护理学专业实习生模拟学习沉浸感与临床实践反思能力的关系研究  

A study on the relationship between the perception of simulated learning immersion and clinical practice reflection ability of nursing interns

作　　者：马俊杰[1] 魏玉莲[2] 房晓杰[2] 王硕[1] 袁洁 Ma Junjie;Wei Yulian;Fang Xiaojie;Wang Shuo;Yuan Jie(Emergency Department,Zibo Central Hospital,Zibo 255036,China;Nursing Department,Zibo Central Hospital,Zibo255036,China)

机构地区：[1]淄博市中心医院急诊科,淄博255036 [2]淄博市中心医院护理部,淄博255036

出　　处：《中华医学教育杂志》2024年第8期597-601,共5页Chinese Journal of Medical Education

基　　金：济宁医学院2022年度实践教学教育研究计划项目(JYSJ2022A01, JYSJ2022B10, JYSJ2022B39)。

摘　　要：目的调查护理学专业实习生模拟学习沉浸感与临床实践反思能力现状,探讨两者之间的关系,为促进护理学专业实习生的临床实践反思能力、提高护理实习质量提供参考。方法2023年3月,采用一般资料调查表、临床模拟学习沉浸感量表、护理学专业学生临床实践反思问卷对山东省某三级甲等医院2023届护理学专业243名实习生进行问卷调查,并采用Pearson相关分析、多重线性阶层回归分析等方法对数据进行处理。结果243名实习生模拟学习沉浸感总分为(47.62±13.66)分,各维度条目均分由高到低依次为认知同化(3.23±0.92)分、情感带入(3.19±0.95)分、专注(3.12±0.95)分、获得性体验(3.10±1.01)分;临床实践反思能力总分为(106.86±23.35)分,各维度条目均分由高到低依次为动态的职业发展(2.98±0.68)分、基于反思的自我管理(2.98±0.67)分、内部动机来源(2.97±0.68)分、专业能力(2.97±0.67)分、动态的组织氛围(2.96±0.67)分、具有挑战性的临床情境(2.95±0.68)分。模拟学习沉浸感总分及其各维度评分与临床实践反思能力总分及其各维度评分均呈正相关(r=0.51~0.63,均P<0.05)。控制人口学变量后,模拟学习沉浸感的各维度对临床实践反思能力均具有正向预测作用(β=0.123~0.324,均P<0.05)。结论护理学专业实习生模拟学习沉浸感与临床实践反思能力处于中等水平,模拟学习沉浸感水平会直接影响其临床实践反思能力。临床带教教师应当丰富临床模拟教学形式,增强学生模拟学习沉浸感,进而促进其临床实践反思能力的培养。Objective:To investigate the current tendencies of the perception of simulated learning immersion and clinical practice reflection ability of nursing interns,to explore the relationship between them,so as to inform nursing interns′clinical practice reflection and improving the quality of nursing practice.Methods:In March 2023,243 nursing interns in the 2023 session of a tertiary first-class hospital in Shandong Province were investigated with general information questionnaire,the learning immersion scale in clinical simulation and the reflection on clinical practice questionnaire for nursing students.Pearson correlation analysis and multiple linear hierarchical regression analysis were used to analyze the data.Results:The total score of 243 interns′simulated learning immersion perception was(47.62±13.66),and the average score of each dimension item from high to low was cognitive assimilation(3.23±0.92),emotional inclusion(3.19±0.95),focus(3.12±0.95),and acquired experience(3.10±1.01);The total score of clinical practice reflection ability was(106.86±23.35),and the average scores of each dimension item in descending order were:dynamic career development(2.98±0.68),reflective self-management(2.98±0.67),internal motivation source(2.97±0.68),professional ability(2.97±0.67),dynamic organizational atmosphere(2.96±0.67),and challenging clinical situation(2.95±0.68).The total score of simulated learning immersion perception and its scores in various dimensions were positively correlated with the total score of clinical practice reflection ability and its scores in all dimensions(r=0.51~0.63,all P<0.05).After controlling for demographic variables,the dimensions of perception of simulated learning immersion positively predicted clinical practice reflection ability(β=0.123~0.324,all P<0.05).Conclusions:Nursing interns′perception of simulated learning immersion and clinical practice reflection ability were at medium level,and the former directly affect the latter.Clinical teachers should enrich the forms o

关 键 词：护理学 实习生 模拟学习沉浸感 临床实践反思能力 

分 类 号：R-4[医药卫生]