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Submitted: 12 December 2014 Modified: 22 August 2019
HERDIN Record #: NCR-UERMMMC-14121203061954

Multi-level approach: evaluating learning outcomes.

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Methods: In this non-experimental design study, 24 samples were selected based on the Related Learning Experience (RLE) rotation schedule, stratified according to academic performance, and randomly assigned to the clinical setting. Two faculty facilitators handled the two groups for two weeks at 40 hours per week. Competency assessment along the 10 dimensions of caring activities were done before and after exposure to MLA using a performance evaluation tool adapted from the Board of Nursing competencies content validated by a panel of experts. Multivariate analysis using SPSS version 14 generated results of relationships and differences among variables identified to test the hyphotheses at 0.05 level of significance.

Results: Moderate significant relationships in advances ethico-legal activities (r =0.523, p=0.009), accountability (r=0.523, p=0.009), nursing process/therapeutics (r=0.513, p=0.010), and competence in communication (r=0.414, p=0.044) were found only after exposure to MLA; significant differences were noted in all dimensions (t=-2.584 to -5.100, p=0.000 to 0.017). ANOVA test of significant differences within and between groups across settings was significant for competence in communication (F=19.479, p=0.003), critical thinking (F=14.167, p=0.005), application with theory (F=11.25, p=0.009), scientific support (F=7.5, p=0.021) and advances ethico-legal activities (F=5.00, p=0.04). Safe performance was enhanced after MLA exposure.

Conclusion: The Multi-Level Approach strategy in clinical supervision enhanced the attainment of a safe, competent and efficient level of performance. Performance level was higher after MLA exposure. There was a significant difference in the clinical learning outcomes between and among groups of learners. The Social Interaction Theory of Vygotsky was affirmed.

Publication Type
Publication Sub Type
Journal Article, Original
The Health Sciences Journal
Publication Date
April-September 2012
LocationLocation CodeAvailable FormatAvailability
UERMMMC Fulltext Print Format
Philippine Council for Health Research and Development Library Box No. 39 Fulltext pdf (Request Document)
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