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Table 6 Importance rating of the training attributes (n = 280)

From: Application of Kano model for optimizing the training system among nursing internship students: a mixed-method Egyptian study

Q

Training attributes

A

I

M

O

Q

R

Satisfaction index

Dissatisfaction index

Importance rating

Rank

A

 1

Policies and Schedule:

How would you feel if the training system of nursing internship program was based on flexible time schedule(Roster) and block schedule

44

100

70

32

26

8

0.31

-0.41

41.5%

34

 2

How would you feel if the training system of nursing internship program require rounds/ rotations in all specialties and sub specialties?

77

111

47

32

8

5

0.41

-0.30

40.8%

35

 3

How would you feel if the training system of nursing internship program is based on exam before and after each area as a requirement to pass or fail in this area?

120

51

27

36

24

22

0.67

-0.27

66.7%

17

 4

How would you feel if time schedule (Roster) of nursing interns is controlled by faculty not by the training settings?

113

66

17

26

12

46

0.63

-0.19

62.6%

25

 5

How would you feel if the training system of nursing internship program is based on equal chance for training in all areas for both male and female interns?

29

70

135

28

12

6

0.22

-0.62

62.2%

27

 6

How would you feel if the training system of nursing internship program is based on scheduling the similar training units to be in order one by one in training plan?

118

60

29

49

15

9

0.65

-0.30

65.2%

22

 7

Training content:

How would you feel if the training system of nursing internship program includes objectives and goals for each training area?

27

40

159

21

24

9

0.19

-0.73

72.9%

7

 8

How would you feel if the training system of nursing internship program includes theoretical background revision before each area?

128

26

33

57

15

21

0.76

-0.37

75.8%

3

 9

How would you feel if the training system of nursing internship program includes clinical booklet with log book for each area?

119

60

21

56

15

9

0.68

-0.30

68.4%

14

 10

How would you feel if the training system of nursing internship program involves application of nursing process model and nursing care plan in the training year?

158

47

19

27

18

11

0.74

-0.18

73.7%

6

 11

How would you feel if the training system of nursing internship program includes a specialized team from faculty members to provide training in each clinical area?

135

62

29

40

5

9

0.66

-0.26

65.8%

21

 12

How would you feel if the training system of nursing internship program applies the competency based education and problem based learning in the training of interns?

137

75

14

40

11

3

0.67

-0.20

66.5%

18

 13

How would you feel if the training system of nursing internship program includes scheduled monthly focus group sessions that include representatives from interns and alumnae to discuss evolving problems in training?

140

90

6

24

9

11

0.63

-0.12

63.1%

24

B

 14

Training environment:

How would you feel if there are lockers and dress rooms available and specified for nursing interns during the training year?

34

54

136

38

12

6

0.27

-0.66

66.4%

19

 15

How would you feel if there are hot meals and snacks available for nursing interns every shift during the training year?

30

52

152

28

12

6

0.22

-0.69

68.7%

13

 16

How would you feel if there is a transportation support for remote areas and night shifts available daily for nursing interns during the training year?

81

48

83

53

12

3

0.51

-0.51

51.3%

31

 17

How would you feel if there are one uniform and identification cards available and specified for nursing interns during the training year?

44

75

92

46

11

12

0.35

-0.54

53.7%

30

 18

How would you feel if the training system of nursing internship program starts with detailed orientation to clinical settings before each training area?

30

65

132

35

15

3

0.25

-0.64

63.7%

23

 19

How would you feel if nursing internship program includes accessible accommodation or discount on the fees of %accommodation for expatriates?

114

41

39

68

12

6

0.69

-0.41

69.5%

11

 20

Interns support:

How would you feel if the training system of nursing internship program includes available line of communication 24 h with faculty members responsible for internship affairs?

156

36

15

52

9

12

0.80

-0.26

80.3%

1

 21

How would you feel if the training system of nursing internship program includes available grievance procedure (nursing interns without fear of retribution?

47

48

127

30

12

16

0.31

-0.62

62.3%

26

 22

How would you feel if there is a policy to prevent exploitation of nursing interns in the training settings?

21

53

150

27

11

18

0.19

-0.71

70.5%

8

 23

How would you feel if complaints of nursing interns are discussed with transparency during the training year

27

37

157

35

12

12

0.24

-0.75

75.0%

4

 24

How would you feel if the mentorship program is applied in the training system of nursing interns?

131

72

12

45

15

5

0.68

-0.22

67.7%

15

 25

Preceptorship:

How would you feel if the training system of nursing internship program includes preceptors from nursing alumnae in each unit in clinical settings?

120

55

21

59

17

8

0.70

-0.31

70.2%

10

 26

How would you feel if preceptors are available during the three shifts for education and mentoring?

105

60

56

39

9

11

0.55

-0.37

55.4%

29

 27

How would you feel if preceptors focus changed from just attendance monitoring to on-job training and clinical teaching?

99

94

36

29

7

15

0.50

-0.25

49.6%

33

C

 28

Incentives and motivation:

How would you feel if the training system of nursing internship program includes achievement certificate to be awarded after each training area?

134

38

14

62

15

17

0.79

-0.31

79.0%

2

 29

How would you feel if there is specified health insurance package available for nursing interns during the training year?

46

79

99

29

9

18

0.30

-0.51

50.6%

32

 30

How would you feel if the training system of nursing internship program includes monthly monetary reward for the best performers in each area?

113

56

25

66

17

3

0.69

-0.35

68.8%

12

 31

How would you feel if there is a valued salary with regular bonus increase for nursing interns during the training year?

37

60

123

33

18

9

0.28

-0.62

61.7%

28

 32

Autonomy:

How would you feel if the training system of nursing internship program offers opportunity for nursing interns to participate in the different committees of the training settings?

134

77

9

40

9

11

0.67

-0.19

66.9%

16

 33

How would you feel if the training system of nursing internship program adopts a peer review assessment strategy during the training year?

145

69

18

27

12

9

0.66

-0.17

66.4%

20

 34

How would you feel if there is a nursing internship advocacy committee that advocate for the rights of nursing interns during the training year?

166

51

15

30

15

3

0.75

-0.17

74.8%

5

 35

How would you feel if the training system of nursing internship program offers avenues for nursing interns to continue their postgraduate studies?

150

61

17

35

14

3

0.70

-0.20

70.3%

9

  1. O One–dimensional, Q Questionable, I Indifferent, M Must–be, A Attractive, R Reversal