【作者】 李艳；

【导师】 陶新陆；

【作者基本信息】 中南大学 ， 护理学， 2007， 硕士

【摘要】 目的调查护理实习生的临床实习表现和专业态度现状,分析个性对护理实习生临床实习表现和专业态度的影响,探讨专业态度和临床实习表现之间的关系,为提高实习护生的临床实践能力和稳定专业态度提供理论依据及实践指导。方法采用随机抽样的方法,抽取中南大学湘雅医院、湘雅二医院和湘雅三医院的护理实习生包括本科生、大专生和高职生共646名为研究样本,进行问卷调查。调查内容为护理实习生的一般资料、个性特征、临床实习表现和专业态度,调查工具采用一般资料调查表、艾森克个性问卷(EPQ)、Arthur的护理专业自我概念量表和护生临床实践行为表现自评量表。采用spss11.5统计软件对资料进行统计学分析,统计方法包括描述性统计分析、两个独立样本比较的Wilcoxon秩和检验、Spearman秩相关分析、逐步回归分析和路径分析。结果1.护理实习生的临床实习表现平均得分3.88,得分最高的因子是专业发展(4.22分),得分最低的因子是科研(3.34分)。不同个性特征护理实习生的临床实习表现存在显著差异,性格外向的护生临床实习表现明显优于性格内向的护生(P＜0.05),情绪稳定和无精神质倾向的护生临床实习表现明显优于情绪不稳和有精神质倾向的护生(P＜0.05)。2.护理实习生专业态度平均得分3.01分,得分最高的因子是灵活性(3.12分),得分最低的因子是满意度(2.82分)。不同个性特征护理实习生的专业态度存在显著差异,性格外向的护生专业态度明显优于性格内向的护生(P＜0.05),情绪稳定和无精神质的护生专业态度显著优于情绪不稳和有精神质倾向的护生(P＜0.05)。3.内外向与专业态度和临床实习表现均呈正相关,相关系数分别为0.345(P＜0.001)和0.235(P＜0.001);神经质维度与专业态度和临床实习表现均呈负相关,相关系数分别-0.267(P＜0.001)和-0.136(P＜0.001);精神质维度与专业态度和临床实习表现均呈负相关,相关系数分别为-0.299(P＜0.001)和-0.163(P＜0.001);专业态度与临床实习表现呈正相关,相关系数为0.496(P＜0.001)。4.个性特征对护理实习生临床实习表现有影响,通过两条途径:一是直接途径:个性特征→临床实习表现;二是间接途径:个性特征→专业态度→临床实习表现。结论1.大部分护理实习生对自己的临床实习表现比较满意。不同个性特征护理实习生的临床实习表现存在显著差异。2.护理实习生的专业态度总体水平较好,每题平均得分为3.01。不同个性特征护理实习生的专业态度存在明显差异。3.护理实习生的专业态度与临床实习表现呈正相关。专业态度好的护理实习生具有良好的临床实习表现倾向,反之,临床实习表现良好的护理实习生,也倾向于有良好的专业态度。更多还原

【Abstract】 Objective: The aim of this study was to investigate nursing students’ personality characteristics,cIinical performance and nursing professional attitude status. The nursing students are undergraduate nursing students and were in nursing training. We also explore the relationship among these three variables in order to provide theoretical basis and practical instruction for stabilizing nursing professional attitude and making good clinical performance for nursing students in training.Methods: 646 nursing students who were training in 3 xiangya medical school’s affiliated hospitals of central south university were recruited by random sampling to fill in the questionnaire, and 584 effective samples were obtained (valid response rate: 90.4%). The general, Eysenck Personality Questionnaire(EPQ), Arthur.D’s Nursing Professional Self-Concept Inventory and the Clinical Performance Self-rating Scale were used in this survey. Descriptive analysis, Wilcoxon rank sum test, Kruskal-Wallis H test, Spearman rank correlation, multiple linear regression and path analysis were performed with the Statistical Package for Social Science (SPSS) 11.5.Results:1. There were statistically significant differences of both score of clinical performance and nursing professional attitude in different groups divided by different personality characteristics. Score of clinical performance and nursing professional attitude of Extroversion dimension is higher than Introvision group(p<0.05), Score of clinical performance and nursing professional attitude of Neuroticism group is higher than no Neuroticism group (p<0.05), Score of nervousness group is higher than no nervousness group(p<0.05).2. Spearman correlation analysis showed that there were positive correlations between the Extroversion and Introvision dimension and clinical performance(P<0.001), the Extroversion and Introvision dimension and nursing professional attitude (P<0.001). Spearman correlation analysis also showed that there were negative correlations between the Neuroticism dimension and clinical performance(P<0.001), Neuroticism dimension and nursing professional attitude(P<0.001), Nervousness dimension and clinical performance (P<0.001), Nervousness dimension and nursing professional attitude(P<0.001).3. Personality characteristics can influence on clinical performance thought two pathways. one is direct: personality characteristics→clinical performance, another is indirect: personality characteristics→nursing professional attitude→clinical performance.Conclusion1. Most students investigated in this study were satisfied with their clinical performance, the students who shows different personality characteristics have different clinical performance.2. Most nursing students were satisfied with their professional attitudes. The students who show different personality characteristics have different professional attitudes.3. There was positive correlation between clinical performance and nursing professional attitude. Better nursing professional attitude, better clinical performance.更多还原