[1]黄雨萱,牟绍玉,朱佳露,等.心理弹性在护生临床实习环境和转型冲击间的中介效应[J].解放军护理杂志,2021,38(11):8-11.[doi:10.3969/j.issn.1008-9993.2021.11.003]
　HUANG Yuxuan,MU Shaoyu,ZHU Jialu,et al.Clinical Practice Environment and Transition Shock among Nursing Students:The Mediating Role of Resilience[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(11):8-11.[doi:10.3969/j.issn.1008-9993.2021.11.003]
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心理弹性在护生临床实习环境和转型冲击间的中介效应()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年11期
页码:
8-11
栏目:
论著
出版日期:
2021-11-15

文章信息/Info

Title:
Clinical Practice Environment and Transition Shock among Nursing Students:The Mediating Role of Resilience
文章编号:
1008-9993(2021)11-0008-04
作者:
黄雨萱1; 牟绍玉1; 朱佳露1; 李娟2; 沈莹3
1.重庆医科大学 护理学院,重庆 400016; 2.重庆医科大学附属第一医院 教务处,重庆 400016; 3.重庆医科大学附属第一医院 胸心外科
Author(s):
HUANG Yuxuan1; MU Shaoyu1; ZHU Jialu1; LI Juan2; SHEN Ying3
1.School of Nursing,Chongqing Medical University,Chongqing 400016,China; 2.Office of Academic Affairs,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China; 3.Department of Cardiothoracic Surgery,The First Affiliated Hospital of Chongqing Medical University
关键词:
护生;  临床实习环境;  心理弹性;  转型冲击;  中介效应
Keywords:
nursing students;  clinical practice environment;  resilience;  transition shock;  mediating role
分类号:
R471
DOI:
10.3969/j.issn.1008-9993.2021.11.003
文献标志码:
A
摘要:
目的 了解临床实习环境对护生转型冲击的影响,探讨心理弹性在其中的中介效应。方法 2020年9月,采用整群抽样法选取重庆市某医科大学附属教学实习医院中2所市级医院和4所区级医院的668名实习护生作为研究对象,采用一般资料调查表、临床实习环境量表、心理弹性量表和转型冲击评价量表对其进行调查。结果 护生临床实习环境、心理弹性和转型冲击得分分别为(132.86±21.49)、(91.05±17.04)、(74.02±22.90)分; 转型冲击与临床实习环境及心理弹性均呈负相关(均P<0.001); 心理弹性在临床实习环境与转型冲击之间起部分中介效应,占总效应的32.23%。 结论 实习期间护生的转型冲击呈中度水平,心理弹性在临床实习环境与转型冲击间起部分中介作用; 护理教育者应关注实习护生的转型问题,通过营造良好的临床实习环境、提升护生的心理弹性来降低其转型冲击程度,提高临床实习质量。
Abstract:
Objective To investigate the impact of clinical practice environment on transition shock of nursing students,and to explore the mediating effect of resilience.Methods In September 2020,668 nursing students from 2 municipal hospitals and 4 district hospitals which affiliated to a Medical University in Chongqing were selected by cluster sampling method.They were investigated by general data questionnaire,clinical practice environment scale,psychological resilience scale and transformation impact evaluation scale.Results The total score of clinical practice environment,resilience and transition shock were(132.86±21.49),(91.05±17.04)and(74.02±22.90),respectively.Transition shock was negatively correlated with clinical environment and resilience(all P<0.001).Resilience had partial mediating effect between clinical practice environment and transition shock,accounting for 32.23% of the total effect.Conclusions The transition shock of nursing students in the stage of clinical practice is at relatively medium level,and resilience played a partial mediating role between clinical practice environment and transition shock.Nursing educator should pay attention to the transition of nursing students,through creating a good clinical practice environment,improve the resilience of nursing students to reduce the transition shock and improve the quality of clinical practice.

参考文献/References:

[1] DUCHSCHER J E B.Transition shock:the initial stage of role adaptation for newly graduated registered nurses[J].J Adv Nurs,2009,65(5):1103-1113.
[2] 刘丹,林平,仰曙芬,等.基于转型冲击模型构建情境模拟方案的初步研究[J].中华护理教育,2016,13(1):16-20.
[3] BOSWELL C,SANCHEZ L.Assessing stressors for interns:using the casey-fink graduate nurse experience survey[J].J Contin Educ Nurs,2020,51(11):516-521.
[4] 褚彦香.临床实习环境对护生实习压力及生活质量影响的调查研究[D].武汉:华中科技大学,2010.
[5] MCDERMOTT R C,FRUH S M,WILLIAMS S,et al.Nursing students’ resilience,depression,well-being,and academic distress:testing a moderated mediation model[J].J Adv Nurs,2020,76(12):3385-3397.
[6] KRAMER M,BREWER B,MAGUIRE P.Impact of healthy work environments on new graduate nurses’ environmental reality shock[J].West J Nurs Res,2013,35(3):348-383.
[7] 陈铭,孙晓,朱晓萍,等.189名新护士角色转型冲击与心理韧性相关性分析[J].护理学报,2017,24(3):50-53.
[8] DUCHSCHER J E B.A process of becoming:the stages of new nursing graduate professional role transition[J].J Cont Educ Nurs,2008,39(10):441-450.
[9] SCHUMAKER E,LOMAX G.A beginner’s guide to structural equation modeling[M].Mahwah,NY:Lawrence Erlbaum Associates,2010:86.
[10]YU X N,ZHANG J X.Factor analysis and psychometric evaluation of the connor-davidson resilience scale(CD-RISC)with Chinese people[J].Soc Behav Pers,2007,35(1):19-31.
[11]薛友儒,林平,高学琴,等.新护士转型冲击评价量表的编制及信效度检验[J].中华护理杂志,2015,50(6):674-678.
[12]连颖,张彩梅.实习护生转型冲击与反馈寻求行为的相关性研究[J].护理学杂志,2020,35(14):68-71.
[13]陈圆圆,沈勤,孙君飞.本科实习护生患者安全感知与自主学习能力的相关性研究[J].解放军护理杂志,2018,35(24):6-10.
[14]陈欣悦,袁晨曦,陈璇.护理专业应届生考研压力的质性研究[J].解放军护理杂志,2019,36(11):11-14.
[15]陈晓云,赵昱,梁好,等.在校护理硕士研究生心理弹性水平及其相关因素[J].解放军护理杂志,2019,36(12):21-24.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-03-07 【 修回日期 】 2021-08-11
【 基金项目 】 2019年重庆市研究生教育教学改革研究项目(yjg193051)
【 作者简介 】 黄雨萱,硕士在读,护师,从事护理教育研究
【 通信作者 】 牟绍玉,电话:023-63555763
更新日期/Last Update: 2021-11-20