Université de Saint-Boniface, 200 de la Cathédrale Avenue, Winnipeg, Manitoba R2H 0H7, Canada.
College of Nursing, University of Manitoba, Winnipeg, Manitoba R3T 2N2, Canada.
Nurse Educ Today. 2020 Apr;87:104329. doi: 10.1016/j.nedt.2019.104329. Epub 2020 Jan 7.
The primary aim of this review was to complete an in-depth analysis of clinical placement anxiety in undergraduate nursing students. Our overall goal was to establish a strong foundation for clinical education strategies and future research on clinical placement anxiety in nursing education.
DESIGN & METHODS: We utilized Walker and Avant's systematic 8-step approach to concept analysis as a framework to develop a comprehensive understanding of clinical placement anxiety in undergraduate students.
A review of existing literature on clinical placement anxiety was conducted using the electronic databases of PubMed, CINAHL, and PsychInfo, as well as a grey literature and snowball search. Search terms included clinical placement, clinical experience, nursing students, undergraduate nursing students, and anxiety.
The literature search resulted in 81 articles that met the inclusion criteria. Five defining attributes were identified: a vague or unknown threat, psychological-emotional responses, psychological-cognitive responses, physiological responses, and unfamiliar environments or situations. Antecedents, consequences, and empirical referents of the concept were also highlighted.
Insights gleaned from this concept analysis may enhance the ability of clinical nursing educators to effectively prevent and manage student anxiety in the clinical setting. By contextualizing anxiety, we have also validated the importance of further exploration of the anxiety experienced by undergraduate nursing students during their clinical experiences. Thus, this concept analysis establishes the foundation for educational strategies, as well as future research in nursing education.
本综述的主要目的是对本科护生临床实习焦虑进行深入分析。我们的总体目标是为护理教育中临床实习焦虑的教育策略和未来研究奠定坚实基础。
我们采用沃克和阿凡特的系统 8 步概念分析方法作为框架，以全面了解本科护生的临床实习焦虑。
我们使用 PubMed、CINAHL 和 PsychInfo 电子数据库以及灰色文献和滚雪球搜索对临床实习焦虑的现有文献进行了综述。检索词包括临床实习、临床经验、护理学生、本科护理学生和焦虑。
文献检索共得到符合纳入标准的 81 篇文章。确定了五个定义属性：模糊或未知的威胁、心理-情绪反应、心理认知反应、生理反应和陌生的环境或情况。还强调了该概念的前因、后果和实证参照。
从本次概念分析中获得的见解可以提高临床护理教育者在临床环境中有效预防和管理学生焦虑的能力。通过对焦虑进行情境化处理，我们还验证了进一步探索本科护理学生在临床经验中所经历的焦虑的重要性。因此，本次概念分析为护理教育中的教育策略以及未来的研究奠定了基础。
