A medical-surgical and obstetrical clinical integration: a quality improvement project

IF 2.5 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-06-10 DOI:10.1016/j.teln.2026.05.023

Cassandra Zinke MSN, RN, RNC-OB, C-EFM, CNE, Kari Sandau MSN, RN, CCRN, CNE, Lorretta Krautscheid PhD, MS, RN, CNE

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引用次数: 0

Abstract

Background

Nursing programs have expanded enrollment to mitigate workforce shortages, yet clinical placement opportunities remain limited.

Aim

This quality improvement (QI) project assessed student nurse experiences with an integrated clinical model (ICM) in underutilized trauma level IV and unclassified smaller healthcare agencies (SHCA).

Methods

Cohorts of six or eight students rotated between medical-surgical and obstetrical specialties at the same SHCA site. The model was implemented at four SHCA sites. Quantitative and qualitative data were collected via a researcher-developed survey. Quantitative data was analyzed using measures of central tendency. Qualitative data was analyzed using descriptive content analysis.

Results

Eighteen students completed the survey. Quantitative findings indicated the model supported a quality clinical experience, enhanced rapport with clinical instructors (CI), and decreased clinical site orientation time. Narrative findings highlighted supportive staff, increased student confidence, and CI continuity which supported clinical learning needs.

Conclusions

Findings suggest this model is a viable, resource-efficient strategy for expanding and optimizing clinical placements.

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医、外科、产科临床一体化：质量改进项目

护理专业已经扩大招生以缓解劳动力短缺，但临床实习机会仍然有限。目的采用综合临床模型（ICM）对未充分利用的创伤四级和未分类的小型医疗机构（SHCA）的学生护士经验进行质量改进（QI）项目评估。方法6或8名学生在同一SHCA医院的内科和产科专业之间轮转。该模型在四个SHCA站点实施。定量和定性数据通过研究人员开发的调查收集。定量数据分析采用集中趋势的措施。定性资料采用描述性内容分析进行分析。结果共有18名学生完成调查。定量结果表明，该模型支持高质量的临床体验，增强了与临床教师（CI）的融洽关系，减少了临床地点定位时间。叙述性研究结果强调了支持性工作人员，增加了学生的信心，以及支持临床学习需求的CI连续性。结论该模型是一种可行的、资源高效的扩大和优化临床实习的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty