An evaluation of a quality improvement program in clinical teaching and assessment of student nurses in Queen Mary Hospital, Hong Kong

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An evaluation of a quality improvement program in clinical teaching and assessment of student nurses in Queen Mary Hospital, Hong Kong

 

Author: Chow, Wan-ping Annow
Title: An evaluation of a quality improvement program in clinical teaching and assessment of student nurses in Queen Mary Hospital, Hong Kong
Degree: M.Sc.
Year: 1998
Subject: Nursing -- Study and teaching -- China -- Hong Kong -- Evaluation
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Management
Pages: vii, 76 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1446654
URI: http://theses.lib.polyu.edu.hk/handle/200/1322
Abstract: Clinical teaching and assessment are one of the important aspects in the pre-registration hospital-based nursing programs in Hong Kong. The Queen Mary Hospital started an improvement program to improve the quality and process of clinical teaching and assessment in October 1996. This program was named as the Centralized Co-ordination of Clinical Assessors Scheme. The aim of this research study is to evaluate the effectiveness of the improvement program after one year of implementation. An integrated model of the system approach and Kirkpatrick's four-level training evaluation was developed as the framework of evaluation. A combination of quantitative and qualitative research design were being used in data collection. The results of context, input, process and outcome evaluation showed that the Centralized Co-ordination of Clinical Assessors Scheme served to improve the clinical teaching and assessment of student nurses in the hospital. The program objectives were generally achieved to a large extent. Yet, results also revealed that the clinical learning environment was not facilitative to teaching and learning and often they were restrained by the busy ward situation and heavy workload of students and staff. Appreciation for the use of coaching plan and learning objectives in clinical teaching and standardisation of assessment criteria were reflected in survey and interview data. Students were less satisfied with the clinical assessors for lack of psychological support for their stress and anxieties in clinical assessment. Besides, outcome evaluation revealed that students were able to transfer their learned skills into clinical practice but may not be able to maintain and sustain the standard of practice. Cost-effectiveness in the utilisation of manpower were perceived by the interviewees. Further improvement in clinical supervision and better planning of a clinical curriculum were recommended in this study.

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