Development and testing of a Clinical Learning Environment Diagnostic Inventory for baccalaureate nursing students
Development and testing of a Clinical Learning Environment Diagnostic Inventory for baccalaureate nursing students
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DOI：
10.1111/j.1365-2648.2006.04048.x
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发表时间：
2006-12-01
影响因子：
3.8
通讯作者：
Hosoda, Yasuko
中科院分区：
文献类型：
--
作者：
Hosoda, Yasuko
目的。本文报告了本科护生临床学习环境诊断量表的心理测量特性的开发和测试。背景。临床学习环境的质量是决定护生临床经历质量的重要因素。众所周知，临床环境可能是学生压力和焦虑的一个来源。为了为学生设计最佳的临床学习环境，需要基于学习过程的认知和社会情感方面的工具。方法。临床学习环境的假设构建源自对文献的综合回顾，包括体验式学习理论和实践认识论。开发该工具涉及通过半结构化访谈收集项目、评估内容有效性并确定尺度。经过试点研究，2004 年 9 月至 12 月期间，该工具对 312 名本科生和 157 名导师进行了测试。通过探索性因素分析确定了因素结构。结果。探索性因素分析产生了与假设模型类似的五因素解决方案。五个因子的 Cronbach α 内部一致性信度系数范围为 0.65 至 0.77。三周重测信度系数范围为 0.59 至 0.74。通过临床学习环境诊断量表和适当的其他工具之间的相关性以及从学生和导师获得的一组比较数据来估计与标准相关的效度和结构效度。结论。研究结果对临床学习环境诊断量表的可靠性和有效性进行了可接受的估计。因此，该工具被认为对于评估临床环境中的学习环境很有用。
Aim. This paper reports the development and testing of the psychometric properties of the Clinical Learning Environment Diagnostic Inventory for baccalaureate nursing students.Background. The quality of the clinical learning environment is an essential factor in determining the quality of nursing students' clinical experience. It is also well-recognized that the clinical setting can be a source of stress and anxiety for students. To design an optimal clinical learning environment for students, instruments based on the cognitive and socio-emotional aspects of the learning process are necessary.Method. The hypothetical construct of the clinical learning environment was derived from a comprehensive review of the literature, including experiential learning theory and the epistemology of practice. Developing the instrument involved the collection of items through semi-structured interviews, assessing content validity and determining the scaling. After a pilot study, the instrument was tested with 312 undergraduate students and 157 preceptors between September and December 2004. The factor structure was determined by exploratory factor analysis.Results. Exploratory factor analysis produced a five-factor solution that was similar to the hypothetical model. Cronbach's alpha internal consistency reliability coefficients ranged from 0.65 to 0.77 across the five factors. Three-week test-retest reliability coefficients ranged from 0.59 to 0.74. Criterion-related validity and construct validity were estimated by the correlation between the Clinical Learning Environment Diagnostic Inventory and appropriate other instruments and a set of comparison data obtained from the students and preceptors.Conclusions. The findings yielded acceptable estimates of reliability and validity of the Clinical Learning Environment Diagnostic Inventory. Therefore, this instrument is considered useful for assessing learning environments in clinical settings.