Current situation and influencing factors of mindful agency of nursing students during internship

doi:10.3760/cma.j.cn115259-20220901-01103

Abstract

Abstract: Objective To analyze the current situation and influencing factors of mindful agency of nursing interns. Methods From March to May 2022, a convenient sampling method was used to select 240 nursing students who were interns in two third-class hospitals in Qingdao as the subjects of the survey, and a questionnaire survey was conducted using the general information questionnaire,Mindful agency scale, clinical learning environment assessment scale, and psychological resilience scale. Multiple linear regression was used to analyze the relevant data. Results The score of mindful agency scale was (61.98±13.24). Multiple linear regression model showed that the higher the scores of clinical learning environment (b=0.405, P<0.001), psychological resilience (b=0.205, P<0.001), and love of nursing specialty (b=0.151, P=0.001), the higher the level of mindful agency. The three variables of clinical learning environment, psychological resilience and love of nursing specialty could explain 39.3% of the total variation of mindful agency score. Conclusions The mindful agency of nursing students is at a medium level. Clinical nursing educators and nursing administrators can improve the psychological resilience of nursing students by strengthening the construction of clinical learning environment and cultivate the degree of love of nursing students for their majors, so as to better improve the mindful agency of nursing students.

Key words: Clinical clerkship, Nursing student, Mindful agency, Clinical learning environment, Psychological resilience

CLC Number:

Yang Rui, Gao Yufang, Ji Zitong, Su Xin, Liu Dun. Current situation and influencing factors of mindful agency of nursing students during internship[J]. Chinese Journal of Medical Education, 2023, 43(4): 280-283.

References

[1] Bhurtun HD, Azimirad M, Saaranen T, et al. Stress and coping among nursing students during clinical training: an integrative review[J].J Nurs Educ,2019,58(5):266-272. DOI: 10.3928/01484834-20190422-04.
[2] Mulyadi M, Tonapa SI, Luneto S, et al. Prevalence of mental health problems and sleep disturbances in nursing students during the COVID-19 pandemic: A systematic review and meta-analysis[J].Nurse Educ Pract,2021,57:103228. DOI: 10.1016/j.nepr.2021.103228.
[3] Melnyk BM, Orsolini L, Tan A, et al. A national study links nurses′ physical and mental health to medical errors and perceived worksite wellness[J].J Occup Environ Med,2018,60(2):126-131. DOI: 10.1097/JOM.0000000000001198.
[4] 王青, 彭雅楠. 大学生正念主体性量表编制研究[J].华东师范大学学报(教育科学版),2017,35(5):146-154. DOI: 10.16382/j.cnki.1000-5560.2017.05.013.
[5] Song Y, Lindquist R. Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students[J].Nurse Educ Today,2015,35(1):86-90. DOI: 10.1016/j.nedt.2014.06.010.
[6] 王冬华, 马娜, 谭千禧, 等. 远程教学期间护理本科生正念主体性现状及影响因素分析[J].中华护理教育,2021,18(1):66-70. DOI: 10.3761/j.issn.1672-9234.2021.01.013.
[7] Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being[J].J Pers Soc Psychol,2003,84(4):822-848. DOI: 10.1037/0022-3514.84.4.822.
[8] 朱闻溪. 护理临床学习环境评价量表的编制与检验[D].沈阳:中国医科大学, 2005.
[9] 叶增杰, 阮小丽, 曾珍, 等. 中文版10条目心理韧性量表在护生群体中的信效度分析[J].护理学报,2016,23(21):9-13. DOI: 10.16460/j.issn1008-9969.2016.21.009.
[10] 李铮,刘宇.护理学研究方法[M].北京:人民卫生出版社,2018:64-65.
[11] Campbell-Sills L, Stein MB. Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): validation of a 10-item measure of resilience[J].J Trauma Stress,2007,20(6):1019-1028. DOI: 10.1002/jts.20271.
[12] De Los Santos J, Labrague LJ, Falguera CC. Fear of COVID-19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross-sectional study[J].Perspect Psychiatr Care,2022,58(1):71-78. DOI: 10.1111/ppc.12781.
[13] 林杰, 刘衍玲, 彭文波. 大学生学业情绪与学习投入的关系:学业自我效能感的中介作用[J].中国特殊教育,2020(4):89-96. DOI: 10.3969/j.issn.1007-3728.2020.04.014.
[14] Nordquist J, Hall J, Caverzagie K, et al. The clinical learning environment[J].Med Teach,2019,41(4):366-372. DOI: 10.1080/0142159X.2019.1566601.
[15] 汪慧媛, 陈惠玲, 卢英姿, 等. 护理毕业生留职意愿与心理韧性的调查研究:基于潜在剖面分析[J].解放军护理杂志,2021,38(3):22-26. DOI: 10.3969/j.issn.1008-9993.2021.03.006.
[16] Cummings G, Olson K, Raymond-Seniuk C, et al. Factors influencing job satisfaction of oncology nurses over time[J].Can Oncol Nurs J,2013,23(3):162-181. DOI: 10.5737/1181912x233162171.