护理专业临床实习生心理健康状况与临床实习效果的相关性分析

目的调查分析护理专业临床实习生心理健康状况及其对临床实习效果的影响。方法采用症状自评量表（SCL-90）、自制临床实习效果问卷,对65名护理专业临床实习生进行测试,并分析SCL-90各因子与临床实习效果的相关性。结果护理专业临床实习生心理问题检出率为28．33％。与全国正常成人常模比较,护理专业临床实习生的心理健康水平较低,且差异具有统计学意义（P〈0．01）。其中躯体化、焦虑、敌对性、恐怖、偏执是存在的主要心理问题。护理专业学生临床实习效果与SCL-90各因子的相关性分析中,实习效果与躯体化、敌对性、偏执三因子呈中度负相关（r=-0．456,-0．437,-0．402,P〈0.01）,与其他因子均呈低度负相关（P〈0．05）。结论部分护理专业临床实习生存在一定程度的心理问题,应分析成因,寻找对策,帮助他们提高心理素质、更好地完成临床实习,早日成为一名合格的护理人员。     

A psychometric analysis of the patient satisfaction with nursing care quality questionnaire: an actionable approach to measuring patient satisfaction

Patient satisfaction with nursing care quality is an important indicator of the quality of care provided in hospitals. This study tested a newly developed patient-centered measure of patient satisfaction with nursing care quality within a random sample of 14 hospitals in Ontario, Canada. Results of this study revealed that the newly developed instrument had excellent psychometric properties. Total scores on satisfaction with nursing care were strongly related to overall satisfaction with the quality of care received during hospitalization. The results of this study yielded actionable, patient-focused results that can be used by managers to address areas requiring improvement.     

The psychological experience of nursing students in their internship year during the COVID-19 pandemic in Saudi Arabia

The COVID-19 pandemic produced challenges and troubling issues in Saudi Arabia and worldwide. During the height of the pandemic, the psychological status of nursing students was complicated by challenges that affected their educational future. We used qualitative approach to explore the psychological status of 20 Saudi nursing students from Nursing College in their internship program during the COVID-19 pandemic by investigating their perceptions, experiences, and challenges. Thematic analysis methods were used to present the data as themes and subthemes. Themes that emerged during interviews revealed: Interns' experiences from the outbreak; Perceptions of students toward COVID-19; Mental distress associated with the situation; Level of support from either or both university authorities or hospital education and training departments; Financial challenges; and Readiness to complete a nursing internship. COVID-19 presented several challenges to Saudi nursing students in internship year including psychological distress in several aspects such as fear of infection for themselves and their families. However, this study findings do not apply to all nursing students as it only included nursing interns actively engaged in clinical practice. Additional studies are required to examine how the clinical practice of internships varied across the country during any epidemic situation.     

The nursing critical thinking in clinical practice questionnaire for nursing students: A psychometric evaluation study

AimTo adapt and validate the N-CT-4 Practice for use with Spanish nursing students.BackgroundPromoting critical thinking is one of the primary objectives of nursing education programs all over the world. Using reliable and valid instruments to measure critical thinking is essential. The Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice) is used internationally to assess critical thinking in nursing practice. However, little is known about the possible applications of this instrument in the context of nursing education.MethodsTwo-phase study: Phase I, adaptation of the N-CT-4 Practice for use with nursing students and verification of its content validity; phase 2, cross-sectional study to validate its psychometric properties in a sample of 331 nursing students from three university nursing schools. A subsample of 34 students completed the questionnaire on two occasions, with a time interval of two weeks. The construct validity and reliability of the instrument were tested using confirmatory factor analysis, convergent validity, internal consistency reliability and test-retest reliability. The STROBE guidelines and the COSMIN checklist were followed.ResultsAll items obtained optimal content validity values. The model fit indices obtained from the confirmatory factor analysis supported the hypothesis of the four-dimensional structure on which the original questionnaire was based. Cronbach's alpha of 0.96 indicated high reliability. The correlations between the total score and the scores for the dimensions were statistically significant, positive and high, with values above r = 0.78 (p < 0.05). Lin's concordance correlation coefficient was 0.6 (p < 0.001).ConclusionsThe adapted version of the N-CT-4 Practice is suitable for measuring critical thinking skills in the educational context of the degree course in nursing in Spain. Its psychometric validation yielded satisfactory results.     

实习护生角色行为适应的影响因素及对策

护生走出理论课堂 ,进入临床实习岗位 ,在其角色转变过程中 ,会面临着很多方面的适应问题。通过分析影响实习护生角色行为适应的因素 ,有针对性地采取相应对策 ,以利于实习护生角色行为的尽快适应。     

护理实习生实习前规范化培训的方法及体会

目的探讨护理实习生实习前规范化培训的方法。方法选择护理学院306名护理大专实习生，于实习前对其进行规范化培训2周，并进行考核。结果护生综合理论考核及操作技能考核成绩显著高于培训前（P〈0．01）。结论实习前规范化培训可提高护理实习生的综合能力。     

仿真模拟教学在护生实习前强化训练中的应用

目的 探讨在实习前强化训练中应用仿真模拟教学的意义和可行性.方法 在实习前对400名2011级护理本科生采用仿真模拟强化训练,自行设计问卷调查护生对仿真模拟强化训练的评价及满意度.结果 98.7%护生认为有必要开展强化训练,85.9%的护生认为达到了预期效果,91.4%的护生认为有助于尽快适应临床护理工作,72.3%~91.1%的护生认为有助于提升综合能力,并且满意度较高.结论 仿真模拟可使护生将理论与实践密切联系,有利于护生尽快适应临床护理工作,提升护生的综合能力和教师的教学水平.     

行动导向教学法在实习护生护理技能培训中的应用

[目的]探讨行动导向教学法在实习护生技能培训中的应用效果。[方法]选取2013年8月—2014年5月在我院外科实习的全日制本科护生127名为研究对象,根据学号的单双号随机分为试验组(n=51)与对照组(n=76),对照组采用常规的护理技能培训方法,试验组在常规方法的基础上采用行动导向教学法,比较两组理论知识、护理技能考核成绩,并比较护生自评、带教老师及病人对护生的评价。[结果]试验组护生出科理论成绩、技能操作成绩、护生自我评价、带教老师评价、病人评价方面均高于对照组,差异有统计学意义(P0.05)。[结论]行动导向教学法的应用可以提高护生的护理技能、沟通、解决问题等临床实践能力,是提升护生临床综合素质的有效培训方法。     

Perceived professional preparedness of senior nursing students' questionnaire: Development and psychometric evaluation

BackgroundNursing students' perceptions of their professional preparedness help them perform their independent nursing role with self-confidence.ObjectivesTo develop and psychometric testing of an instrument, the “Perceived Professional Preparedness of senior Nursing Students” questionnaire.DesignMixed-method exploratory study.MethodsWe conducted this study in two phases: (1) development of initial questionnaire through interview and literature review; (2) evaluation of psychometric properties of the instrument to introduce a reliable, valid tool.Settings and participantsWe assessed qualitative and quantitative face validity of initial questionnaire by administering it to 10 nursing students. Then, a panel of 10 nursing specialists determined the Content Validity Index. After modifying items, we assessed the construct validity of the 45-item questionnaire. A sample of 159 senior nursing students completed the questionnaire, and we conducted exploratory and confirmatory factor analysis using this data. To assess the test-retest reliability, 30 students completed the instrument twice with a two-week time interval.ResultsThe Content Validity Index with the modified Kappa coefficient was calculated as ≥0.72, which is considered satisfactory. In exploratory factor analysis using the maximum likelihood method and varimax rotation, we extracted 19 items in four factors. This structure included 61.91% of the total variance. The factors were clinical competency, evidence-based practice, framework-oriented performance, and patient-centered care. Cronbach's alpha coefficient and McDonald's omega values higher than 0.70 and inter-class correlation coefficient above 0.90 for all factors confirmed reliability. Confirmatory factor analysis indicated a suitable fitting of the final developed model.ConclusionThe developed questionnaire is a valid, reliable tool to assess the perceived preparedness of senior nursing students for transition to the clinical setting. Further psychometric testing for this questionnaire on larger populations and in different contexts is suggested.     

男护生临床实习期间存在的问题及思想状况的调查与思考

目的探讨男护生临床实习期间存在的问题,并了解其专业思想状况。方法自行设计调查问卷,对某医科大学护理学院和某医院护校60名男护生及25名临床护理教师进行调查。结果男护生临床实习期间存在的问题有：缺乏与患者、护理教师间的沟通,仪表不规范,面临角色冲突,实习排班受到限制及就业存在矛盾;其思想状况表现为择业目标不明确、对从事护理专业的信心不足。结论社会应重视男性护理人才的培养,护理教育者及管理者应善于发现男护生临床实习期间存在的问题,及时予以正确引导,创造利于男护生发展的环境。     

追踪方法学在临床带教质量评价中的应用

目的 建立基于追踪方法学的临床带教质量评价模式,分析追踪方法学对临床带教质量评价的启示,为提升临床带教质量提供借鉴.方法 建立三级教学临床带教质量评价体系,确立带教质量评价内容及标准,采用追踪方法学进行带教质量评价.结果 追踪实习护士的临床教学过程,从学生的视角全面分析带教活动,提高了临床带教质量评价流程及方法的科学性与真实性,实现了带教质量的全程动态质控与考评.结论 运用追踪方法学可以直接、客观、真实、灵活地评价和反馈临床带教的质量和效果,值得在临床教学管理中推广应用.