ABSTRACT
Objective:To compile the evaluation scale of the quality of education in the clinical practice base of full-time Master of Specialist Nursing (MNS) based on student participation and the SERVQUAL model, evaluate the quality of clinical practice base, and provide reference for the evaluation of clinical practice base.Methods:Based on the theory of student participation and the SERVQUAL model, the evaluation scale of the educational quality of clinical practice base of MNS was constructed. By facilitating sampling methods, 176 MNS students from 11 universities in 6 provinces were selected, and a questionnaire of self-compiled general information and a survey of the evaluation scale of education quality of MNS clinical practice base were distributed.Results:The evaluation scale of education quality of clinical practice base of MNS contained 28 entries in five dimensions: tangibility, reliability, responsiveness, guarantee and empathy. The total Cronbach alpha coefficient of the scale was from 0.983 to 0.987, item level content validity index was from 0.92 to 0.96, scale level content validity index was 1 and the correlated coefficient of the structural validity Pearson was from 0.785 to 0.966. To explore factor analysis, the dimension value of the scale KMO value was greater than 0.7, and the expected part and the actual feel part KMO value were 0.956 and 0.963 respectively. The number of common factors was 2 and 3 respectively, and the cumulative interpretation variation was 79.1% and 78.4% respectively.The actual perception of the quality of education in the clinical practice base of MNS was lower than expected, and the differences in entries were statistically significant ( P<0.05). The analysis of multiple linear regression showed that the teaching time and level of clinical practice base undertaken by clinical practice base were the main factors affecting the expectation and actual feeling value ( P<0.05). The importance performance analysis analysis found that 11 entries were in the advantage zone, 3 entries were in the maintenance area, 12 entries were in the minor improvement area and 2 entries were in the priority improvement area. Conclusions:The evaluation scale of the quality of education of the clinical practice base of MNS have good confidence and validity. The actual degree of educational quality of the clinical practice base of MNS is lower than expected. The teaching time and level of clinical practice base undertaken by clinical practice base are the main factors that affect expectation and actual feeling. It is urgent to improve the theoretical knowledge and practice level of tutors and deal with occupational exposure experienced by MNS students.
ABSTRACT
Objective To understand the status quo of clinical practice teaching quality based on undergraduate nursing program interns perspective, analysis the problems existing in the clinical practice teaching process, provide the basis for next making improvement scheme and measures. Methods Adopt the clinical practice teaching quality gap scale to survey the 82 undergraduate nursing program interns in the tumor affiliated hospital of Harbin medical university, to observe the clinical practice teaching quality score, and adopted the quadrant analysis method to do in-depth analysis of clinical practice teaching quality evaluation factors. Results the overall score of clinical practice teaching quality in a certain Class-three hospital was 74.65 points, responsive dimension was the highest score 81.00 points, assurance dimension was the lowest score 72.30 points. the indexes need to improve were to provide the corresponding channels of consulting for students, training hospital could listen to the opinions of the protection of life and the suggestion;the indexes need to reshape were easy to get teachers′guidance and help in the internship time, special attention will be given special case for individual nursing students, training hospital introduces many policies as the starting point of the nursing students′ interests. Conclusion The hospital has larger improvement and promotion space on clinical practice teaching quality. Clinical practice teaching quality evaluation based on service quality gap model is helpful that practice hospital targeted to carry out the continuous improvement, enhance the level of practice teaching hospital.