Learning Objective 1: The learner will be able to examine the differences of nursing students’ perceptions towards the actual clinical learning environment in private hospitals and public hospitals
Learning Objective 2: The learner will be able to identify strategies to enhance the learning experience in clinical environment from students' perspectives
Methods: Clinical Learning Environment Inventory (CLEI) was used to measure nursing students’ perceptions of the psychosocial characteristics of the CLE in the public and private hospitals in Hong Kong. Only the actual form of the tool was used in this study. The Cronbach alpha coefficients of the tool ranged from 0.73 to 0.84 and the discriminant validity value ranged between 0.39 and 0.45 for the actual form. The questionnaires were distributed to the fourth year undergraduate nursing students in OUHK. SPSS Version 17.0 was used to calculate the Independent t-test result and mean.
Results: Students who had placement in private hospital rated Task Orientation the highest. While those who were placed in public hospital rated Satisfaction as the highest. Significant results yielded in Innovation,Personalisation and Task Orientation. Students had more positive feedback on the CLE in private hospitals. It was due the relatively low staff workload; clinical staff can spare more time to teach nursing students; nursing students can easily accommodate the clinical environment with clear illustration and protocol and the cases are relatively uncomplicated, nursing students can easily catch up and handle with the cases independently.
Conclusion: There has been a long debate about the CLE in public and private hospitals in Hong Kong. From this study, it was learnt that private settings can provide a optimal CLE as compared to public hospitals
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