护理学专业实习学生完成能力现状及其影响因素分析

doi:10.3760/cma.j.cn115259-20210720-00918

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (2): 163-167.DOI: 10.3760/cma.j.cn115259-20210720-00918

护理学专业实习学生完成能力现状及其影响因素分析

姚秀钰¹, 沈伊如², 余灵灵², 王萧冉³, 康子华⁴

¹北京协和医学院护理学院基础护理学系,北京 100144;
²北京协和医学院2019级四年制护理学专业,北京 100144;
³北京协和医学院2018级四年制护理学专业,北京 100144;
⁴山东省淄博市中心医院急诊科,淄博 255000

收稿日期:2021-07-20 出版日期:2022-02-01 发布日期:2022-01-19
通讯作者: 康子华, Email: kangzihua1985@163.com

Investigation and influencing-factors analysis on nursing students' competence during internship

Yao Xiuyu¹, Shen Yiru², Yu Lingling², Wang Xiaoran³, Kang Zihua⁴

¹Department of Fundamental Nursing, School of Nursing, Peking Union Medical College, Beijing 100144, China;
²Undergraduate, Four-year Program, Nursing Major, Enrolled in 2019, School of Nursing, Peking Union Medical College, Beijing 100144, China;
³Undergraduate, Four-year Program, Nursing Major, Enrolled in 2018, School of Nursing, Peking Union Medical College, Beijing 100144, China;
⁴Department of Emergency, Zibo Center Hospital of Shandong Province, Zibo 255000, China

Received:2021-07-20 Online:2022-02-01 Published:2022-01-19
Contact: Kang Zihua, Email: kangzihua1985@163.com

摘要/Abstract

摘要： 目的分析护理学专业实习学生的完成能力现状及其影响因素。方法 2020年11月至12月,选择来自北京市、山东省4家医院的护理学专业学生为研究对象,采用中文版护理学专业学生完成能力量表、护理学专业学生职业认同问卷、一般自我效能量表进行问卷调查。采用多元线性回归方法分析相关数据。结果 887名本专科护理学专业实习学生参加了调查,完成能力评分为(220.44±41.44)分。多元线性回归分析结果显示,职业认同(b=0.282, P<0.001)、自我效能(b=0.461, P<0.001)评分越高的学生完成能力越好;与户口所在地为农村和未接受过职业发展课程学习或者培训的学生相比,户口所在地为城市(b=0.087,P<0.001)、接受过职业发展课程学习或培训(b=0.067,P=0.028)的学生完成能力更佳。职业认同、自我效能、户口所在地和职业发展课程学习或培训4个变量共可以解释完成能力评分总变异的50.6%。结论实习期护理学专业学生完成能力尚有进一步提升的空间。职业认同和自我效能对实习期护理学专业学生的完成能力产生正向影响。护理教育者可开设相关课程,多关注农村学生,并协助护理学专业学生建立专业情感,培养专业价值观从而强化职业认同并提升自我效能,进一步提高护理学专业学生的完成能力。

关键词: 实习, 护理学专业学生, 完成能力, 职业认同, 自我效能, 影响因素

Abstract: Objective To investigate the current situation of nursing interns' competence and to analyze the influencing factors on the building of competence. Methods From November to December 2020, nursing students from four hospitals in Beijing and Shandong were investigated by the Chinese version of Nursing Students Competence Instrument, Professional Identity Questionnaire and General Self-Efficacy Scale, and the influencing factors were analyzed by multiple linear regression. Results A total of 887 nursing students participated in the survey and the total competence score of the students was (220.44±41.44). The results of multiple linear regression analysis showed that the higher the professional identity (b=0.282, P<0.001) and self-efficacy (b=0.461, P<0.001), the better the competence of nursing students. Compared with nursing students trained in rural health institutions and not exposed to professional development training, nursing students trained in urban city institutions and received professional development courses or training showed better competence (b=0.087, P<0.001) and (b=0.067, P=0.028) respectively . The four variables of professional identity, self-efficacy, residence location and career development course can explain 50.6% of the total variation in completion ability score. Conclusions The competence of nursing interns is above the average level though there is still space for further improvement. Professional identity and self-efficacy have positive impacts on the competence development of nursing interns. Nursing educators can set up relevant courses and pay more attention to the students from rural area to help nursing students to establish professional emotion and to strengthen education on professional identity and self-efficacy, so as to support the capacity building of nursing students.

Key words: Internship, Nursing students, Competence, Professional identity, Self-efficacy, Influencing factor

中图分类号:

姚秀钰, 沈伊如, 余灵灵, 王萧冉, 康子华. 护理学专业实习学生完成能力现状及其影响因素分析[J]. 中华医学教育杂志, 2022, 42(2): 163-167.

Yao Xiuyu, Shen Yiru, Yu Lingling, Wang Xiaoran, Kang Zihua. Investigation and influencing-factors analysis on nursing students' competence during internship[J]. Chinese Journal of Medical Education, 2022, 42(2): 163-167.

参考文献

[1] Smith SA. Nurse competence: a concept analysis[J]. Int J Nurs Knowl, 2012,23(3):172-182. DOI: 10.1111/j.2047-3095.2012.01225.x.
[2]Barrett D. Nurse education[J]. Evid Based Nurs, 2018,21(3):65-66. DOI: 10.1136/eb-2018-102940.
[3]Lin CC, Wu CJ, Hsiao YC, et al. An exploratory factor analysis for developing and validating a scale of Nursing Students Competence Instrument[J]. Nurse Educ Today, 2017,50:87-91. DOI: 10.1016/j.nedt.2016.12.007.
[4]郑凯丰, 刘凤, 徐芬. 实习护生完成能力现状及影响因素分析[J].中国护理管理,2020,20(9):1386-1390. DOI: 10.3969/j.issn.1672-1756.2020.09.021.
[5]George TP, DeCristofaro C, Murphy PF. Self-efficacy and concerns of nursing students regarding clinical experiences[J]. Nurse Educ Today, 2020,90:104401. DOI: 10.1016/j.nedt.2020.104401.
[6]李凤, 杨婷, 谢敏娟, 等. 自我效能感在实习护生压力应对人格与职业获益感间中介效应[J].中国职业医学,2021,48(3):272-277. DOI: 10.11763/j.issn.2095-2619.2021.03.006.
[7]庄丽娟, 马云春, 晏雪, 等.高职护生完成能力现状调查及培养对策研究[J].大理大学学报, 2021,6(4):97-100. DOI: 10.3969/j.issn.2096-2266.2021.04.025.
[8]Lee S, Kim DH, Chae SM. Self-directed learning and professional values of nursing students[J]. Nurse Educ Pract, 2020,42:102647. DOI: 10.1016/j.nepr.2019.102647.
[9]罗仙梅, 李栩亭, 彭康琳, 等. 护理实习生评判性思维能力的影响因素分析[J]. 当代护士(下旬刊), 2020,27(7):56-59. DOI: 10.19793/j.cnki.1006-6411.2020.21.021.
[10]张卓雅, 耿力, 曾莉, 等. 实习护生健康教育能力与自主学习能力及自我效能的相关性[J]. 护理学杂志, 2020,35(19):79-80, 90. DOI: 10.3870/j.issn.1001-4152.2020.19.079.
[11]倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010,45(4):378-380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.
[12]杨梓涵, 谢菲. 护理学生完成能力量表的汉化及信效度检验[J].护理研究,2019,33(2):233-236. DOI: 10.12102/j.issn.1009-6493.2019.02.011.
[13]郝玉芳. 提升护生职业认同、职业自我效能的自我教育模式研究[D].上海:第二军医大学, 2011.
[14]冷雅楠, 刘婷婷, 李玉琦, 等. 本科护生实习期专业自我概念、临床实践行为表现与职业认同的相关性[J]. 护理研究, 2019,33(17):2930-2934. DOI: 10.12102/j.issn.1009-6493.2019.17.003.
[15]陈红琢, 张彩云. 本科护生职业认同感的现状调查研究--以兰州大学护理学专业为例[J]. 中国临床护理, 2015(6):537-541. DOI: 10.3969/j.issn.1674-3768.2015.06.029.
[16]王才康, 胡中锋, 刘勇.一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001,7(1):37-40.
[17]施俊琦, 王垒. 一般性自我效能量表的信效度检验[J]. 中国心理卫生杂志, 2005,19(3):191-193. DOI: 10.3321/j.issn:1000-6729.2005.03.013.
[18]程丽楠, 仲朝阳, 陈茜, 等. 一般自我效能在本科大专护生生命意义感与亲社会行为间的中介效应[J]. 护理学报, 2020,27(19):47-51. DOI: 10.16460/j.issn1008-9969.2020.19.047.
[19]李丽娟, 刘青焱, 王娟, 等. 整合角色教学法在手术室护理教学中的应用[J]. 护理研究, 2020,34(18):3352-3354. DOI: 10.12102/j.issn.1009-6493.2020.18.033.
[20]Zhang H, Tu J. The working experiences of male nurses in China: Implications for male nurse recruitment and retention[J]. J Nurs Manag, 2020,28(2):441-449. DOI: 10.1111/jonm.12950.
[21]谢碧姣, 张旋.护理本科实习生临床能力与自我效能感的关系研究[J].中华护理教育,2015,12(9):685-689. DOI: 10.3761/j.issn.1672-9234.2015.09.012.
[22]Baldwin A, Mills J, Birks M, et al. Role modeling in undergraduate nursing education: an integrative literature review[J]. Nurse Educ Today, 2014,34(6):e18-e26. DOI: 10.1016/j.nedt.2013.12.007.
[23]封海霞, 李国宏, 徐翠荣, 等. 基于岗位胜任力的专科护士培养与使用[J]. 中华护理教育, 2020,17(8):681-684. DOI: 10.3761/j.issn.1672-9234.2020.08.002.

护理学专业实习学生完成能力现状及其影响因素分析

Investigation and influencing-factors analysis on nursing students' competence during internship

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	丁小蕴, 王骁, 吴静韵, 伍倩婷, 杨翼帆, 胡静文, 谢健平, 林常敏. 医学生在线学习师生互动满意度影响因素探究[J]. 中华医学教育杂志, 2022, 42(2): 159-162.
[2]	蒋孝翠, 刘臻, 陆飞, 赵秦, 苏清伦. 基于问题学习联合案例式立体教学方法在康复治疗学专业学生实习教学中的应用[J]. 中华医学教育杂志, 2022, 42(1): 42-45.
[3]	薛博文, 骆宏, 胡治国. 医学生学业倦怠研究进展[J]. 中华医学教育杂志, 2021, 41(9): 793-798.
[4]	赵晨曦, 杨立斌, 朱丽燕, 田静, 李庆林, 王燕萍, 曹德品. 基于质性分析的医学生自主学习影响因素探究[J]. 中华医学教育杂志, 2021, 41(9): 803-806.
[5]	侯艳茹, 吴燕, 王建六, 陈哲. 教学门诊联合反思性教学方式在妇产科学实习教学中的应用[J]. 中华医学教育杂志, 2021, 41(9): 810-813.
[6]	赵峰, 王季丽, 竺鑫丽, 姚国荣, 陆中杰, 严森祥. 不同类别医学生线上学习的满意度及其影响因素调查[J]. 中华医学教育杂志, 2021, 41(9): 826-830.
[7]	陈君涵, 李昱静, 陈伟成, 蔡凯宇, 吕雯奇, 陈祥荣, 林槙槙. 虚拟仿真技术结合基于问题学习教学方式在神经内科见习和实习中的应用探索[J]. 中华医学教育杂志, 2021, 41(9): 835-838.
[8]	陈红, 陈晓君, 王云云, 王跃国, 徐晓耘, 周庆. 岗前培训中融入医院感染暴发案例剖析的教学效果评价[J]. 中华医学教育杂志, 2021, 41(8): 712-715.
[9]	彭俐, 安娜, 江泳, 郭传瑸, 李铁军, 董美丽. 口腔综合教学诊室本科生实习操作多样性调查研究[J]. 中华医学教育杂志, 2021, 41(8): 716-719.
[10]	董晓兰, 苏昊清, 吴海彤, 李菁. 流程清单教学方式在护理学专业学生留置针穿刺实习中的应用[J]. 中华医学教育杂志, 2021, 41(8): 720-724.
[11]	徐琳, 赵禹碹, 王燕, 郭煌达, 刘晓雯, 贾雅雯, 吕利枝, 王云. 本科一年级医学生的专业认同度及其影响因素[J]. 中华医学教育杂志, 2021, 41(7): 587-591.
[12]	崔雪梅, 李鸿鹤, 宋鑫智, 丁宁, 闻德亮. 临床实习期医学生与患者互动对其职业精神培养的研究与启示[J]. 中华医学教育杂志, 2021, 41(7): 622-626.
[13]	刘宝清, 张凡帆, 张少辉, 杨成城, 余文, 刘文娜, 王革生, 东潇博, 刘佳霖, 安佳琳. 依托网络平台的DOPS在中医学专业本科生外科临床技能考核中的应用[J]. 中华医学教育杂志, 2021, 41(7): 647-651.
[14]	陆丹芳, 胡丹辰, 邢燕. 面向患者的健康宣教在八年制临床医学专业学生儿科学实习中的应用效果[J]. 中华医学教育杂志, 2021, 41(5): 443-447.
[15]	齐心, 付瑶, 王建六, 李海潮. 临床医学专业实习教学质量影响因素的调查分析[J]. 中华医学教育杂志, 2021, 41(4): 334-338.