Occupational Health Unit, Institute of Public Health, Università Cattolica del Sacro Cuore, Roma, Italy.
Department of Educational Sciences, University of Genoa, Genoa, Italy.
Nurse Educ Today. 2018 Sep;68:128-133. doi: 10.1016/j.nedt.2018.06.003. Epub 2018 Jun 8.
The active role of nursing students is particularly important in the delivery of health care, since playing an active role at the bedside and the use of active and collaborative engagement of students in the nursing activities has been associated with improved student learning. This is consistent with Karasek's learning hypothesis, but it has never been tested on nursing students. This study aimed at investigating whether nursing students in high control conditions reported lower levels of work impairment than students in the conditions with low control, compared them with a group of healthcare workers (HCWs), and tested the moderating role of social support at work.
633 nursing students and 160 HCWs completed the Nursing Work Functioning Questionnaire (NWFQ), and the Demand-Control-Support questionnaire (DCS).
Results showed that nursing students reported higher levels of work impairment and were less likely to be classified as active (high demand/high control) or low strain (low demand/high control) than HCWs, and that social support at work moderated the association between being in active or low strain condition and work impairment.
Programs to enhance the learning of nursing students must not only fight strain and isolation but must also promote active learning, by increasing the control over the job, team work, and support from teachers.
护理学生在提供医疗保健方面发挥积极作用尤为重要，因为在床边发挥积极作用以及让学生积极参与和协作护理活动与提高学生学习成绩有关。这与 Karasek 的学习假设一致，但从未在护理学生中进行过测试。本研究旨在调查在高控制条件下的护理学生是否比低控制条件下的学生报告更低水平的工作障碍，并与一组医护人员（HCWs）进行比较，并检验工作中的社会支持的调节作用。
633 名护理学生和 160 名 HCWs 完成了护理工作功能问卷（NWFQ）和需求-控制-支持问卷（DCS）。
结果表明，护理学生报告的工作障碍水平较高，与 HCWs 相比，他们更不可能被归类为积极（高需求/高控制）或低压力（低需求/高控制），并且工作中的社会支持调节了处于积极或低压力状态与工作障碍之间的关联。
增强护理学生学习的计划不仅必须对抗压力和孤立，而且还必须通过增加对工作的控制、团队合作和教师的支持来促进主动学习。
