本科实习护生转型冲击现状及其影响因素分析  

Analysis of the impact level and influencing factors on the transition of undergraduate nursing students

作　　者：潘倩文 许栋 王茜[1] PAN Qianwen;XU Dong;WANG Xi(School of Nursing,Bengbu Medical College,Bengbu,Anhui 233000,China)

机构地区：[1]蚌埠医学院护理学院,安徽蚌埠233000

出　　处：《中华全科医学》2024年第1期140-143,共4页Chinese Journal of General Practice

基　　金：安徽省教学研究项目(2018jyxm0856)。

摘　　要：目的 调查本科实习护生的转型冲击现状,探讨其影响因素,分析本科实习护生在转型过程中存在的问题,为制定有针对性的干预方案提供依据。方法 采用便利抽样方法,于2021年7月—2022年3月选取安徽省3所高校256名全日制本科实习护生为研究对象,以Meleis过渡理论为理论框架,使用一般资料问卷、护理本科实习生转型冲击评价量表及护理专业自我概念量表对其进行调查。采用t检验对不同性别、生源地、是不是独生子女等进行分析,采用方差分析对不同填报志愿原因、在校学习成绩等的转型冲击得分差异进行比较,采用多元逐步回归法分析本科实习护生转型冲击的影响因素。结果 256名本科实习护生转型冲击得分为(48.51±1.71)分;专业自我概念得分为(82.56±9.77)分;不同的填报志愿原因、专业满意程度、岗前培训时长、学校关心程度、毕业后职业规划的转型冲击得分差异均有统计学意义(P<0.05);Pearson相关分析结果显示,本科实习护生转型冲击总分与专业自我概念总分呈负相关关系(r=-0.405,P<0.01)。多元线性回归分析结果表明,本科实习护生专业满意度、岗前培训时长、实习期间学校的关心程度及实习护生的专业自我概念水平均是影响本科实习护生转型冲击水平的因素(P<0.05)。结论 本科实习护生转型冲击处于中高水平,在实习护生管理中可通过提高实习护生的专业概念水平、学校的关心程度、专业满意度,适当安排岗前培训等措施降低实习护生的冲击水平。Objective To investigate the current situation of transition shock of undergraduate nursing students and explore influencing factors:an analyze of challenges in the transformation process to inform targeted intervention programs.Methods A total of 256 full-time undergraduate nursing interns from^(3) colleges and universities in Anhui Province were selected as research objects by convenient sampling method.The study was conducted from July 2021 to March 2022.The research utilized the theoretical framework of Meleis transition theory and employed a general data questionnaire,transition impact assessment scale for undergraduate nursing interns,and nursing self-concept scale to collect data.The independent sample t-test was used to analyze gender differences,differences based on place of origin,and whether the student was the only child.Variance analysis was used to compare the transformation impact scores,such as reasons for filling out voluntary applications and academic performance in school.The multiple step-up regression method was utilized to analyze the influencing factors of the transformation impact experienced by undergraduate nursing students.Results The mean transition impact score for undergraduate nursing students was found to be 48.51±1.71.Additionally,the professional self-concept score was determined to be 82.56±9.77.Statistical analysis showed significant differences in the transformation impact scores based on various factors,including reasons for volunteering,professional satisfaction,pre-job training duration,school concern,and post-graduation career planning(P<0.05).Furthermore,Pearson correlation analysis demonstrated a negative correlation between the total transformation impact score of undergraduate nursing interns and the total professional self-concept score(r=-0.405,P<0.01).Multiple stepwise regression analysis identified professional satisfaction,pre-job training duration,the level of school support during the internship,and the professional self-concept of nursing students as signific

关 键 词：转型冲击 本科实习护生 问卷调查 专业自我概念 

分 类 号：R192[医药卫生—卫生事业管理]