pract
Pays: Scotland
ID NLM: 101090848

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 16 11 2020
revised: 17 05 2021
accepted: 01 06 2021
pubmed: 15 6 2021
medline: 4 8 2021
entrez: 14 6 2021
Statut: ppublish

Résumé

This study aimed to evaluate Australian nursing students' views of placements at seven tertiary education institutions with the use of the Placement Evaluation Tool (PET). Clinical placements are a core element of healthcare education programs around the world (Chuan and Barnett, 2012) with undergraduate nursing students required to complete a prescribed number of hours as part of their degree. The quality of nursing clinical placements varies with a range of positive and negative learning experiences. A survey design was used with a contemporary survey tool- the Placement Evaluation Tool (PET). Using Qualtrics software (Qualtrics, 2005) the on-line survey was distributed to approximately 6265 undergraduate nursing students at six Australian universities and one Technical and Further Education (TAFE) college where Bachelor of Nursing degree students were enrolled. Three Australian States were covered. Sites were selected where a project team member was employed. A total of 1263 nursing students completed the Placement Evaluation Tool (PET) - 19 items (rated 1-5), one global rating (rated 1-10) - following placement in three Australian States (July 2019-February 2020). Most - 618 (48.9%) completed a placement in acute care with placements positively rated overall. The total PET mean score was 78.3% with 29.8% being 'extremely satisfied' (10 out of 10 - Item 20). However, 11.0% were dissatisfied with global ratings of four or less, whilst ratings between States differed significantly (p = <0.001). One third of respondents answered a free text statement relating to placement experiences, with significantly more comments from older students (p = <0.001) and from those with ratings in the lower range (p = <0.001). Three core themes emerged: 1. Staff Attitudes to Students, 2. Environment and 3. Lifestyle. Whilst students' clinical experiences in Australia tend to be positive a minority reported exposure to negative staff attitudes, in unsafe environments, with lifestyle detriments. Further work is required to understand and enhance student experiences.

Sections du résumé

AIM OBJECTIVE
This study aimed to evaluate Australian nursing students' views of placements at seven tertiary education institutions with the use of the Placement Evaluation Tool (PET).
BACKGROUND BACKGROUND
Clinical placements are a core element of healthcare education programs around the world (Chuan and Barnett, 2012) with undergraduate nursing students required to complete a prescribed number of hours as part of their degree. The quality of nursing clinical placements varies with a range of positive and negative learning experiences.
DESIGN METHODS
A survey design was used with a contemporary survey tool- the Placement Evaluation Tool (PET). Using Qualtrics software (Qualtrics, 2005) the on-line survey was distributed to approximately 6265 undergraduate nursing students at six Australian universities and one Technical and Further Education (TAFE) college where Bachelor of Nursing degree students were enrolled. Three Australian States were covered. Sites were selected where a project team member was employed.
METHODS METHODS
A total of 1263 nursing students completed the Placement Evaluation Tool (PET) - 19 items (rated 1-5), one global rating (rated 1-10) - following placement in three Australian States (July 2019-February 2020). Most - 618 (48.9%) completed a placement in acute care with placements positively rated overall.
RESULTS RESULTS
The total PET mean score was 78.3% with 29.8% being 'extremely satisfied' (10 out of 10 - Item 20). However, 11.0% were dissatisfied with global ratings of four or less, whilst ratings between States differed significantly (p = <0.001). One third of respondents answered a free text statement relating to placement experiences, with significantly more comments from older students (p = <0.001) and from those with ratings in the lower range (p = <0.001). Three core themes emerged: 1. Staff Attitudes to Students, 2. Environment and 3. Lifestyle.
CONCLUSIONS CONCLUSIONS
Whilst students' clinical experiences in Australia tend to be positive a minority reported exposure to negative staff attitudes, in unsafe environments, with lifestyle detriments. Further work is required to understand and enhance student experiences.

Identifiants

pubmed: 34126584
pii: S1471-5953(21)00148-7
doi: 10.1016/j.nepr.2021.103112
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103112

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

Elise Luders (E)

School of Health, Federation University Australia, Churchill, VIC, Australia. Electronic address: e.luders@federation.edu.au.

Simon Cooper (S)

School of Health, Federation University Australia, Churchill, VIC, Australia.

Robyn Cant (R)

School of Health, Federation University Australia, Churchill, VIC, Australia.

Donna Waters (D)

The University of Sydney Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia.

Marion Tower (M)

School of Nursing Midwifery & Social Work, The University of Queensland, St Lucia, QLD, Australia.

Amanda Henderson (A)

University of the Sunshine Coast, Maroochydore, QLD, Australia.

Kerry Hood (K)

Holmesglen Institute, Chadstone, VIC, Australia.

Georgina Willetts (G)

Swinburne University, Hawthorn, VIC Australia.

Colleen Ryan (C)

School of Nursing Midwifery and Social Sciences, Central Queensland University, Noosaville, QLD, Australia.

Kerry Reid-Searl (K)

School of Nursing Midwifery and Social Sciences, Central Queensland University, Noosaville, QLD, Australia.

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Classifications MeSH