心理弹性在护生临床实习环境和转型冲击间的中介效应

Clinical Practice Environment and Transition Shock among Nursing Students:The Mediating Role of Resilience

目的了解临床实习环境对护生转型冲击的影响,探讨心理弹性在其中的中介效应。方法2020年9月,采用整群抽样法选取重庆市某医科大学附属教学实习医院中2所市级医院和4所区级医院的668名实习护生作为研究对象,采用一般资料调查表、临床实习环境量表、心理弹性量表和转型冲击评价量表对其进行调查。结果护生临床实习环境、心理弹性和转型冲击得分分别为(132.86±21.49)、(91.05±17.04)、(74.02±22.90)分;转型冲击与临床实习环境及心理弹性均呈负相关(均P<0.001);心理弹性在临床实习环境与转型冲击之间起部分中介效应,占总效应的32.23%。结论实习期间护生的转型冲击呈中度水平,心理弹性在临床实习环境与转型冲击间起部分中介作用;护理教育者应关注实习护生的转型问题,通过营造良好的临床实习环境、提升护生的心理弹性来降低其转型冲击程度,提高临床实习质量。

Objective To investigate the impact of clinical practice environment on transition shock of nursing students,and to explore the mediating effect of resilience.Methods In September 2020,668 nursing students from 2 municipal hospitals and 4 district hospitals which affiliated to a Medical University in Chongqing were selected by cluster sampling method.They were investigated by general data questionnaire,clinical practice environment scale,psychological resilience scale and transformation impact evaluation scale.Results The total score of clinical practice environment,resilience and transition shock were(132.86±21.49),(91.05±17.04)and(74.02±22.90),respectively.Transition shock was negatively correlated with clinical environment and resilience(all P<0.001).Resilience had partial mediating effect between clinical practice environment and transition shock,accounting for 32.23%of the total effect.Conclusions The transition shock of nursing students in the stage of clinical practice is at relatively medium level,and resilience played a partial mediating role between clinical practice environment and transition shock.Nursing educator should pay attention to the transition of nursing students,through creating a good clinical practice environment,improve the resilience of nursing students to reduce the transition shock and improve the quality of clinical practice.