The Nursing degree students' perceptions of internship learning a retrospective observational investigation

Main Article Content

Mariangela Vacca
Giuseppe Zingaro
Shellsyn Giraldo
Maria Rita Pinna
Maria Valeria Massidda
Roberta Rosmarino
Maria Orsola Pisu
Cesar Ivan Aviles Gonzalez
Isabel Castañeda
Nini Johana Bustos

Abstract

Clinical learning plays a significant role in the professional training within the nursing education. Indeed, it represents the moment in which students can apply clinical reasoning and develop the knowledge acquired during theoretical lessons. During last years, the universities and degree courses in nursing have adopted clinical learning environment assessment tools that investigate students’ perceptions, with the aim of assessing the quality perceived by them in clinical learning environments.


AIM:


The aim of this study was to explore nursing students’ perceptions on their clinical learning experience during the academic year of 2019/2020 in the Degree Course in Nursing at University of Cagliari.


RESEARCH METHODOLOGY:


A retrospective observational study was conducted by involving 178 nursing students of the second and third year, who completed 438 CLEQI “Clinical Learning Quality Evaluation Index” questionnaires at the end of each of their learning experiences.


The sample was stratified into two groups, dividing the learning experiences in the intensive area, which included departments such as the Intensive Care Units and Emergency Departmets, and in the non-intensive area.


RESULTS:


Students generally expressed higher scores in the first two dimensions of the CLEQI questionnaire (“Quality of the tutorial strategies” and “Learning opportunities”). In the comparison of the stratified sample, the learning experiences carried out in the intensive area had a higher average of scores than the learning experiences in the non-intensive area, especially in the first two dimensions of the CLEQI questionnaire where the average of the scores was found to be with a statistically significant difference.


CONCLUSION:


Nursing students perceive the clinical learning environment as a quality educational context, especially in the setting of tutorial strategies and learning opportunities.


The learning environment in the intensive area was found to be more appreciated by students, especially in terms of safety and the possibility of autonomy in practical activities.

Downloads

Download data is not yet available.

Article Details

How to Cite
[1]
Vacca, M., Zingaro, G., Giraldo, S., Pinna, M.R., Massidda, M.V., Rosmarino, R., Pisu, M.O., Gonzalez, C.I.A., Castañeda, I. and Bustos, N.J. 2024. The Nursing degree students’ perceptions of internship learning: a retrospective observational investigation. Italian Journal of Prevention, Diagnostic and Therapeutic Medicine. 7, 2 (Jun. 2024), 95-111. DOI:https://doi.org/10.30459/2024-16.
Section
Articles

References

Hooven K. (2014) Evaluation of instruments developed to measure the clinical learning environment: a integrative review. Nurse Educator. 39(6), 316-320.

Palese A, Destrebecq A, Terzoni S, Grassetti L, Altini P, Bevilacqua A, Brugnolli A, Benaglio C, Dal Ponte A, De Biasio L, Dimonte V, Gambacorti B, Fascì A, Grosso S, Mansutti I, Mantovan F, Marognolli O, Montalti S, Nicotera R, Perli S, Randon G, Stampfl B, Tollini M, Canzan F, Zannini L, Saiani L. (2016) Strumento di valutazione italiano degli ambienti di tirocinio per gli studenti infermieri (SVIAT): protocollo di validazione. Assistenza Infermieristica E Ricerca. 35, 29-35.

Palese A, Randon G, Altini P, Benaglio C, Bevilacqua A, Canzan F, Dal Ponte A, De Biasio L, Destrebecq A, Dimonte V, Fascì A, Gambacorti B, Grassetti L, Grosso S, Mansutti I, Mantovan F, Marognolli O, Montalti S, Nicotera R, Terzoni S, Tollini M, Zannini L, Brugnolli A, Saiani L. (2019) Clinical Learning Quality Evaluation Index per la valutazione della qualità dell’apprendimento clinico degli studenti infermieri e raccomandazioni di utilizzo. Medicina E Chirurgia. 83, 3685-3693.

Nicotera R, Altini P, Dimonte V. (2017) Un confronto degli strumenti di misurazione più utilizzati per valutare la qualità degli ambienti di apprendimento clinico degli studenti infermieri [A comparison of the mostose instruments to assess the quality of clinical learning environments of nursing students]. Assistenza Infermieristica E Ricerca. 36(1), 31–40.

Chan D. (2002) Associations between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. International Journal Of Nursing Studies. 39(5), 517-524.

Chan D. (2001) Development of an innovative tool to assess hospital learning environments. Nurse Education Today. 21(8), 624–631.

Saarikoski M, Isoaho H, Warne T, Leino-Kilpi H. (2008) The nurse teacher in clinical practice: developing the new sub-dimension to the Clinical Learning Environment and Supervision (CLES) Scale. International Journal Of Nursing Studies. 45(8), 1233– 1237.

Palese A, Grassetti L, Mansutti I, Destrebecq A, Terzoni S, Altini P, Bevilacqua A, Brugnolli A, Benaglio C, Dal Ponte A, De Biasio L, Dimonte V, Gambacorti B, Fascì A, Grosso S, Mantovan F, Marognolli O, Montalti S, Nicotera R, Randon G, Stampfl B, Tollini M, Canzan F, Saiani L, Zannini L. (2017) Lo strumento italiano di misurazione della qualità dell’apprendimento clinico degli studenti infermieri. Assistenza Infermieristica E Ricerca. 36, 41-50.

Nicotera R, Altini P, Dimonte V. (2017) Un confronto degli strumenti di misurazione più utilizzati per valutare la qualità degli ambienti di apprendimento clinico degli studenti infermieri [A comparison of the most ose instruments to assess the quality of clinical learning environments of nursing students]. Assistenza Infermieristica E Ricerca. 36(1), 31–40.

Perli S, Brugnolli A. (2009) Italian nursing students’ perception of their clinical learning environmental measured with the CLEI tool. Nurse Education Today. 29(8), 886-90.

Saarikoski M. (2003) Mentor relationshipas a tool of professional development of student nurses in clinical practice. The International Journal Of Psychiatric Nursing Research. 9(1), 1014-24.

Saiani L. (2010) Conferenza dei Corsi di Laurea delle Professioni sanitarie. Principi e standard del tirocinio professionalizzante nei corsi di laurea delle professioni sanitarie. 1-18

Mansutti I, Saiani L, Grassetti L, Palese A. (2017) Instruments evaluating the quality of the clinical learning environment in nursing education: A systematic review of psychometric properties. International Journal Of Nursing Studies. 68, 60–72.

Rosa WE, Binagwaho A, Catton H, Davis S, Farmer PE, Iro E, Karanja V, Khanyola J, Moreland PJ, Welch JC, Aiken LH. (2020) Rapid investment in nursing to strengthen the global COVID-19 response. International Journal Of Nursing Studies. 109, 103668.

Vitale E, Moretti B, Noternicola A, Covelli I. (2020) How the Italian Nursing students deal the pandemic Covid-19 condition. Acta Bio-medica. 91(12-S), e2020007.

Sahu P. (2020) Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus. 12(4), e7541.

Rodríguez-García MC, Márquez-Hernández VV, Granados-Gámez G, Aguilera-Manrique G, Gutiérrez-Puertas L. (2021) Undergraduate nurses’ perception of the nursing practice environment in university hospitals: A cross-sectional survey. Journal Of Nursing Management. 29(3), 477-486.

Delibera della Giunta Regione Sardegna 11 marzo 2020, n°11/17, “Piano strategico di attivazione progressiva di strutture di area critica nella Regione Sardegna per l’emergenza COVID-19.”

Delibera della Giunta Regione Sardegna 1 aprile 2020, n°17/10, “Emergenza Covid-19. Riorganizzazione delle attività assistenziali ospedaliere e territoriali.”.

Ziba FA, Yakong VN, Ali Z. (2021) Clinical learning environment of nursing and midwiferystudents in Ghana. BMC Nursing. 20(1), 14.

Saukkoriipi M, Tuomikoski AM, Sivonen P, Kärsämänoja T, Laitinen A, Tähtinen T, Kääriäinen M, Kuivila HM, Juntunen J, Tomietto M, Mikkonen K. (2020) Clustering clinical learning environment and mentoring perceptions of nursing and midwifery students: A cross-sectional study. Journal Of Advanced Nursing. 76(9), 2336- 2347.

Pitkänen S, Kääriäinen M, Oikarainen A, Tuomikoski AM, Elo S, Ruotsalainen H, Saarikoski M, Kärsämänoja T, Mikkonen K. (2018) Healthcare students’ evaluation of the clinical learning environment and supervision - a cross-sectional study. Nurse Education Today. 62, 143–149.

Gurková E, Žiaková K. (2018) Evaluation of the Clinical Learning Experience of Nursing Students: a Cross-Sectional Descriptive Study. International Journal Of Nursing EducationScholarship. 15(1).

Fitzgerald A, Konrad S. (2021) Transition in learning during COVID-19: Student nurse anxiety, stress, and resource support. Nursing Forum. 56(2), 298-304.

Simionescu M, Pellegrini A, Bordea EN. (2021) The Effects of COVID-19 Pandemic on Stress Vulnerability of Nursing Students According to Labour Market Status. Healthcare (Basel). 9(6), 633.

Gibbs G. (2013) Learning by doing. Reproduced with hispermission by Oxford Centre for Staff and Learning Development. Wheatley Campus, Wheatley, Oxford, UK. Oxford Brookes University. p.14.

Danielis M, Destrebecq A, Terzoni S, Palese A. (2021) Are intensive care units good places for nursing students’ learning compared to other settings? Findings from an Italian national study. Intensive & Critical Care Nursing. 66, 103074.

Decreto del Ministero della Sanità 13 settembre 1988, “Determinazione degli standards del personale ospedaliero.”

Manninen K, Karlstedt M, Sandelin A, von Vogelsang A-C, Pettersson S. (2022) First and second cycle nursing students’ perceptions of the clinical learning environment in acute care settings - A comparative crossectional study using the CLES+T scale. Nurse Education Today. 108, 105211.

González-García M, Lana A, Zurrón-Madera P, Valcárcel-Álvarez Y, Fernández-Feito A. (2020) Nursing Students’ Experiences of Clinical Practices in Emergency and Intensive Care Units. Internation Journal Of Environmental Research And Public Health. 17(16), 5686.

Mukaka MM. (2012) Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Medical Journal. 24(3), 69-71.

Gonella S, Brugnolli A, Terzoni S, Destrebecq A, Saiani L, Zannini L, Dimonte V, Canzan F, Mansutti I, Palese A, SVIAT TEAM. (2019) A national study of nursing homesas learning environments according to undergraduate nursing student’s perspective. International Journal Of Older People Nursing. 14(3), e12245.

Most read articles by the same author(s)

1 2 > >>