自我效能对护理实习生使用人工智能准备度的影响路径分析

doi:10.3761/j.issn.1672-9234.2026.05.013

摘要/Abstract

摘要：

目的探讨护理实习生自我效能对其人工智能准备度的影响路径,分析自主学习能力的中介作用及人工智能态度的调节作用。方法于2025年10月,采用便利抽样法,选取杭州市某三级甲等医院的458名护理实习生作为调查对象,使用一般资料调查表、一般自我效能感量表、护理专业大学生自主学习能力测评量表、医学生人工智能准备度量表对其进行问卷调查。结果 458名护理实习生一般自我效能感得分为(29.85±5.45)分、自主学习能力得分为(106.42±15.21)分、医学生人工智能准备度得分为(80.02±13.90)分、人工智能态度得分为(4.29±0.60)分;4个变量得分两两之间呈正相关(P<0.05)。自主学习能力在自我效能与护理实习生人工智能准备度间起部分中介作用,中介效应占比为54.63%;人工智能态度负向调节自我效能对护理实习生人工智能准备度的直接作用(β=-0.104,P=0.025)。结论自我效能不仅直接影响护理实习生的人工智能准备度,还通过自主学习能力间接影响其人工智能准备度。人工智能态度在自我效能直接影响护理实习生人工智能准备度的过程中起负向调节作用。护理教育实践中应同步重视对护理实习生的自我效能提升、自主学习能力培养与人工智能技术态度引导,以系统增强其未来在智慧医疗环境中的职业适应力。

关键词: 护理实习生, 自我效能, 人工智能准备度, 自主学习能力, 人工智能态度, 中介效应, 调节效应

Abstract:

Objective To explore the impact path of self-efficacy on artificial intelligence(AI) readiness among nursing interns,and to analyze the mediating role of self-directed learning ability and the moderating role of AI attitude in the direct path from self-efficacy to AI readiness. Methods In October 2025,a convenience sampling method was used to select nursing interns from a tertiary A-grade hospital in Hangzhou as the participants. A questionnaire survey was conducted using the General Information Questionnaire,General Self-Efficacy Scale,Self-directed Learning Ability Scale,and an AI Readiness Scale for Medical Students. Results A total of 458 nursing interns were included in the study. Their general self-efficacy scores were(29.85±5.45),self-directed learning ability scores were (106.42±15.21),medical student AI readiness scores were(80.02±13.90),and AI attitude scores were(4.29±0.60). All four variables showed significant positive correlations between each other(P<0.05). Self-directed learning ability played a partial mediating role between self-efficacy and AI readiness,accounting for 54.63% of the total effect. AI attitude had a negative moderating effect on the path from self-efficacy to AI readiness(β=-0.104,P=0.025). Conclusion Self-efficacy not only directly influences the AI readiness of nursing interns but also indirectly affects it through self-directed learning ability. AI attitude plays a negative moderating role in the process by which self-efficacy directly influences nursing interns’ AI readiness. In nursing education practice,attention should be paid to enhancing self-efficacy improvement,cultivating their self-learning ability cultivation,and providing targeted guidance on their AI attitude,in order to systematically enhance their future professional adaptability in the smart medical environment.

Key words: Nursing Interns, Self-efficacy, Artificial Intelligence Readiness, Self-directed Learning Ability, Artificial Intelligence Attitude, Mediation Effect, Moderating Effect

林丹妮, 华婧, 徐双燕. 自我效能对护理实习生使用人工智能准备度的影响路径分析[J]. 中华护理教育, 2026, 23(5): 594-600.

LIN Danni, HUA Jing, XU Shuangyan. Analysis of the impact path of self-efficacy on artificial intelligence readiness among nursing interns[J]. Chinese Journal of Nursing Education, 2026, 23(5): 594-600.

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参考文献 20

[1]	Karaca O, Çalışkan SA, Demir K. Medical artificial intelligence readiness scale for medical students(MAIRS-MS)-development,validity and reliability study[J]. BMC Med Educ, 2021, 21(1):112. doi: 10.1186/s12909-021-02546-6 pmid: 33602196
[2]	Burucu R, Türkben Polat H. Nursing students’ readiness and anxiety regarding medical artificial intelligence:a mixed-me-thods study[J]. Nurse Educ Pract, 2025, 88:104538. doi: 10.1016/j.nepr.2025.104538
[3]	申正付, 杨秀木, 陈卫东, 等. 人工智能工具使用对医学生自主学习能力的影响:一般自我效能感和批判性思维能力的链式中介作用[J]. 蚌埠医科大学学报, 2025, 50(1):52-56,62.
	Shen ZF, Yang XM, Chen WD, et al. Effect of artificial intel-ligence tool use on medical students’ autonomous learning ability:the chain mediating role of general self-efficacy and critical thinking ability[J]. J Bengbu Med Univ, 2025, 50(1):52-56,62.
[4]	彭歆, 王婷, 张秀英, 等. 学业自我效能感在护理专业学生学习动机与生成式人工智能素养间的中介作用分析[J]. 中华护理教育, 2026, 26(3):322-328.
	Peng X, Wang T, Zhang XY, et al. Analysis of the mediating role of academic self-efficacy the relationship between learning motivation and generative artificial intelligence literacy among nursing students[J]. Chin J Nurs Educ, 2026, 26(3):322-328.
[5]	滕洁. 本科护生临床实践行为和自主学习能力及其相关性[J]. 解放军护理杂志, 2015, 32(17):63-65.
	Teng J. Correlationship between clinical practice behavior and the autonomous learning ability of undergraduate nursing students[J]. Nurs J Chin PLA, 2015, 32(17):63-65.
[6]	Xu WH, Zhu K, Zhou DB, et al. Examining the effects of habit and self-efficacy on users’ acceptance of a map-based online learning system via an extended TAM[J]. Educ Sci, 2025, 15(7):828. doi: 10.3390/educsci15070828
[7]	Barz N, Benick M, Dörrenbächer-Ulrich L, et al. Students’ ac-ceptance of e-learning:extending the technology acceptance model with self-regulated learning and affinity for technology[J]. Discov Educ, 2024, 3(1):114. doi: 10.1007/s44217-024-00195-7
[8]	Abuzaid MM, Elshami W, Fadden SM. Integration of artificial intelligence into nursing practice[J]. Health Technol, 2022, 12(6):1109-1115. doi: 10.1007/s12553-022-00697-0
[9]	刘琪琪, 黄奇, 袁勤俭. 认知失调理论及其在信息系统研究中的应用与展望[J]. 现代情报, 2020, 40(6):154-162. doi: 10.3969/j.issn.1008-0821.2020.06.017
	Liu QQ, Huang Q, Yuan QJ. Cognitive dissonance theory and its application and prospect in the field of information system research[J]. Mod Inf, 2020, 40(6):154-162.
[10]	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1):37-40.
	Wang CK, Hu ZF, Liu Y. Evidences for reliability and vali-dity of the Chinese version of general self-efficacy scale[J]. Chin J Appl Psychol, 2001, 7(1):37-40.
[11]	林毅, 姜安丽. 护理专业大学生自主学习能力测评量表的研制[J]. 解放军护理杂志, 2004, 21(6):1-4.
	Lin Y, Jiang AL. Developing a measure scale of autonomous learning competencies of nursing undergraduates[J]. Nurs J Chin PLA, 2004, 21(6):1-4.
[12]	Chen XC, Chen YY, Xie YH, et al. Translation and psycho-metric validation of the Medical Artificial Intelligence Readi-ness Scale(MAIRS-MS) for Chinese medical students[J]. BMC Nurs, 2025, 24(1):1210. doi: 10.1186/s12912-025-03852-w
[13]	Al Shahrani A, Alhumaidan N, AlHindawi Z, et al. Readiness to embrace artificial intelligence among medical students in Saudi Arabia:a national survey[J]. Healthcare, 2024, 12(24):2504. doi: 10.3390/healthcare12242504
[14]	许晴, 吴圣佳, 康磊, 等. 实习护士人文关怀品质在自我效能与临床沟通能力间的中介效应分析[J]. 内科理论与实践, 2025, 20(2):162-166.
	Xu Q, Wu SJ, Kang L, et al. Analysis of the mediating effect of intern nurses’ humanistic care quality on self-efficacy and clinical communication ability[J]. J Intern Med Concepts Pract, 2025, 20(2):162-166.
[15]	毛虹羽. 护理学专业学生自主学习能力量表常模构建[D]. 上海: 第二军医大学, 2016.
	Mao HY. Establishing norms for the instrument of competen-cies of autonomous learning of nursing students[D]. Shanghai: Second Military Medical University, 2016.
[16]	Ryan RM, Deci EL. Self-determination theory and the facilita-tion of intrinsic motivation,social development,and well-being[J]. Am Psychol, 2000, 55(1):68-78. doi: 10.1037//0003-066x.55.1.68 pmid: 11392867
[17]	孟小佳. 成人学习理论视角下大学生自主学习能力的培养模式[J]. 中国成人教育, 2017(21):13-16.
	Meng XJ. Cultivation mode of college students’ autonomous learning ability from the perspective of adult learning theory[J]. China Adult Educ, 2017(21):13-16.
[18]	Shao XJ, Chen R, Wang Y, et al. The predictive effect of tea-chers’ emotional support on Chinese undergraduate students’ online learning gains:an examination of self-determination theory[J]. Asia Pac Educ Res, 2024, 33(3):571-585. doi: 10.1007/s40299-023-00754-w
[19]	张晓雪, 王金芝, 赵越, 等. 三种脑卒中上肢功能评估量表的天花板效应及反应性研究[J]. 包头医学院学报, 2024, 40(5):55-60. doi: 10.16833/j.cnki.jbmc.2024.05.011
	Zhang XX, Wang JZ, Zhao Y, et al. Study on ceiling effect and responsiveness of three upper extremity function assess-ment scales for stroke[J]. J Baotou Med Coll, 2024, 40(5):55-60.
[20]	魏麟懿. 阶梯递进式教育在护理人文关怀能力培养模式中的应用研究[D]. 大连: 大连医科大学, 2018.
	Wei LY. Applied research of ladder progressive education in nursing humanistic care ability training mode[D]. Dalian: Da-lian Medical University, 2018.