Santo Letizia Dal, Marognoli Oliva, Previati Vanessa, Gonzalez Cesar Ivan Aviles, Melis Paola, Galletta Maura
University of Verona, Verona, Italy.
Coordinator, undergraduate degree course in Nursing, Nursing Faculty, Verona, Italy.
Int J Nurs Educ Scholarsh. 2019 Aug 1;16(1):ijnes-2018-0046. doi: 10.1515/ijnes-2018-0046.
Background Providing personal care may be a source of emotional difficulties and negative feelings for students interacting with patients during their first clinical placement. This study was done to describe the role of emotional strategies for first year nursing students providing personal care to patients and the relationship of these strategies to students' emotional exhaustion, self-efficacy, and turnover intention. Method A self-reported questionnaire was administrated to a convenience sample of 226 first-year undergraduate nursing students attending their first clinical placement in one Italian University hospital. Results Results suggested a positive link between students' cognitive re-evaluation of their experiences and their self-perceived self-efficacy. Attentional deployment was the strongest antecedent of emotional exhaustion. Emotional dissonance was the primary contributor to students' turnover intention. Emotional exhaustion mediated the relationship between emotional dissonance and turnover intention. Conclusion This research suggested that there are emotional coping strategies useful for protecting student nurses from emotional exhaustion and turnover intention and that these strategies are positively related to students' self-perceived self-efficacy in providing personal care.
背景 在首次临床实习期间与患者互动时，为患者提供个人护理可能会给学生带来情感困扰和负面情绪。本研究旨在描述情感策略在一年级护理专业学生为患者提供个人护理中的作用，以及这些策略与学生情感耗竭、自我效能感和离职意愿之间的关系。方法 对一所意大利大学医院首次进行临床实习的226名本科一年级护理专业学生进行了便利抽样调查，并使用了一份自我报告问卷。结果 结果表明，学生对自身经历的认知重评与自我感知的自我效能感之间存在正相关。注意力分配是情感耗竭的最强前因。情感失调是学生离职意愿的主要促成因素。情感耗竭在情感失调与离职意愿之间起中介作用。结论 本研究表明，存在一些情感应对策略有助于保护实习护士免受情感耗竭和离职意愿的影响，并且这些策略与学生在提供个人护理方面自我感知的自我效能感呈正相关。
