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感知压力和职业价值观对实习护理学生临床实践表现的影响:一种结构方程建模方法。

Effects of perceived stress and professional values on clinical performance in practice nursing students: A structural equation modeling approach.

作者信息

Ye Yansheng, Hu Rujun, Ni Zhihong, Jiang Ning, Jiang Xiaolian

机构信息

West China Hospital, West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan, China.

West China Hospital, West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan, China.

出版信息

Nurse Educ Today. 2018 Dec;71:157-162. doi: 10.1016/j.nedt.2018.09.036. Epub 2018 Sep 29.

DOI:10.1016/j.nedt.2018.09.036
PMID:30290318
Abstract

BACKGROUND

Clinical performance is regarded as a basic and core content of nursing quality. Professional values of nursing students may play an important role in improving clinical performance. Few studies reveal the relationship between professional values, perceived stress and clinical performance. This research has found that professional values play a moderating role in the relationship between perceived stress and clinical performance.

OBJECTIVE

To examine the negative association between perceived stress and clinical performance among practice nursing students, and to determine whether professional values plays a moderating role in the relationship between perceived stress and clinical performance among Chinese practice nursing students.

DESIGN

A cross-sectional descriptive design has been used.

METHODS

From May to June 2017, a total of 435 Chinese practice nursing students from 4 hospitals filled out the questionnaires. The response rate was 94.57%. Three questionnaires including the Perceived Stress Scale (PSS), Nursing Professional Value Scale-Revised (NPVS-R), and Clinical Performance Scale (CPS). Structural equation modeling was used to deal with the relationships among perceived stress, professional values, and clinical performance.

RESULTS

Perceived stress was negatively associated with clinical performance (P < 0.01). Professional values significantly affected clinical performance (P < 0.01) and moderated the relationship between perceived stress and clinical performance (P < 0.01).

CONCLUSIONS

Perceived stress is negatively related to clinical performance among Chinese practice nursing students, and professional values moderates the relationship between perceived stress and clinical performance, which can form scientific evidence to develop intervention strategies to improve clinical performance.

摘要

背景

临床实践表现被视为护理质量的基本和核心内容。护理专业学生的职业价值观可能在提高临床实践表现方面发挥重要作用。很少有研究揭示职业价值观、感知压力与临床实践表现之间的关系。本研究发现职业价值观在感知压力与临床实践表现之间的关系中起调节作用。

目的

探讨实习护生感知压力与临床实践表现之间的负相关关系,并确定职业价值观在中国实习护生感知压力与临床实践表现的关系中是否起调节作用。

设计

采用横断面描述性设计。

方法

2017年5月至6月,来自4所医院的435名中国实习护生填写了问卷。回复率为94.57%。使用了三份问卷,包括感知压力量表(PSS)、护理职业价值观量表修订版(NPVS-R)和临床实践表现量表(CPS)。采用结构方程模型处理感知压力、职业价值观和临床实践表现之间的关系。

结果

感知压力与临床实践表现呈负相关(P<0.01)。职业价值观显著影响临床实践表现(P<0.01),并调节了感知压力与临床实践表现之间的关系(P<0.01)。

结论

中国实习护生的感知压力与临床实践表现呈负相关,职业价值观调节了感知压力与临床实践表现之间的关系,这可为制定提高临床实践表现的干预策略提供科学依据。

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