不同层次护生临床实习初期指导需求的研究

Research in guidance demand of different levels of nursing students in initial stage of clinical practice

目的 分析研究不同层次护理实习生在临床实习初期的指导需求,有的放矢地实施以学生发展为中心的教学理念.方法 运用量表及自制问卷对178名不同层次护生针对临床实习初期的指导需求进行调查与统计分析.结果在实习初期,本科、大专护生有关心理、知识的指导需求基本具有一致性,中专护生与本科、大专的指导需求存在一定的差异性.不同层次护生压力水平总均分及各维度得分都在低中等水平,差异有统计学意义.不同层次护生沟通能力总均分及各维度得分都在25分以上;共同参与维度、验证感受维度不同层次的护生的评分比较差异有统计学意义.结论 不同层次护生在实习初期指导需求不同,可因材施教,引导护生正确面对和处理问题,缓解压力,提高沟通能力,处理好人际关系,有针对性地指导、管理及满足护生的具体需求,提高教学成效.

Objective To analyze the guidance demands of different levels of nursing students in initial stage of clinical practice,and implement student-development-centered and targeted teaching philosophy.Methods Scales and a home-made questionnaire were used to investigate 178 nursing students at different levels and the results underwent statistical analysis.Results In the early internships,guidance needs of psychology and basic knowledge were of consistency in undergraduate and college nursing students.There were some differences in guidance needs between secondary school students and undergraduate and college nursing students.The total average score of stress and all the subscale scores were at low and middle levels.The total average score of communication skills and all the subscale scores were above 2.5 points.The was statistically significant difference in joint participation dimension and verifying dimension.Conclusions Different levels of nursing students at the beginning of practice had different needs of guidance.Teachers should guide nursing students to face and deal with problems,relieve stress,improve communication skills,and handle interpersonal relationships well.Targeted guidance,management and meeting the specific needs of students can improve the effectiveness of teaching.