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精神科护理专业学生与其他护理专业学生有所不同:一项关于压力与应对的研究中的一些观察结果。

Mental health nursing students differ from other nursing students: Some observations from a study on stress and coping.

作者信息

Pryjmachuk Steven, Richards David A

机构信息

School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.

出版信息

Int J Ment Health Nurs. 2007 Dec;16(6):390-402. doi: 10.1111/j.1447-0349.2007.00494.x.

Abstract

The study reported here is taken from a wider investigation into stress among preregistration nursing students, undertaken in the nursing department of a large university in northern England. British nursing is divided into four specialties or 'branches': adult, mental health, children's, and learning disability nursing, and the aim of the study was to explore interbranch differences among the students in terms of the sources of stress they identify, the levels of stress they experience, and the ways in which they cope. A cross-sectional survey of all nursing students on the department's roll (n = 1362), using a range of self-report measures bound together in a 'questionnaire pack', was undertaken. The questionnaire pack contained formal measures of sources of stress (Student Nurse Stress Index), stress (specifically, psychological distress) (General Health Questionnaire) and coping (Coping Inventory for Stressful Situations), as well as a set of questions that enabled data on a range of pertinent variables, including the nursing branch being pursued, to be collected. The findings revealed that mental health nurses were notably different from the other three branches in terms of the quantity and characteristics of the sources of stress they faced, the levels of stress they experienced, and the ways in which they coped. These differences were largely advantageous to the students' well-being and speculations are made as to whether the concept of 'hardiness'- especially its focus on a sense of being in control - plays a role in explaining the findings.

摘要

本文所报告的研究取自一项针对预注册护理专业学生压力状况的更广泛调查,该调查在英格兰北部一所大型大学的护理系开展。英国护理专业分为四个专科领域或“分支”:成人护理、心理健康护理、儿童护理和学习障碍护理,本研究的目的是探讨不同分支的学生在他们所识别的压力源、所经历的压力水平以及应对方式方面的差异。我们对该系所有在册护理专业学生(n = 1362)进行了横断面调查,采用了一系列整合在一个“问卷包”中的自我报告测量方法。问卷包包含压力源的正式测量工具(学生护士压力指数)、压力(具体为心理困扰)测量工具(一般健康问卷)和应对方式测量工具(压力情境应对量表),以及一组问题,用于收集包括所攻读的护理分支等一系列相关变量的数据。研究结果显示,心理健康护理专业的学生在他们所面临的压力源的数量和特征、所经历的压力水平以及应对方式方面,与其他三个分支的学生显著不同。这些差异在很大程度上对学生的幸福感有利,并且我们推测“心理韧性”的概念——特别是其对掌控感的关注——是否在解释这些研究结果方面发挥了作用。

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