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台湾地区护理学生临床实习安置意愿低落与压力增加有关:一项横断面调查研究。

Low interest in clinical practicum placement is associated with increased stress in nursing students in Taiwan: A cross-sectional survey study.

机构信息

Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan; Department of Nursing, Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan.

Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan; Department of Nursing, Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan.

出版信息

Nurse Educ Today. 2020 Jan;84:104241. doi: 10.1016/j.nedt.2019.104241. Epub 2019 Oct 20.

DOI:10.1016/j.nedt.2019.104241
PMID:31669965
Abstract

BACKGROUND

Nursing students often find themselves in a highly competitive environment, and stress is a commonly acknowledged experience in nursing students.

OBJECTIVES

The aim of this study was to explore factors, particularly an interest in nursing and in clinical practicum placement, associated with stress in Taiwanese nursing students.

DESIGN

Cross-sectional survey study.

SETTINGS

A nursing college in central Taiwan and a university in eastern Taiwan.

PARTICIPANTS

814 nursing students.

METHODS

Level of stress of the participants was measured using the 43-items Stressors in Nursing Students (SINS) scale, which was translated into a traditional Chinese version (TC-SINS). Simple and multiple linear regression analyses were used to evaluate factors significantly associated with stress.

RESULTS

A total of 814 nursing students completed the questionnaire with a return rate of 83.6%. The mean age of the participants was 18.9 years and 94.8% was female. Regarding the students' interest in nursing, 2.6% expressed that they strongly or somewhat disagree. In addition, regarding the students' interest in clinical practicum placement, 7.2% indicated that they strongly or somewhat disagree. Results from multiple regression analysis showed that students who expressed somewhat or strong disagreement to interest in clinical practicum placement were significantly associated with a higher level of stress. Of the various strategies for stress relief, listen to music (75.2%) was the most popular choice, followed by talk to a friend (72.3%), and catch up on sleep (61.3%). A third of the participants used three strategies for stress relief.

CONCLUSIONS

Low interest in clinical practicum placement was associated with increased stress levels in nursing students in Taiwan. Future studies should explore the underlying reasons for stress induced by clinical practicum placement, and possible solutions for stress reduction in nursing students.

摘要

背景

护理专业的学生经常处于竞争激烈的环境中,压力是他们普遍面临的问题。

目的

本研究旨在探讨与台湾地区护理专业学生压力相关的因素,特别是对护理专业和临床实习安排的兴趣。

设计

横断面调查研究。

地点

台湾中部的一所护理学院和台湾东部的一所大学。

参与者

814 名护理专业学生。

方法

采用护理专业学生压力源量表(SINS)的 43 个项目测量参与者的压力水平,该量表被翻译成繁体中文版(TC-SINS)。采用简单和多元线性回归分析评估与压力显著相关的因素。

结果

共有 814 名护理专业学生完成了问卷,回收率为 83.6%。参与者的平均年龄为 18.9 岁,94.8%为女性。关于学生对护理专业的兴趣,有 2.6%的学生表示强烈或有些不同意。此外,关于学生对临床实习安排的兴趣,有 7.2%的学生表示强烈或有些不同意。多元回归分析结果显示,对临床实习安排表示有些或强烈不同意的学生,其压力水平显著较高。在各种缓解压力的策略中,听音乐(75.2%)是最受欢迎的选择,其次是与朋友交谈(72.3%)和补觉(61.3%)。三分之一的参与者使用了三种缓解压力的策略。

结论

对临床实习安排缺乏兴趣与台湾地区护理专业学生的压力水平升高有关。未来的研究应探讨临床实习安排引起压力的潜在原因,以及减轻护理学生压力的可能解决方案。

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