Nursing Department, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.
Nursing Department, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.
Nurse Educ Pract. 2022 Jul;62:103385. doi: 10.1016/j.nepr.2022.103385. Epub 2022 Jun 22.
The aim of this study was to examine the levels of stress, coping style and burnout among Chinese nursing students in late-stage clinical practice and to identify their relationships.
High stress, passive coping and burnout among nursing students in late-stage clinical practice may contribute to severe psychological consequences.
A descriptive and cross-sectional study was conducted in November and December 2020.
Participants completed the Perceived Stress Scale, Simplified Coping Style Questionnaire and Maslach Burnout Inventory-Human Service Survey to examine their stress levels, coping style and burnout. Intention to leave the profession was also assessed.
Approximately 36.1 % of nursing students experienced emotional exhaustion and 85.3 % of nursing students perceived themselves to have moderate to high stress levels. A positive coping style can protect nursing students from depersonalization and reduced personal accomplishment. High stress and passive coping style predicted emotional exhaustion. Passive coping style and high stress were significant factors leading to intention to quit nursing education before graduation.
Lowering the level of stress and using positive coping behaviors may help students during late internship to mitigate burnout and avoid leaving nursing education. Therefore, nurse educators and clinical nursing mentors need to consider developing strategies and interventions to reduce the decline in nursing students entering nursing education and prevent burnout.
本研究旨在调查中国护理专业实习后期学生的压力水平、应对方式和倦怠程度，并探讨它们之间的关系。
护理专业实习后期学生压力大、应对方式消极和倦怠程度高，可能会导致严重的心理后果。
本研究于 2020 年 11 月至 12 月进行了一项描述性和横断面研究。
参与者完成了感知压力量表、简易应对方式问卷和马斯拉赫职业倦怠量表-人类服务调查，以评估他们的压力水平、应对方式和倦怠程度。同时还评估了他们的离职意愿。
约 36.1%的护理专业学生经历了情绪耗竭，85.3%的护理专业学生认为自己处于中高度压力水平。积极的应对方式可以保护护理专业学生免受去人性化和个人成就感降低的影响。高压力和消极的应对方式预测了情绪耗竭。消极的应对方式和高压力是导致护理专业学生在毕业前有离职意愿的重要因素。
降低压力水平和采用积极的应对行为可能有助于实习后期的学生减轻倦怠感，避免离开护理教育。因此，护理教育工作者和临床护理导师需要考虑制定策略和干预措施，以减少进入护理教育的学生人数下降和预防倦怠。
