University of Colorado Anschutz Medical Campus, College of Nursing, Aurora, CO 80045, USA.
J Nurs Educ. 2011 Nov;50(11):646-52. doi: 10.3928/01484834-20110817-03. Epub 2011 Aug 17.
Nursing students must be prepared to enter the practice environment ready to competently care for patients. The purpose of this study was to examine factors hypothesized to influence senior nursing students' perceptions of readiness for practice and to determine their level of comfort performing skills independently. This study also validates an investigator-developed instrument, the Casey-Fink Readiness for Practice Survey. Factor loading indicated four components tested by subscales in the survey: clinical problem solving, learning techniques, professional identity, and trials and tribulations. The greatest challenges reported by students were managing multiple patient care assignments, communicating with physicians, and caring for dying patients. Clinical competency, role development, and career planning support were areas in which students desired more assistance during their senior practicum course. Most survey respondents voiced confidence in their ability to problem solve and felt ready to assume the professional nursing role.
护理专业的学生必须做好准备，进入实践环境，能够胜任地照顾患者。本研究旨在探讨影响护理专业高年级学生对实践准备情况的看法的因素，并确定他们独立进行技能操作的舒适度。本研究还验证了一种由研究者开发的工具，即 Casey-Fink 实践准备调查。因子负荷表明，调查中的子量表测试了四个组成部分：临床问题解决、学习技巧、专业身份和考验与磨难。学生报告的最大挑战是管理多个患者护理任务、与医生沟通和照顾临终患者。临床能力、角色发展和职业规划支持是学生在高级实习课程中希望得到更多帮助的领域。大多数调查受访者对自己解决问题的能力表示有信心，并认为自己已经准备好承担专业护理角色。
