收稿日期: 2023-12-23
网络出版日期: 2024-09-20
Analysis of reflective practice level and its influencing factors in clinical nurses
目的 了解临床护士反思性实践现况并探讨其影响因素，为提高临床护士反思性实践水平提供依据。方法 2023年7月27日—9月3日，采用一般资料调查问卷、护理团队授权量表、循证护理实施氛围量表、职场精神力量表、反思性实践问卷，对湖南省、广东省5所医院874名临床护士进行问卷调查。 结果 874名临床护士反思性实践总分为（168.19±23.70）分，护理团队授权、循证护理实施氛围、职场精神力量、已婚（以未婚为参照）是临床护士反思性实践的主要影响因素，共解释总变异的56.5%。 结论 临床护士反思性实践处于较高水平，护理管理者可针对相关影响因素采取措施，以提高和维持临床护士反思性实践水平。
陈湘军 , 胡芳 , 汤黎 , 谭小梅 . 临床护士反思性实践水平及其影响因素研究[J]. 中华护理教育, 2024 , 21(9) : 1120 -1125 . DOI: 10.3761/j.issn.1672-9234.2024.09.015
Objective To investigate the current situation of reflective practice among clinical nurses and explore its influencing factors，in order to provide reference for improving reflective practice for clinical nurses. Methods A total of 874 nurses in Guangdong and Hunan Province were surveyed using a general information survey questionnaire，the Sieloff-King Assessment of Work Team/Group Empowerment with Organization，the Chinese version of Evidence-based Nursing Implementation Climate Scale，the Workplace Spirituality Scale，and the Chinese version of Reflective Practice Questionnaire. Results The total score of reflective practice among clinical nurses in this group was（168.19±23.70） points. The results of linear regression analysis showed that group empowerment for nursing，evidence-based nursing implementation climate，workplace spirituality，and marriage（referring to unmarried individuals） were the main influencing factors of reflective practice among clinical nurses，accounting for 56.5% of the total variance. Conclusion The reflective practice of clinical nurses is at a high level，and nursing managers can take measures to improve and maintain the level of reflective practice of clinical nurses based on relevant influencing factors.
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