Abstract
Clinical practices are considered one of the cornerstones in nurses' education. This study provides a framework to determine how factors in the academic environment, influence nursing student's satisfaction with their practices. A cross-sectional analytical study was conducted in a convenience sample of 574 nursing students at a private university in Valencia, during the 2016/2017 academic year, 79% (456) were women. Two statistical methodologies were used for data analysis: hierarchical regression models (HRM) and fuzzy sets qualitative comparative analysis (fsQCA). The HRM indicate that the students' mean score influences all dimensions of satisfaction. Furthermore, in the fsQCA, the type of service and center, as well as the type of management, the preference in the choice of the practice center and the number of students per period per clinical educator influence satisfaction with clinical practices. These results could be used to understand how academic factors influence nursing students' satisfaction with their clinical practices and to create intervention programmes that improve it. This will help prepare students to be the future nursing workforce.
Highlights
Marketing literature has shown an interest in the relationship between quality management and consumer satisfaction (Rauyruen and Miller, 2007), because perceptions of quality and judgments of satisfaction have been recognized as fundamental aspects in explaining desirable consumer behaviors (Zeithaml et al, 1993)
The literature includes studies that highlight the following factors in nursing students’ satisfaction with their practices: the clinical educator, the learning environment, the activities carried out by the student and the organization of the practices (Milton-Wildey et al, 2014; Salamonson et al, 2015; Payne, 2016). These findings suggest the following hypothesis: H2 Preference in the choice of the practice center, the distance to the practice center, the number of students assigned to the clinical educator, the type of service, the type of center and the type of management have an influence on nursing students’ satisfaction with clinical practice
This study focused on assessing how factors in the academic environment influence nursing students’ satisfaction with their practice, using two different approaches: hierarchical regression models (HRM) and qualitative comparative analysis (QCA)
Summary
Marketing literature has shown an interest in the relationship between quality management and consumer satisfaction (Rauyruen and Miller, 2007), because perceptions of quality and judgments of satisfaction have been recognized as fundamental aspects in explaining desirable consumer behaviors (Zeithaml et al, 1993). In the field of higher education, interest in this concept has increased as a result of the growth in the number of university students, the interest in improving public services, the increase in competition in the education market and the tension between efficiency and quality (Green, 1994). Advances in the study of the quality of the service have shown a relationship between its dimensions and the satisfaction of the user/consumer. The quality of an educational system, a university degree or nursing practices can be measured using many different variables, since many factors affect it, but the satisfaction that this system, this degree or these practices generate among users has long been one of the variables to be taken into account, becoming a key element in teaching quality (Löfmark et al, 2012). In order to provide a quality service, it is necessary to resolve all the aspects related to the functioning of the organization, taking into account that the differences between service expectations and perceptions can be added to others, such as discrepancies in the organization’s functioning (García-Pascual et al, 2020)
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