三甲医院护生临床学习环境评价及影响因素研究

目的调查三甲医院护生临床学习环境评价现状并分析其影响因素。方法采用一般资料问卷、临床学习环境评价量表、职业期望量表对长沙市10所三甲医院450名实习护生进行调查。结果三甲医院实习护生临床学习环境评价得分为126.28±22.76,处于中等水平。职业期望与临床学习环境评价呈正相关(r=0.197,P0.01),对就业前景的看法、临床实习满意程度、职业期望是临床学习环境评价的主要影响因素(R~2=0.108,F=6.916,P0.01)。结论三甲医院实习护生临床学习环境评价处于中等水平,职业期望越高的个体,临床学习环境评价越好。实习护生应合理自我定位,制定科学的职业期望。护理管理者应针对不同特征的实习护生提供适宜的临床带教,提高实习护生临床学习环境评价,从而提高临床教学质量。

Nurse students' perspectives of clinical learning environment in 3A hospitals and the influencing factors

Objective To investigate nurse students'perspectives of clinical learning environment in 3A hospitals,and analyze the influencing factors.Methods A package of a demographic questionnaire,Clinical Learning Environment Scale(CLES+ T),and Occupation Expectation Scale was used to investigate 450 nurse students in 10 3A hospitals in Changsha city.Results The total CLES+ T scores was 126.28 ± 22.76,at medium level.Positive correlation was found between occupation expectation,and clinical learning environment (r=0.197,P＜0.01).Students' views about nursing job outlook,their satisfaction with clinical internship,and their occupation expectation contributed to influence their perspectives of clinical learning environment (R2 =0.108,F =6.916,P ＜ 0.01).Conclusion Clinical learning environment in 3A hospitals was at medium level by the eyes of nurse students.Those who had higher occupation expectation tended to give better feedback of clinical learning environment.Nurse students should establish a rea sonable self-image,and have rational expectation on nursing jobs.Nursing managers should boost appropriate clinical teaching tailoring to different characteristics of nurse students,so as to enhance clinical learning environment and finally improve clinical teaching quality.