to determine the assessment rating of nursing students (NSs), clinical
instructors (CIs) and staff nurses (SNs) on the current status of their RLE
program . Also, it attempted to identify the problems encountered in their RLE
program. The main intention of the study is to develop a Dedicated Education
Unit (DEU) model through convergence of quantitative and qualitative data.
Methods: Triangulation mixed method design was used in the study. A total of 105
Level IV NS were recruited as respondents through stratified random
sampling, while purposive sampling technique was used for 21 CI’s and 54 SN’s
of Ospital ng Sampalok (OSAM) as respondents. RLE Status Questionnaire
was employed to gather quantitative data. To find significant differences among
the assessment of three groups of respondents, ANOVA was used and Tukey
Kramer post hoc analysis was utilized to further explore the differences.
Simultaneous gathering of qualitative data was done through the used of Focus
Group Discussion (FGD). A Modified Rabiee’s Framework was utilized to
analyze the qualitative data.
Results: Among the significant findings were the following: The overall status of
RLE is Achieved with a weighted mean of 3.49. However, the utilization of
appropriate feedback mechanism and ratio of student to clientele based on the
objectives and the capacity of the student, obtained an Almost Achieved status ,
with weighted mean of 3.23 and 3.39 respectively. Except for the utilization of
appropriate feedback mechanism, the result of ANOVA test shows that there
are significant differences on the assessment of RLE status among the three
groups of respondent. Tukey Kramer ‘s post hoc analysis revealed that SNs
assessment is significantly different compared to the other two respondents
(NS’s and CI’s).
Through data analysis of the results of FGD, three main themes were
formulated: Institutional deficiencies, hospital deficiencies and how students are
being treated. Under the institutional deficiencies, problems emerged were the
following: Inconsistent RLE schedule, young and inexperienced CIs, theorypractice
gap, inadequate RLE hours. While the problems emerged under
hospital deficiencies were the following: Inadequate and outdated equipment,
simultaneous duty hours, inadequate space, absence of practice guidelines on
duties and responsibilities of SN and CI, healthcare team not following the ideal
set-up. On how students are being treated, the problems that surfaced were
the following: humiliated, intimidated and need for collaboration. After
quantitative and qualitative data were analyzed, results were converged and
grouped into: Relationship dimension, personal dimension, system maintenance
and change dimension. DEU model was created through adaptation of Moos
“Learning Environment theory”.
Conclusion: The study was able to provide empirical evidences on the short-comings
of the current RLE program, hopefully the recommended DEU Model (which
emphasizes a strong collaboration between the Learning Institution and Hospital,
to deliver the curriculum, and one of its innovation is a dedicated practice area for
student nurses in hospital setting} can be an answer to the identified RLE
problems.
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