台湾护理专业学生护理能力的决定因素：自我反思与洞察力的作用。
Determinants of nursing competence of nursing students in Taiwan: the role of self-reflection and insight.
作者信息
Eng Cheng-Joo, Pai Hsiang-Chu
机构信息
Department of Child-Educare, Min-Hwei Junior College of Health Care Management, No. 1116, Sec. 2, Jhongshan E. Rd., Liouying Dist., Tainan City 73658, Taiwan, ROC.
Department of Nursing, Min-Hwei Junior College of Health Care Management, No. 1116, Sec. 2, Jhongshan E. Rd., Liouying Dist., Tainan City 73658, Taiwan, ROC.
出版信息
Nurse Educ Today. 2015 Mar;35(3):450-5. doi: 10.1016/j.nedt.2014.11.021. Epub 2014 Dec 5.
BACKGROUND
A nursing practicum course is critical to strengthening the nursing competence of nursing students. Research has found that practice stress and coping behaviors can have either a negative or positive influence on the learning and practice performance of nursing students. Nevertheless, there are few evidence-based studies related to the relationship between self-reflection and insight and nursing competence in Taiwanese nursing students.
OBJECTIVE
To test the determinants and the effect of self-reflection and insight on nursing competence in nursing students during the first 2 months of their practice experience.
DESIGN
Cross-sectional and correlational research designs were employed.
METHODS
From September to November 2013, a total of 312 nursing students at a junior college in southern Taiwan served as participants in this study. Four questionnaires were used to collect data: Self-reflection and Insight Scale (SRIS), Perceived Stress Scale (PSS), Coping Behavior Inventory (CBI), and Holistic Nursing Competence Scale (HNCS). The research model was evaluated through structural equation modeling (SEM), with the use of the partial least squares (PLS) method.
RESULTS
Results indicated that self-reflection and insight, practice stress, and practice coping behavior were statistically significantly associated with nursing competence. In addition, self-reflection and insight were significantly and positively associated with practice coping behavior and negatively associated with practice stress. Students' coping behavior partially mediates the effect of self-reflection and stress on nursing competence. Overall, these variables explained 39.4% of the variance in these students' nursing competence.
CONCLUSION
Self-reflection and insight affected nursing competence during the practice period. These variables have not only had a direct influence on nursing competence but also an indirect effect through the mediating effect of coping behavior and stress.
背景
护理实习课程对于增强护生的护理能力至关重要。研究发现，实习压力和应对行为可能对护生的学习及实习表现产生消极或积极影响。然而，在台湾护生中，关于自我反思与洞察和护理能力之间关系的循证研究较少。
目的
检验护生在实习经历的前两个月中，自我反思与洞察的决定因素及其对护理能力的影响。
设计
采用横断面和相关性研究设计。
方法
2013年9月至11月，台湾南部一所专科学校的312名护生参与了本研究。使用四份问卷收集数据：自我反思与洞察量表（SRIS）、感知压力量表（PSS）、应对行为量表（CBI）和整体护理能力量表（HNCS）。研究模型通过结构方程模型（SEM），采用偏最小二乘法（PLS）进行评估。
结果
结果表明，自我反思与洞察、实习压力和实习应对行为与护理能力在统计学上显著相关。此外，自我反思与洞察与实习应对行为显著正相关，与实习压力显著负相关。学生的应对行为部分中介了自我反思和压力对护理能力的影响。总体而言，这些变量解释了这些学生护理能力差异的39.4%。
结论
自我反思与洞察在实习期间影响护理能力。这些变量不仅对护理能力有直接影响，还通过应对行为和压力的中介作用产生间接影响。
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