实习护生的患者安全态度和职业素养现状及影响因素分析  

Analysis on status and influencing factors of patient safety attitude and professionalism among nursing students

作　　者：戴薇 叶红芳[1] 徐湘荣[1] 刘清媛 DAI Wei;YE Hong-fang;XU Xiang-rong;LIU Qing-yuan(Nursing Department,Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing Jiangsu,210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院护理部,江苏南京210008

出　　处：《职业与健康》2023年第1期89-92,共4页Occupation and Health

基　　金：南京鼓楼医院2020年护理科研立项(ZSA476-3);江苏省南京中医药大学护理优势学科第三期开放课题立项项目(2019YSHL145)。

摘　　要：目的了解实习护生的患者安全态度和职业素养现状并分析其影响因素。方法2021年10月,选取南京市某三级甲等医院的303名实习护生作为调查对象,采用实习护生患者安全态度和职业素养量表、临床学习环境评价量表、领悟社会支持量表进行调查,并对数据进行分析。结果实习护生的患者安全态度和职业素养总分为(129.04±18.64)分,临床学习环境得分为(176.40±23.47)分,领悟社会支持得分为(66.50±10.67)分。不同性别、实习时间、是否发生护理差错、是否参加患者安全培训、对护理专业喜爱程度、临床实习满意度的实习护生患者安全态度和职业素养比较,差异均有统计意义(均P<0.05)。患者安全态度和职业素养与临床学习环境、领悟社会支持均呈显著正相关(r=0.547、0.402,均P<0.01),临床学习环境与领悟社会支持呈显著正相关(r=0.410,P<0.01)。临床学习环境、领悟社会支持、临床实习满意度均是实习护生的患者安全态度和职业素养的主要影响因素,共解释实习护生的患者安全态度和职业素养总变异量的34.5%。结论实习护生的患者安全态度和职业素养处于较高水平,但仍需进一步提升。学校及护理教育者可通过制定患者安全培训课程、改进带教老师教学方式,给予鼓励和提供社会支持等,提升护生患者安全态度和职业素养水平。Objective To investigate the status quo of attitudes towards patient safety and professionalism of nursing students,analyze its influencing factors.Methods In October 2021,303 nursing students from a grade-A tertiary hospital in Nanjing City were selected as investigation objects.The investigation was performed by the patient safety attitude and professionalism scale for nursing students,clinical learning environment scale and perceived social support scale,and the data were analyzed.Results The total score of patient safety attitude and professionalism in nursing students was(129.04±18.64)points,the score of clinical learning environment was(176.40±23.47)points,and the score of perceived social support was(66.50±10.67)points.There were statistically significant differences in patient safety attitude and professionalism among nursing students of different gender,internship time,nursing errors,participation in patient safety training,liking degree of nursing profession and clinical practice satisfaction(all P<0.05).The patient safety attitude and professionalism was significantly positively correlated with clinical learning environment and perceived social support(r=0.547,0.402,both P<0.01),while clinical learning environment was positively correlated perceived social support(r=0.410,P<0.01).The clinical learning environment,perceived social support and clinical practice satisfaction were the main influencing factors of patient safety attitude and professionalism in nursing students,explaining 34.5%of total variance of patient safety attitude and professionalism in nursing students.Conclusions The patient safety attitude and professionalism in nursing students is at a high level,but needs further improvement.The schools and nursing educators can improve nursing students’patient safety attitude and professionalism by formulating patient safety training courses,improving teaching methods of teachers,giving encouragement and providing social support.

关 键 词：护理学生 患者安全态度和职业素养 临床学习环境 领悟社会支持 

分 类 号：R192.6[医药卫生—卫生事业管理]