A Study On The Correlation Between Perceived Professional Benefit And Clinical Learning Environment Of Nursing Interns

Objective1.Investigate the status quo of perceived professional benefit and clinical learning environment of nursing interns in Grade A,Grade III hospitals of Zhengzhou,analyze the influencing factors,and discuss the relationship between the two.2.Understand the professional emotional experience of nursing interns in clinical practice,and explore the positive and negative factors that affect the perceived professional benefit of nursing students in clinical learning environment.It provides reference for optimizing clinical teaching environment and improving nursing students’perceived professional benefit.MethodsThis study adopts quantitative and qualitative mixed research methods,which can be divided into two parts.Part Ⅰ Quantitative study:From December 2020 to April 2021,convenience sampling method was adopted to select 518 nursing interns who met the admission criteria in 5 grade III,Class A hospitals in Zhengzhou as the survey objects.The self-made general data questionnaire,nursing intern occupational benefit scale and clinical learning environment scale were selected as the research tools.The results of the questionnaire were input into SPSS25.0 software and analyzed statistically by descriptive statistics,rank sum test,analysis of variance,Spearman correlation analysis,multiple linear regression analysis and other statistical methods.To understand the perceived professional benefit of nursing students,clinical learning environment status and influencing factors,and analyze the relationship between the two.Part Ⅱ Qualitative study:From April to June 2021,objective sampling method was used to conduct semi-structured interviews with nursing students who met the admission criteria.Self-designed interview outline was used to deeply understand the professional emotional experience of clinical practice of nursing students,and the interview process was recorded.After 17 subjects were included in this study,no new interview content appeared and the sample size reached saturation.The interview data were transcribed into manuscript and imported into MAXQDA software for coding analysis and theme extraction.Results1.The score of career benefit of nursing students was(121.19±16.66),the score of five dimensions:good nurse-patient relationship(4.41±0.64),self-growth(4.35±0.60),team membership(4.24±0.68),family and friends identification(4.12±0.67),positive career perception(3.80±0.66).Nursing students with different educational background,practice time,type of practice hospital,relationship between practice hospital and school,way of choosing nursing major,class position,professional course performance and personality type had statistically significant differences in perceived career benefit scores(P<0.05).2.The total score of nursing students’clinical learning environment was(173.10±27.03),and the total mean score of the six dimensions from high to low was:Task orientation(4.18±0.65),work atmosphere and team spirit(4.18±0.64),interpersonal relationship(4.16±0.69),student participation(4.08±0.72),personalized(3.99±0.76).There were statistically significant differences in clinical learning environment scores among nursing students with different first degree,relationship between the hospital where they practiced and the school where they studied,time of practice,way of choosing nursing major,scores of specialized courses and personality types(P<0.05).3.Spearman rank correlation analysis showed that perceived professional benefit of nursing students was positively correlated with clinical learning environment,r_s=0.741,P<0.01,there is a positive correlation between perceived professional benefit and clinical learning environment,and r_sranges from 0.561 to 0.776.4.Nursing students’perceived professional benefit was set as a dependent variable,and statistically significant general population data and clinical learning environment in univariate analysis were set as independent variables.After multiple linear step step regression analysis,clinical learning environment,nursing professional choice,professional course performance,whether to be a student leader,and the type of practice hospital entered the regression equation,R_s~2=0.635(F=165.623,P<0.001).When the dependent variable was changed to the score of each dimension of occupational benefit,the total score of clinical learning environment entered the regression equation,and the standardized regression coefficients of the five dimensions were 0.546～0.779,indicating that clinical learning environment had a great influence on all dimensions of occupational benefit.5.The qualitative research focuses on the influencing factors of professional emotion of nursing students during their internship,and finally extracts two themes of promoting factors and hindering factors.Promoting factors include:improvement of professional ability,deepening of professional cognition,profound feeling of life,harmonious atmosphere of the department and responsible teachers;The impeding factors were:increased internship pressure,internship burnout,lack of clinical sense of belonging,lack of positive career perception,imperfect management mechanism,and unclear career planning,including 11sub-themes.Conclusions1.Nursing interns’perceived professional benefit level and clinical learning environment evaluation were above medium level.2.The perceived professional benefit of nursing students is positively correlated with the clinical learning environment.The more satisfied nursing students are with the clinical learning environment,the higher their occupational benefit perception level is.3.Clinical learning environment has a significant impact on nursing students’sense of professional benefit.Nursing educators should pay attention to the psychological state of nursing students while strengthening positive vocational emotional guidance,gradually improve the clinical teaching management mechanism,guarantee the effect of practice,so as to train nursing successors with positive vocational emotional.