中国本科护生实习后期的焦虑体验：一项质性研究的结果
The experience of anxiety among Chinese undergraduate nursing students in the later period of their internships: findings from a qualitative study.
作者信息
Yi Qi-Feng, Yan Jin, Zhang Cui-Jiao, Yang Guo-Li, Huang Hui, Yang Yan
机构信息
Nursing Department, the Third Xiang-ya Hospital of Central South University, Changsha, China.
Xiang-Ya Nursing School of Central South University, Changsha, China.
出版信息
BMC Nurs. 2022 Mar 29;21(1):70. doi: 10.1186/s12912-022-00847-9.
BACKGROUND
Clinical internships are a critical transition period for nursing students to develop into nursing professionals and are essential for the solidification of their professional attitudes. Undergraduate nursing students face multiple sources of severe anxiety that affect their nursing career development during this period. This study aimed to understand the anxiety experienced by undergraduate nursing students in the later period of their internship periods in a Chinese educational context.
METHODS
A descriptive qualitative study was conducted. A purposive sample of 17 undergraduate nursing interns with experiences of anxiety was selected from three teaching hospitals in Hunan Province, China. Data were collected through semi-structured interviews and analyzed using the Colaizzi seven-step method for data analysis.
RESULTS
Three themes emerged: the sources of perceived anxiety, the psychological journey of coping with anxiety, and suggestions for nursing management and education. The sub-themes for the first theme included career decision dilemmas, competitive pressures for employment, worries about progress of the graduation projects, challenges of the nursing licensure examination, and low self-confidence in clinical competence. The second theme consisted of two sub-themes: negative avoidance and retreat, and positive preparation and response. The third theme consisted of policy support to create more employment opportunities, comprehensive guidance from nursing schools and hospitals, and psychological assistance and counseling.
CONCLUSIONS
This study revealed that undergraduate nursing students were prone to anxiety during the later period of their clinical internships. Specific sources of anxiety encompassed career decision-making, job pursuit, graduation, and licensure examination. Undergraduate nursing students adopted both positive and negative approaches in coping with anxiety during the later period of their clinical internships. Nursing educators and administrators should develop appropriate instructions and support systems to reduce anxiety among undergraduate nursing students.
背景
临床实习是护理专业学生成长为护理专业人员的关键过渡期，对于巩固其专业态度至关重要。本科护理专业学生在此期间面临多种严重焦虑源，影响其护理职业发展。本研究旨在了解中国教育背景下本科护理专业学生在实习后期所经历的焦虑。
方法
进行了一项描述性定性研究。从中国湖南省的三家教学医院中，有目的地选取了17名有焦虑经历的本科护理实习生作为样本。通过半结构化访谈收集数据，并使用Colaizzi七步法进行数据分析。
结果
出现了三个主题：感知焦虑的来源、应对焦虑的心理历程以及对护理管理和教育的建议。第一个主题的子主题包括职业决策困境、就业竞争压力、对毕业设计进展的担忧、护士执业资格考试的挑战以及临床能力方面的自信心不足。第二个主题由两个子主题组成：消极回避与退缩，以及积极准备与应对。第三个主题包括创造更多就业机会的政策支持、护理院校和医院的全面指导以及心理援助与咨询。
结论
本研究表明，本科护理专业学生在临床实习后期容易出现焦虑。焦虑的具体来源包括职业决策、求职、毕业和执业资格考试。本科护理专业学生在临床实习后期应对焦虑时采用了积极和消极两种方式。护理教育工作者和管理人员应制定适当的指导和支持系统，以减轻本科护理专业学生的焦虑。
Zotero 插件