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. 2019 Mar 20;9(3):e025575. doi: 10.1136/bmjopen-2018-025575

Table 2.

IPE occurrence* as experienced by students during the most recent clinical rotation: a multilevel analysis

Estimate SE z value Pr(>|z|) OR (CI 95 %)
(Intercept) −2.904 0.333 −8.733 0.000 0.055 (0.029 to 0.105)
Individual level
Age, years −0.009 0.008 −1.118 0.264 0.991(0.975 to 1.007)
Male gender vs female −0.197 0.062 −3.183 0.001 0.821 (0.727 to 0.927)
Unmarried vs no 0.175 0.136 1.291 0.197 1.192 (0.913 to 1.555)
Year of nursing education attended, first
 Year of nursing education attended, second vs first −0.093 0.066 −1.402 0.161 0.911 (0.800 to 1.038)
 Year of nursing education attended, third vs first 0.076 0.070 1.074 0.283 1.079 (0.939 to 1.238)
Previous work experience, yes vs no 0.097 0.063 1.544 0.123 1.102 (0.974 to 1.246)
Work experience during the degree, yes vs no 0.051 0.069 0.738 0.461 1.052 (0.919 to 1.206)
Context of previous clinical learning experiences
 Only hospital
 Only community setting −0.040 0.212 −0.190 0.849 0.961 (0.634 to 1.455)
 Hospital and community setting −0.035 0.064 −0.551 0.581 0.965 (0.851 to 1.095)
More recent clinical rotation, tutorial model
 I was supervised by a clinical nurse
 By the nursing staff 0.106 0.065 1.631 0.103 1.112 (0.979 to 1.262)
 By a nurse identified daily by the head nurse −0.435 0.271 −1.608 0.108 0.647 (0.381 to 1.100)
 By the head nurse 0.190 0.135 1.407 0.159 1.209 (0.928 to 1.575)
 By the nurse teacher −0.212 0.197 −1.074 0.283 0.809 (0.550 to 1.191)
Length of the most recent clinical rotation, weeks, mean (95% CI)‡ −0.001 0.010 −0.105 0.916 0.999 (0.979 to 1.020)
Degree competence learnt in the most recent clinical rotation‡ 0.344 0.045 7.687 0.000 1.411 (1.292 to 1.540)
CLEQI factors
 Quality of the tutorial teaching strategies (0–3)§‡ 0.179 0.059 3.053 0.002 1.196 (1.066 to 1.341)
 Self-direct learning (0–3)§‡ 0.395 0.045 8.874 0.000 1.485 (1.361 to 1.620)
 Learning opportunities (0–3)§‡ 0.342 0.064 5.341 0.000 1.408 (1.242 to 1.597)
 Safety and nursing care quality (0–3)§‡ 0.275 0.057 4.830 0.000 1.317 (1.178 to 1.473)
 Quality of the learning environment (0–3)§‡ 0.409 0.061 6.752 0.000 1.506 (1.337 to 1.695)
Regional level
 Region 1
 Region 2 0.557 0.227 2.453 0.014 1.746 (1.119 to 2.726)
 Region 3 −0.471 0.172 −2.736 0.006 0.624 (0.446 to 0.875)
 Region 4 −0.412 0.149 −2.768 0.006 0.662 (0.495 to 0.887)
 Region 5 −0.318 0.394 −0.808 0.419 0.727 (0.336 to 1.575)
 Region 6 −0.386 0.166 −2.328 0.020 0.680 (0.491 to 0.941)
 Region 7 −0.334 0.163 −2.051 0.040 0.716 (0.520 to 0.985)
 Region 8 0.023 0.185 0.124 0.901 1.023 (0.712 to 1.470)
 Region 9 −0.153 0.281 −0.545 0.586 0.858 (0.495 to 1.488)
 Region 10 −0.305 0.167 −1.833 0.067 0.737 (0.531 to 1.021)
 Region 11 0.070 0.281 0.251 0.802 1.073 (0.618 to 1.862)
 Region 12 −0.401 0.235 −1.708 0.088 0.670 (0.423 to 1.061)
 Region 13 −0.286 0.269 −1.061 0.289 0.751 (0.443 to 1.274)
 Region 14 0.411 0.220 1.865 0.062 1.508 (0.979 to 2.324)
 Region 15 −0.590 0.278 −2.124 0.034 0.554 (0.321 to 0.955)

Sigma indiv, 0.169; AIC, 9376.414; BIC, 9629.481; LogLik, −4652.207 (df 36); LogLik_null, −5479.081 (df 2); pseudo R 2, 0.151.

*‘Always’+ ‘some extent’ vs ‘only a little’ + ‘never’.

†Reference group.

‡On a 4-point Likert scale (from 0= ‘never’ to 3= ‘always’).

§The most recent clinical rotation was that under evaluation.

CLEQI, Clinical LEarning Quality Evaluation Index; IPE, interprofessional educational experience(s).