护生实习初期临床学习环境与压力的相关性分析  

Correlation analysis on clinical learning environment and stress among nursing students during initial period of clinical practice

作　　者：李燕玲[1] 戴晖[1] 程芳[1] 王玉娟[1] 闫海春[2] 

机构地区：[1]国家电网公司北京电力医院护理部,北京100073 [2]国家电网公司北京电力医院心内科,北京100073

出　　处：《中华现代护理杂志》2017年第4期570-574,共5页Chinese Journal of Modern Nursing

摘　　要：目的 调查护生实习初期临床学习环境与压力的现状,并分析二者的相关性.方法 采用目的抽样法选择2015年7月—2016年2月在国家电网北京电力医院8个科室轮转实习的219名护生学历均为大专.采用护理临床学习环境评价量表和实习压力量表对其进行调查.结果 护生对临床学习环境评价得分为（172.99±19.36）分,条目均分为（4.12±0.51）分,各维度评分由高到低依次为人际关系（4.31±0.50）分、工作氛围和团队精神（4.25±0.50）分、任务定位（4.23±0.47）分、创新性（4.11±0.52）分、学生参与性（4.06±0.51）分和个性化（3.51±0.86）分;护生实习初期感知的压力得分为（31.89±13.94）分,条目均分为（1.10±0.48）分,压力来源由高到低依次为缺乏专业知识与技能（1.44±0.61）分、照护患者（1.33±0.55）分、作业与工作（1.19±0.60）分、临床环境（0.93±0.52）分、带教老师（0.88±0.53）分和同伴及日常生活（0.75±0.55）分;护生感知的实习压力与临床学习环境呈负相关（r=-0.16,P〈0.05）.结论 临床学习环境越满意,感知到的压力越小;建议在今后的教学过程中,应重视改善护生的临床学习环境,减轻护生在实习过程中的压力,从而提高教学质量.Objective To explore the status of clinical learning environment and stress among nursing students during initial period of clinical practice and analyze the correlation between them.Methods With purpose sampling method,219 nursing students,who did rotating practice in eight departments of Beijing Electric Power Hospital of State Grid from July 2015 to February 2016 were selected and surveyed by clinical learning environment assessment scale and practice stress scale.Results The nursing students＇ assessment on clinical learning environment was （172.99±19.36） points,and the average score of entries was （4.12±0.51）. Scores of various dimensions with a descending order were：interpersonal relationship （4.31±0.50）,working environment and teamwork spirit （4.25±0.50）,task orientation （4.23±0.47）,innovation （4.11±0.52）,students＇ involvement （4.06±0.51）,and individuality （3.51±0.86）. Scores of the nursing students＇ perceived stress during initial period of practice were （31.89±13.94） points,with average score of （1.10±0.48）. Scores of stress sources with a descending order were：lack of professional knowledge and skills （1.44±0.61） points,taking care of patients （1.33±0.55）,assignments and workload （1.19±0.60）,clinical environment （0.93±0.52）,clinical teachers （0.88±0.53）,and companions and daily life （0.75±0.55）. Perceived stress had a negative correlation with learning environment （r=-0.160,P〈0.05）.Conclusions The more satisfied to the clinical learning environment,the less stress the students perceive;it is recommended that students＇ learning environment should be improved,so as to relieve their perceived stress during clinical practice and improve quality of nursing education.

关 键 词：学生 护理 压力 临床实习 学习环境 实习初期 

分 类 号：G642[文化科学—高等教育学] R47-4[文化科学—教育学]