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).