护理实习生临床归属感在学业支持感知和压力间的中介效应

doi:10.3761/j.issn.1672-9234.2022.07.010

摘要/Abstract

摘要：

目的探讨护理实习生临床归属感在学业支持感知和压力间的中介效应。方法选取553名正在医院实习的护理专业学生作为研究对象,应用临床归属感量表、护理实习生学业支持感知量表和护理专业学生压力指数量表进行调查。结果护理实习生临床归属感条目均分为（3.56±0.49）分,学业支持感知条目均分为（6.61±1.60）分,压力条目均分为（3.74±0.59）分。护理实习生学业支持感知与压力呈负相关（r=-0.801）,与临床归属感呈正相关（r=0.673）,压力与临床归属感呈负相关（r=-0.743）。临床归属感在学业支持感知和压力间的中介效应为-0.088,占总效应的31.3%。结论护理实习生临床归属感在学业支持感知和压力间起中介作用,可为缓解和减少其压力提供新思路。

关键词: 学生,护理, 临床实习, 临床归属感, 学业支持感知, 压力

Abstract:

Objective To explore the mediating effect of clinical sense of belonging between perception of academic support and stress in nursing interns. Methods A total of 553 nursing interns were recruited and investigated with the Belongingness Scale-Clinical Placement Experience,the Academic Support in the Practicum Scale and the Student Nurse Stress Index Scale. Results The scores of clinical sense of belonging,perception of academic support and stress were（3.56±0.49）,（6.61±1.60） and （3.74±0.59） respectively. There was a negative correlation between perception of academic support and stress（r=-0.801）,and a positive correlation between perception of academic support and clinical sense of belonging（r=0.673）. There was a negative correlation between stress and clinical sense of belonging（r=-0.743）. The mediating effect of clinical sense of belonging between perception of academic support and stress of nursing interns was -0.088,accounting for 31.3% of the total effects. Conclusion Clinical sense of belonging plays a mediating role between perception of academic support and stress in nursing interns,which can provide new ideas for relieving and reducing stress of nursing interns.

Key words: Students,Nursing, Clinical Clerkship, Clinical sense of belonging, Perception of academic support, Stress

刘凤,桂桃花,郑凯丰,郑思琳,徐芬. 护理实习生临床归属感在学业支持感知和压力间的中介效应[J]. 中华护理教育, 2022, 19(7): 631-635.

LIU Feng,GUI Tao-hua,ZHENG Kai-feng,ZHENG Si-lin,XU Fen. The mediating effect of clinical sense of belonging between perception of academic support and stress in nursing interns[J]. Chinese Journal of Nursing Education, 2022, 19(7): 631-635.

图/表 3

参考文献 18

[1]	Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV,et al. A crosscountry comparative study on stress and quality of life in nursing students[J]. Perspect Psychiatr Care, 2018, 54(4):469-476. doi: 10.1111/ppc.12248
[2]	Cheung T, Wong SY, Wong KY,et a1. Depression,anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong:a cross-sectional study[J]. Int J Environ Res Public Health, 2016, 13(8):779.
[3]	李倩倩, 王茜, 王宁. 本科实习护生学业支持感知与专业承诺的相关性研究[J]. 职业与健康, 2020, 36(8):1104-1107,1111.
	Li QQ, Wang X, Wang N. Correlation between academic support perception and professional commitment among undergraduate nursing probationer students[J]. Occup Heal, 2020, 36(8):1104-1107,1111.
[4]	Graham MM, Lindo J, Bryan VD,et al. Factors associated with stress among second year student nurses during clinical training in Jamaica[J]. J Prof Nurs, 2016, 32(5):383-391. doi: 10.1016/j.profnurs.2016.01.004
[5]	王惠萍, 金昌德. 护生临床实习归属感量表的汉化及信效度检验[J]. 护理研究, 2020, 34(12):2136-2139.
	Wang HP, Jin CD. Reliability and validity test of Chinese version of the Belongingness Scale-Clinical Placement Experience[J]. Chin Nurs Res, 2020, 34(12):2136-2139.
[6]	Grobecker PA. A sense of belonging and perceived stress among baccalaureate nursing students in clinical placements[J]. Nurse Educ Today, 2016,36:178-183.
[7]	施坚. 组织支持理论对高校辅导员队伍建设的启示[J]. 改革与开放, 2017(21):155-156.
[8]	王皓岑, 章雅青. 组织支持理论在护理人力资源管理中的应用研究进展[J]. 中华护理杂志, 2013, 48(4):374-376.
[9]	郭丽娜, 余溯源, 朱义如,等. 护理专业学生压力指数量表的汉化及信效度研究[J]. 中华行为医学与脑科学杂志, 2018, 27(10):937-941.
	Guo LN, Yu SY, Zhu YR,et al. Reliability and validity of the Chinese version of the Student Nurse Stress Index Scale (SNSI-CHI)[J]. Chin J Behav Med & Brain Sci, 2018, 27(10):937-941.
[10]	Levett-Jones T, Lathlean J, Higgins I,et al. Development and psychometric testing of the Belongingness Scale-Clinical Placement Experience:an international comparative study[J]. Coll Royal Coll Nurs Aust, 2009, 16(3):153-162.
[11]	Arribas-Marín J, Hernández-Franco V, Plumed-Moreno C. Nursing students’ perception of academic support in the practicum:development of a reliable and valid measurement instrument[J]. J Prof Nurs, 2017, 33(5):387-395. doi: S8755-7223(17)30129-1 pmid: 28931487
[12]	李晨阳, 张春梅, 侯振华,等. 实习护生学业支持感知量表的汉化及信度效度检验[J]. 中国护理管理, 2018, 18(9):1192-1196.
	Li CY, Zhang CM, Hou ZH,et al. Reliability and validity of the Chinese version of Academic Support in the Practicum Scale[J]. Chin Nurs Manag, 2018, 18(9):1192-1196.
[13]	Jones MC, Johnston DW. The derivation of a brief Student Nurse Stress Index[J]. Work & Stress, 1999, 13(2):162-181. doi: 10.1080/026783799296129
[14]	郭玉茹, 刘延锦, 郭丽娜,等. 护生压力量表与护生压力指数量表中文版的一致性研究[J]. 中华行为医学与脑科学杂志, 2019, 28(2):172-176.
	Guo YR, Liu YM, Guo LN,et al. The consistency study of Chinese version of stressors in nursing students and the student nurse stress index scale[J]. Chin J Behav Med & Brain Sci, 2019, 28(2):172-176.
[15]	姜颖, 张琼, 尚丹,等. 本科实习护生临床归属感与临床实践行为的关系研究[J]. 护士进修杂志, 2017, 32(10):942-944.
[16]	Albloushi M, Ferguson L, Stamler L,et al. Saudi female nursing students experiences of sense of belonging in the clinical settings:a qualitative study[J]. Nurse Educ Pract, 2019,35:69-74.
[17]	张新月, 叶红芳, 李媛,等. 本科护生社会资本与应对方式的相关性研究[J]. 解放军护理杂志, 2018, 35(23):1-5.
	Zhang XY, Ye HF, Li Y,et al. Correlation between social capital and coping styles of undergraduate nursing students[J]. Nurs J Chin PLA, 2018, 35(23):1-5.
[18]	Manokore V, Rosalia GI, Ali F,et al. Crossing the “ascent to competence” borders into privileged belongingness space:practical nursing students’ experiences in clinical practice[J]. Can J Nurs Res, 2019, 51(2):94-104. doi: 10.1177/0844562118819926 pmid: 30563351