护理实习生护理安全行为影响因素探讨  

Factors influencing patient safety behavior of nursing students during clinical practice

作　　者：卞军平[1] 陈菲菲[1] 程璐[2] 赵秀兰[3] Bian Junping;Chen Feifei;Cheng Lu;Zhao Xiulan(Department of Nursing,the Second Hospital,Shandong University,Ji′nan 250033,China;Department of Endocrinology,the Second Hospital,Shandong University,Ji′nan 250033,China;School of Public Health,Shandong University,Ji′nan 250012,China)

机构地区：[1]山东大学第二医院护理部,济南250033 [2]山东大学第二医院内分泌科,济南250033 [3]山东大学公共卫生学院,济南250012

出　　处：《中国实用护理杂志》2021年第12期936-941,共6页Chinese Journal of Practical Nursing

基　　金：山东大学教育教学改革研究重点项目(2019Y266)。

摘　　要：目的了解护理实习生护理安全行为的现状,探讨其影响因素,为护理实习生更好地参与患者安全实践提供依据。方法采用横断面研究,于2019年11—12月对214名护理实习生进行临床带教、临床实践指导满意度、安全态度和安全行为方面的网络问卷调查。结果护理实习生的临床实践指导满意度、安全态度和安全行为的总分分别是(3.83±0.81)、(3.70±0.65)、(3.93±0.79)分。护理实习生的临床实践指导满意度、安全态度均与安全行为呈正相关(r=0.82、0.75,P<0.01)。与带教老师具有相同的排班、临床实践指导满意度和安全态度对护理实习生的安全行为具有影响作用(F=67.81,R^(2)=0.753,ΔR^(2)=0.742,P=0.00),共解释总体74.20%的变异量。结论安排带教老师与护理实习生相同的排班,加强带教老师在临床实践中的指导和示范作用,增加对护理实习生的安全态度培训,是提升护理实习生患者安全行为的重要举措。Objective To explore the factors influencing patient safety behavior of nursing students during clinical practice.Methods A cross-sectional study was used,in which a total of 214 participants completed the online survey related to the undergraduate nursing students′clinical teaching satisfaction scale,safety attitude questionnaire and nurse safety behavior questionnaire.Results The mean scores of clinical teaching satisfaction,safety attitude and nurse safety behavior were(3.83±0.81),(3.70±0.65)and(3.93±0.79)respectively.There were positive correlations between clinical teaching satisfaction,safety attitude with the nurse safety behavior(r=0.82,0.75,P<0.01).The results also showed that the same shifts with their clinical instructors,clinical teaching satisfaction and safety attitude could affect safety behavior of nursing students(F=67.81,R^(2)=0.753,ΔR^(2)=0.742,P=0.00),which accounted for 74.20%of total variation.Conclusions The same shift arrangement for both clinical instructors and nursing students,enhancement of the demonstration and guidance from clinical instructors,as well as strengthening the cultivating patient safety attitude would be beneficial to promoting the safety behavior of nursing students during clinical practice.

关 键 词：学生 护理 安全行为 安全态度 临床带教 临床实习 

分 类 号：R47[医药卫生—护理学]