!"#$%&'(&)*+"#+,#)-.#/").0"#1.&0# &)#)-.#23-++'#+,#4(05*"67# 8*9:*,.0;#&"9#<.&')-#2;5).=5!

Transcription

1 !"#$%&'(&)*+"#+,#)-.#/").0"#1.&0# &)#)-.#23-++'#+,#4(05*"67# 8*9:*,.0;#&"9#<.&')-#2;5).=5! "#$%&#$'!()! *#+!,-.&/0&.!*#$..&.! 1#&.2$3!4-567.! 8)6$3!4&29$//! 4$6$.!:9&66)!

2 Report on Evaluation of Undergraduate Intern Year at the UCD School of Nursing, Midwifery and Health Systems 1.1 Introduction This document provides an overview of the results from an evaluation of the intern year at the UCD School of Nursing, Midwifery and Health Systems. The evaluation was completed in semester 1 of the academic year and included both general and psychiatric programmes. The School developed the instrument used to evaluate the intern year. 1.2 Instrument The evaluation of the students experiences of their clinical placement was measured using the Intern Year Evaluation Questionnaire (IYEQ). The IYEQ consists of 29 questions that measure students level of satisfaction with various aspects of their placement with three additional demographic questions. The purpose of the IYEQ is to evaluate students perceptions of the quality of their intern year, the core aspects of support and learning that students experienced during their internship year and the extent to which they were prepared for their placement. The value of the IYEQ is that it gives a broad perspective on outcomes by focusing on students perceptions of their overall experience rather than on students evaluations of particular lecturers or clinical staff. The IYEQ measures five distinct but interrelated areas including a Preparation for Internship, Student Support, Learning and Assessment, Preparation for Practice and Overall Satisfaction. 1.3 Analysis and Interpretation of the CEQ Students following completion of the intern year were asked to rate their level of agreement or disagreement on a five-point scale on the 29-items that comprised five areas of the IYEQ. The questionnaire also uses positively and negatively worded items; the rationale for this is to ensure that the respondent considered each item carefully before completion. To aid interpretation of findings on the scales that comprise the IYEQ were linear transformed. Positive values indicate students are in agreement, negative values indicate disagreement. 2

3 1.4 Profile of Students Evaluated A total of 115 students completed the survey. The profile of the students surveyed is outlined in table 1. Table 1 Profile of Total Sample, General and Psychiatric Characteristic Total General Psychiatric Sample Gender % (n) Female 90.4 (104) Male 9.6 (11) Hospital % (n) St. Vincent s University Hospital 39.1 (45) - - Mater Misercordiae University Hospital 37.4 (33) - - St. Michael s Hospital 18.3 (21) St. John of God Hospital 5.2 (6) 1.5 Students Evaluations of their Clinical Placement To aid interpretation and standardise scores across the IYEQ the mean item scores in the tables and figures are based on a linear transformation where the 1 to 5 categories (strongly disagree to strongly agree) have been recoded from -100 to Positive values indicate degrees of agreement with each of the items and negative values indicate degrees of disagreement each of the items. For further ease of interpretation overall agreement on each item is reported by combining strongly disagree/disagree and agree/strongly agree categories (no opinion responses are omitted) Students Evaluation of their Preparation for Internship Overall students identified that they were well prepared prior to commencing their internship with over eighty-four per cent in agreement with the statement I was well prepared for placement (table 2). Students also reported high levels of satisfaction in relation to being orientated in semester one and knowing what was expected from students on internship. Although levels of satisfaction were somewhat lower for the items that measured the impact of DoCAT documentation and the management experience preparation exercise, between sixty to seventy per cent expressed satisfaction with these elements of preparation. 3

4 1.5.2 Students Evaluation of Support Received during the Intern Year Students reported that they received high levels of support from clinical staff during the intern year with the vast majority in agreement that clinical staff were helpful in assisting students learn on placement and that they were well supported during internship. Students were also in agreement that clinical staff had time to support them in the clinical area and that they were well supported by staff from the UCD School of Nursing, Midwifery and Health Systems. Students disagreed that there were too many students on placement for clinical staff to provide support. There was variability however in students responses to the statement Clinical and patient commitments prevented clinical staff from supporting me on clinical placement with approximately forty-four percent in agreement and over a third in disagreement. The integration of students into the clinical team during their internship was evident in that over ninety per cent reported being part of the clinical team (no student disagreed with this statement). Students were also highly satisfied with the level of supervisory support they received as well as staff understanding the difficulties they faced while on clinical placement. 4

5 1.5.3 Students Evaluation of their Experience of Learning and Assessment Between ninety-five and ninety-nine per cent of students reported that they were able to both apply and relate theory to practice during their intern year. Students were also provided with helpful feedback on their progress during the intern year and approximately eighty per cent reported that they had access to appropriate learning experiences in the clinical area (only six per cent were in disagreement). Although sixty per cent agreed that Clinical staff were responsible for student learning in the clinical area over a fifth disagreed with this statement. However just under ninety per cent of students reported that they had been fairly assessed during their intern year. 5

6 1.5.4 Students Evaluation of Outcomes Achieved as a Consequence of the Intern Year Outcomes achieved as a consequence of the intern year were the highest rated component of the evaluation. Approximately ninety-five per cent of students reported that the internship had helped them develop their practical clinical skills, had enabled them to practice safely and effectively, had increased their confidence as a nurse and had prepared them for practice following qualification. The vast majority also reported that they had the necessary skills and training to manage the clinical environment (it should be noted that ten per cent disagreed with this statement) and that they had received the necessary skills and training to fulfil their role as a nurse. 6

7 1.5.5 Students Overall Evaluation of the Intern Year The vast majority of students expressed high levels of satisfaction with the intern year. Ninety-three per cent were in agreement with the statement overall I was satisfied with my internship ; just under two per cent were in disagreement with the statement. 7

8 Table 2 Item Scores* and Percentage Agreement on the CEQ Undergraduate and Graduate Students No. CEQ Scale/Item Item Scores Percentage Disagreement Percentage Agreement Mean* SD Preparation for Internship 1 I was well prepared for internship Orientation in Semester 1 prepared me for internship 3 It was made clear right from the start what was expected from students on internship 4 The DoCAT documentation provided clear guidelines for my learning 5 The management experience exercise was effective in preparing me for my future role Student Support 6 Clinical staff were helpful in assisting me to learn on internship I was well supported on internship Clinical and patient commitments prevented clinical staff from supporting me on clinical placement There were too many students on placement for clinical staff to provide support 10 Clinical staff had time to support me in the clinical area 11 I was well supported on internship by the staff of the UCD School of Nursing, Midwifery and Health Systems I felt part of a clinical team I had good access to supervisory support during my internship 14 Staff made a real effort to understand the difficulties I faced on placement Learning and Assessment 15 Clinical staff were responsible for student learning in the clinical area I had access to the appropriate learning experiences in the clinical area 17 I was fairly assessed on internship I was able to relate theory to practice on internship I was able to apply theory to practice on internship I was provided with helpful feedback on my progress on internship Preparation for Practice - Outcomes 21 Internship helped me develop my practical clinical skills I can now practice safely and effectively following internship 23 My internship has increased my confidence as a nurse 24 My internship prepared me for practice following qualification 25 I feel I have all the necessary skills and training to fulfil my role as a nurse 26 I feel I have all the necessary skills and training to manage the clinical environment Overall Satisfaction 27 Overall I was satisfied with my internship *Scores range from 100 to Positive mean scores indicate levels of agreement, negative scores indicate levels of disagreement. Overall percentage disagreeing/strongly disagreeing or agreeing/strongly agreeing on a 5-point scale. 8

9 Analysis of Item Scores The mean item scores identified that the development of practical clinical skills (M = 80.43, SD = 29.39) was the highest outcome identified by students followed by the development of confidence as a nurse as a consequence of the intern year (M = 78.69, SD = 32.48). Students also reported high mean scores in relation to their ability to practice safely and effectively (M = 70.00, SD = 30.92) and being prepared for practice following qualification. High mean scores were also evident in relation to the support received by students from clinical staff in assisting them to learn on internship (M = 80.43, SD = 29.39) and being part of the clinical team (M = 59.56, SD = 34.97). Although still rated positively the lowest mean score related to students responses to the statement: clinical and patient commitments prevented clinical staff from supporting me on clinical placement (M = 8.26, SD = 57.70) (see figure 1). Figure 1 Item scores for each item on the IYEQ Graduate and Undergraduate Students (Items to the left indicate a negative perception of the item, items to the right indicate a positive perception of the item). In this graphic all items are positively rated. 9

10 Please record your responses to the questions by ticking the appropriate box or filling in the spaces as requested. START HERE A.. Please indicate below your level of agreement or disagreement with the following statements in relation to your internship: ******* RESPONSE KEY FOR QUESTIONS BELOW ******* Strongly Strongly Agree Agree no opinion Disagree Disagree! " # $ % Evaluation Student Nurse Questionnaire ******* RESPONSE KEY FOR QUESTIONS BELOW ******* Strongly Strongly Agree Agree no opinion Disagree Disagree! " # $ % 17. My internship has increased my confidence as a nurse! " # $ % 18. My internship has prepared me for practice following qualification! " # $ % 1. I was able to relate theory to practice on internship! " # $ % 2. Clinical staff were helpful in assisting me to learn on internship! " # $ % 3. I was well supported on internship! " # $ % 4. I was well prepared for internship! " # $ % 5. Orientation in Semester 1 prepared me for internship! " # $ % 6. Internship helped me develop my practical clinical skills! " # $ % 7. Clinical and patient commitments prevented clinical staff from supporting me on placement! " # $ % 8. Clinical staff were responsible for student learning in the clinical area! " # $ % 9. There were too many students on placement for clinical staff to provide support! " # $ % 10. Clinical staff had time to support me in the clinical area! " # $ % 13. I had acess to appropriate learning experiences in the clinical area! " # $ % 14. I was able to apply theory to practice on internship! " # $ % 15. I was fairly assessed on internship! " # $ % 16. I can now practice safely and effectively following internship! " # $ % 19. I feel I have all the necessary skills and training to fulfil my role as a nurse! " # $ % 20. I feel I have all the necessary skills and training to manage the clinical environment! " # $ % 21. I was well supported on internship by the staff of the School of Nursing, Midwifery & Health Systems at UCD! " # $ % 22. I felt part of the clinical team! " # $ % 23. I had good access to the supervisory support on internship! " # $ % 24. It was made it clear right from the start what was expected from students on inernship! " # $ % 25. I was provided with helpful feedback on my progress on internship! " # $ % 26. Staff made a real effort to understand the difficulties I faced on placement! " # $ % 27. The management experience exercise was effective in preparing me for my future role! " # $ % 28. The DoCAT documentation provided clear guidelines for my learning! " # $ % 29. Overall I was satisfied with my internship! " # $ % Please respond to the following questions about yourself: H. Gender:! Male! Female 151

11 I. Please indicate the discipline in which you are undertaking your degree! General Nursing! Psychiatric Nursing J. Please indicate the hospital in which you undertook your Internship:! Mater Misercordiae University Hospital! St. Vincent s University Hospital! St. Michael s Hospital! St. John of God Hospital Thank you for taking the time to complete this questionnaire. Your assistance in providing this information is very much appreciated. If there is anything else you would like to tell us about your experience in the clinical area please do so in the space provided below.

12

13