背景:在卫生专业教育中,学习环境的质量会显著影响学生的参与度和职业认同感的形成。尽管全球认识到它的重要性,关于不同健康教育计划中学生对学习环境的看法的研究很少。本研究旨在探讨健康专业学生如何看待自己的学习环境及其对其职业认同发展的影响。
方法:采用解释性混合方法方法。在定量阶段,DundeeReadyEducationEnvironmentMeasure[Minimum-Maximumpossiblescores=0-200]和MacleodClarkProfessionalIdentityScale[Minimum-Maximumpossiblescores=1-45]wereadminoredtoQatarUniversity-Healthstudents(N=908),最低要求样本量为271名学生。使用SPSS对数据进行分析,包括描述性统计和推理分析。在定性阶段,七个焦点小组(FG)通过微软团队在线进行。FGs以量化结果和Gruppen等人提出的框架开发的主题指南为指导。(AcadMed94:969-74,2019),逐字转录,并使用NVIVO®进行主题分析。
结果:问卷回复率为57.8%(908份中有525份回复),在排除仅完成人口统计部分的学生后,可用性率为74.3%(525个回复中的390个)。研究表明,对学习环境的“积极多于消极”感知(中位数[IQR]=132[116-174],最低-最高获得分数=43-185),以及对他们的职业身份的“良好”感知(中位数[IQR]=24[22-27],最小-最大获得分数=3-36)。定性数据证实,学习环境支持能力的发展,人际交往能力,和专业身份,尽管关于情感支持充分性的观点参差不齐。理想学习环境的关键属性包括导师计划,奖励制度,以及解决疲劳和无聊的措施。
结论:QU-Health的学习环境在发展能力和人际交往能力方面是有效的。学生对学习环境的看法与他们的专业认同呈正相关。理想的环境应该包括导师计划,奖励制度,以及解决疲劳和无聊的策略,强调需要持续改进学习环境以提高学生满意度,职业身份发展,和高质量的病人护理。
BACKGROUND: The quality of the learning environment significantly impacts student engagement and professional identity formation in health professions education. Despite global recognition of its importance, research on student perceptions of learning environments across different health education programs is scarce. This study aimed to explore how health professional students perceive their learning environment and its influence on their professional identity development.
METHODS: An explanatory mixed-methods approach was employed. In the quantitative phase, the Dundee Ready Education Environment Measure [Minimum-Maximum possible scores = 0-200] and Macleod Clark Professional Identity Scale [Minimum-Maximum possible scores = 1-45] were administered to Qatar University-Health students (N = 908), with a minimum required sample size of 271 students. Data were analyzed using SPSS, including descriptive statistics and inferential analysis. In the qualitative phase, seven focus groups (FGs) were conducted online via Microsoft Teams. FGs were guided by a topic guide developed from the quantitative results and the framework proposed by Gruppen et al. (Acad Med 94:969-74, 2019), transcribed verbatim, and thematically analyzed using NVIVO®.
RESULTS: The questionnaire response rate was 57.8% (525 responses out of 908), with a usability rate of 74.3% (390 responses out of 525) after excluding students who only completed the demographic section. The study indicated a \"more positive than negative\" perception of the learning environment (Median [IQR] = 132 [116-174], Minimum-Maximum obtained scores = 43-185), and a \"good\" perception of their professional identity (Median [IQR] = 24 [22-27], Minimum-Maximum obtained scores = 3-36). Qualitative data confirmed that the learning environment was supportive in developing competence, interpersonal skills, and professional identity, though opinions on emotional support adequacy were mixed. Key attributes of an ideal learning environment included mentorship programs, a reward system, and measures to address fatigue and boredom.
CONCLUSIONS: The learning environment at QU-Health was effective in developing competence and interpersonal skills. Students\' perceptions of their learning environment positively correlated with their professional identity. Ideal environments should include mentorship programs, a reward system, and strategies to address fatigue and boredom, emphasizing the need for ongoing improvements in learning environments to enhance student satisfaction, professional identity development, and high-quality patient care.