基础医学与临床 ›› 2020, Vol. 40 ›› Issue (11): 1596-1599.

• 医学教育 • 上一篇    下一篇

护理学生在临床护理评估中自我效能感及相关因素分析

张琦, 张昀, 付晨, 张薇, 赵霞, 曾学军*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 普通内科, 北京 100730
  • 收稿日期:2019-07-11 修回日期:2020-01-18 出版日期:2020-11-05 发布日期:2020-10-30
  • 通讯作者: * zongxj@pumch.cn

Analysis of self-efficacy and its correlated factors of nursing skill evaluation by nursing interns

ZHANG Qi, ZHANG Yun, FU Chen, ZHANG Wei, ZHAO Xia, ZENG Xue-jun*   

  1. Department of General Internal Medicine, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
  • Received:2019-07-11 Revised:2020-01-18 Online:2020-11-05 Published:2020-10-30
  • Contact: * zongxj@pumch.cn

摘要: 目的 调查实习护生临床实习中期与后期在护理评估方面的自我效能感,分析与自我效能感相关的因素,从而提高教学质量及实习护生的临床护理评估能力。方法 采取便利抽样法选取2016年1月至2017年12月于北京协和医院完成实习的护生为研究对象,通过自行编制的“实习护生对临床护理评估的自我效能感”调查问卷,评估实习中期和后期护生的自我效能感差异,并分析实习中期和后期与自我效能感相关的因素。结果 共45名实习护生参与调查,其中男性9名(18.0%),平均年龄(22.0±1.1)岁,学历均为大专及以上,实习中期平均实习时间为(6.0±1.4)月,实习后期平均实习时间为(10.2±1.6)月。实习中期和后期护生的入院评估自我效能感得分无明显差别,但实习后期治疗评估维度的自我效能感得分(38.9±5.9比36.2±7.8,P<0.05)和总分(77.3±7.9比73.5±11.0,P<0.05)均高于中期。年龄和学历与实习中后期临床护理评估的自我效能感显著相关(P<0.05)。结论 临床带教在护生培养中具有极其重要的作用,需根据不同实习阶段和不同性别、年龄和学历的护生,采取针对性地有效措施提高临床护理评估培养和能力,进一步提升临床教学质量。

关键词: 实习护理学生, 护理评估, 自我效能感, 相关因素

Abstract: Objective To investigate nursing interns' self-efficacy of clinical nursing assessment skills and its influencing factors, both at the middle and the final stages of their internship, so to improve the quality of clinical teaching and students' assessment skills. Methods We used convenience sampling to enroll nursing students who completed their internship in Peking Union Medical College Hospital from January 2016 to December 2017. A self-designed questionnaire was introduced to evaluate their self-efficacy of clinical nursing assessment skills in the middle and the final stages of internship. Differences between the two stages were compared, and influencing factors were analyzed. Results Forty-five students (with junior college diploma or above) were included, with a mean age of (22.0±1.1) years. There were 9 males (18.0%), and the mean interning duration were (6.0±1.4) months in the middle stages of internship and (10.2±1.6) months in the final stage. Scores of self-efficacy at admission were similar between the middle and final stages of internship. However, students at the final stage of internship got significantly higher scores both in total and in therapeutic assessment skills than those in the middle internship stage (77.3±7.9 versus 73.5±11.0, P<0.05; 38.9±5.9 versus 36.2±7.8,P<0.05).Gender, age and diploma were related to scores of self-efficacy in the mid-final stage of internship (P<0.05). Conclusions Clinical teaching played a critical role in the education of nursing students. Targeted teaching measures should be taken to promote their ability of training assessment according to the stages of their internship, their gender, age and diploma, so to further improve the quality of clinical training.

Key words: undergraduate nursing interns, nursing assessment, self-efficacy, correlated factor

中图分类号: