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护理学学士学生在临床环境中产生焦虑情况的经历。

Baccalaureate nursing students' experiences of anxiety producing situations in the clinical setting.

作者信息

Kim Kimberly H

机构信息

California State University, Hayward, CA, USA.

出版信息

Contemp Nurse. 2003 Apr;14(2):145-55. doi: 10.5172/conu.14.2.145.

Abstract

The purpose of this study was to identify the clinical experiences of nursing students that were anxiety provoking and examine the relationship between the level of trait anxiety and the clinical experience that produced anxiety in nursing students. A descriptive correlational design collected data from 61 nursing students in their last semester of the baccalaureate nursing program using survey questionnaires that captured demographic data and included the Trait Anxiety Scale and the Clinical Experience Assessment form. Analyses of data indicate that 36% of the students experienced a moderate level of anxiety. Clinical experiences related to arriving late, being observed by instructors, responding to initial experiences, having a fear of making mistakes, and talking to physicians were the most anxiety producing for these students. A significantly positive relationship (r = .40, p < .05) was found between the trait anxiety and clinical experience that was anxiety producing. A higher level of perceived anxiety accompanied the following clinical experiences; being observed by instructors (F = 3.44, p = .04), doing beforehand in-hospital preparation (F = 4.46, p < .02), asking questions of faculty (F = 4.38, p < .02), being evaluated by faculty (F = 3.37, p < .04), and reporting to team leader (F = 3.60, p < .05). The most anxiety producing clinical experiences in nursing students before graduation are evaluated with descriptive data. Results would provide useful insights for faculty and senior nursing students involved in clinical practice, and have implications for education, further research, and clinical support.

摘要

本研究的目的是确定引发护理专业学生焦虑的临床经历,并检验特质焦虑水平与引发护理专业学生焦虑的临床经历之间的关系。采用描述性相关性设计,通过调查问卷收集了61名处于护理学学士学位课程最后一学期的护理专业学生的数据,调查问卷涵盖了人口统计学数据,并包括特质焦虑量表和临床经验评估表。数据分析表明,36%的学生经历了中度焦虑。与迟到、被教师观察、应对初次经历、害怕犯错以及与医生交谈相关的临床经历对这些学生来说最容易引发焦虑。在特质焦虑与引发焦虑的临床经历之间发现了显著的正相关关系(r = 0.40,p < 0.05)。以下临床经历伴随着较高水平的感知焦虑:被教师观察(F = 3.44,p = 0.04)、提前进行医院准备(F = 4.46,p < 0.02)、向教师提问(F = 4.38,p < 0.02)、被教师评估(F = 3.37,p < 0.04)以及向团队领导汇报(F = 3.60,p < 0.05)。通过描述性数据对护理专业学生毕业前最容易引发焦虑的临床经历进行了评估。研究结果将为参与临床实践的教师和高年级护理专业学生提供有用的见解,并对教育、进一步研究和临床支持具有启示意义。

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