专业承诺对护理本科生临床实践行为表现的影响

目的：研究专业承诺对护理本科生临床实践行为表现的影响。方法采用追踪调查方法，便利抽取湖南省3所本科院校407名大四护理专业本科学生，即将进入临床实习前测量其专业承诺水平，10个月实习结束后测量其临床实践行为表现。结果护生专业承诺总分为（88．58±12．55）分，总均分为（3．28±0．46）分；护生临床实践行为表现总分为（156．27±17．06）分，总均分为（3．63±0．39）分，两个评价量表的得分在1～5的评分标准中均处于中等偏上水平。不同学院等级、性别的护生临床实践行为表现比较，差异有统计学意义（F＝5．379，t＝5．824；P＜0．05），而不同实习医院级别的护生临床实践行为表现比较，差异无统计学意义（ F＝1．547，P＞0．05）。学院等级和专业承诺中的3个维度对护生临床实践行为表现的决定系数达0．326，其中专业承诺对临床实践行为表现的决定系数达0．280。结论专业承诺水平能够有效预测护理本科生的临床实践行为表现，对正式入职以后工作结果的影响仍需进一步的追踪研究。

Influence of specialty commitment on clinical practice performance of undergraduate nursing students

Objective To investigate the influence of specialty commitment on clinical practice performance of undergraduate nursing students .Methods A total of 407 undergraduate nursing students were recruited by convenience sampling method and investigated with Specialty Commitment Scale before they entered the hospital , and then investigated with Clinical Performance Self-rating Scale ten months later .Results The total score of specialty commitment of nursing students was （88.58 ±12.55）, with an average score of （3.28 ±0.46）. The total score of clinical practice performance of nursing students was （156.27 ±17.06）, with an average score of （3.63 ±0.39）.The differences were found in clinical practice performance of nursing students among different college level and different gender （F=5.379,t=5.824;P〈0.05）, but no difference was found among different hospital level （F=1.547,P 〉0.05）.The college level and specialty commitment of undergraduate nursing students’ to clinical practice performance ’s coefficient of determination was 0.326.The specialty commitment to clinical practice performance’s coefficient of determination was 0.280.Conclusions Undergraduate nursing students’ clinical practice performance can be predicted by the level of specialty commitment .Further follow-up studies are needed for the influence of long-term work.