School of Nursing, University of Nevada, Box 3018, 4505 S. Maryland Parkway, Las Vegas, NV 89154-3018, USA.
J Nurs Educ. 2009 Nov;48(11):631-7. doi: 10.3928/01484834-20090828-05. Epub 2009 Nov 6.
The purpose of this study was to evaluate whether nursing students assigned to a home hospital experience less stress and improved academic performance. Students were assigned to a home hospital clinical placement (n = 78) or a control clinical placement (n = 79). Stress was measured using the Student Nurse Stress Index (SNSI) and Spielberger's State Anxiety Inventory. Academic performance included score on the RN CAT, a standardized mock NCLEX-RN(®)-type test; nursing grade point average; and first attempt pass-fail on the NCLEX-RN. There were no statistically significant differences between the two groups for age, gender, marital status, ethnicity, or score on the nurse entrance examination. There were significant changes in SNSI over time but not between groups. Academic load and state anxiety showed an interaction of time by group, with the home hospital group showing reductions over time, compared with the control group.
本研究旨在评估分配到家庭医院实习的护理学生是否压力更小，学业表现更好。学生被分配到家庭医院临床实习（n = 78）或对照组临床实习（n = 79）。使用学生护士压力指数（SNSI）和斯皮尔伯格状态焦虑量表评估压力。学业表现包括注册护士综合测试（RN CAT）成绩、标准化模拟 NCLEX-RN（®）型考试成绩、护理平均绩点和 NCLEX-RN 的首次通过/失败情况。两组在年龄、性别、婚姻状况、种族或护士入学考试成绩方面无统计学差异。SNSI 在时间上有显著变化，但组间无差异。学业负担和状态焦虑表现出时间与组间的交互作用，与对照组相比，家庭医院组的压力随时间减少。
