实习护生临床学习环境与患者安全态度和职业素养的关系研究  

Study on relationship between clinical learning environment,patient safety attitude and professionalism of nursing students

作　　者：袁媛 唐昊宇 倪飞 孙激 YUAN Yuan;TANG Haoyu;NI Fei;SUN Wei(General Practice Department,First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Department of Nursing,First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Clinical Nursing Teaching and Researching Department,First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Department of Nursing,Second Afiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院全科医学科,重庆400038 [2]陆军军医大学第一附属医院护理处,重庆400038 [3]陆军军医大学第一附属医院临床护理学教研室,重庆400038 [4]陆军军医大学第二附属医院护理处,重庆400038

出　　处：《职业与健康》2025年第5期687-691,共5页Occupation and Health

基　　金：陆军军医大学精品课程建设研究项目(JK090)。

摘　　要：目的了解三级甲等医院实习护生患者安全态度和职业素养、临床学习环境现状及两者间的关系,为提升实习护生患者安全意识和职业素养提供科学建议。方法2023年5—7月,采用中文版实习学生患者安全态度和职业素养问卷、临床学习环境评估量表对重庆市、四川省、贵州省和云南省5家三级甲等医院的402名实习护生进行调查,并对数据进行分析。结果重庆市、四川省、贵州省和云南省5家三级甲等医院的402名实习护生患者安全态度和职业素养得分为(135.81±18.92)分,临床学习环境总分为(162.84±28.28)分;不同年龄、培养层次、实习时长的护生患者安全态度得分比较,差异均有统计学意义(均P<0.05),参加过患者安全培训的护生安全态度和职业素养各维度得分均显著高于未参加培训者(P<0.05);临床学习环境与患者安全态度和职业素养各维度均呈显著正相关(r=0.219~0.800,均P<0.05);是否参加过患者安全培训、督导关系和科室总带教角色均是患者安全态度和职业素养的重要影响因素(β=0.201~0.302,均P<0.05)。结论实习护生患者安全态度和职业素养处于较高水平,患者安全教育、良好的师生关系,以及科学的教学组织有助于实习护生患者安全意识的建立和职业素养提升。Objective To understand the status of patient safety attitude and professionalism,and clinical learning environment of nursing interns in grade-A tertiary hospital,explore their relationship,and provide scientific suggestions to enhance the patient safety attitude and professionalism of nursing students.Methods From May to July 2023,a survey was conducted on 402 intern nursing students from five grade-A tertiary hospitals in Chongqing,Sichuan Province,Guizhou Province,and Yunnan Province using the Chinese version of the intern'patient safety attitude and professional literacy questionnaire and the clinical learning environment assessment scale,and the data were analyzed.Results The score of patient safety attitude and professionalism among402 intern nursing students from five grade-A tertiary hospitals in Chongqing,Sichuan Province,Guizhou Province,and Yunnan Province was(135.81±18.92)points,and the total score of clinical learning environment was(162.84±28.28)points.There were statistically significant differences in the scores of patient safety attitude among nursing students at different age,cultivating categories and practice duration(all P<0.05).The score of safety attitude and professionalism of nursing interns who participated in patient safety training was significantly higher than that of those who did not(P<0.05).The clinical learning environment was significantly correlated with all dimension of patient safety attitude and professionalism(r=0.219-0.800,all P<0.05).The participation in patient safety training,supervisory relationship and the role of teaching supervisor in the department were important factors affecting patient safety attitude and professionalism(β=0.201-0.302,all P<0.05).Conclusion The patient safety attitude and professionalism of nurse interns are at a high level,and patient safety education,good teacher-student relationship and scientific teaching organization are conducive to the establishment of patient safety awareness and the improvement of professionalism of nurse interns.

关 键 词：护理教育 临床实习 临床学习环境 患者安全 职业素养 

分 类 号：R181.3[医药卫生—流行病学]