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本科护生责任感的影响因素:一项横断面研究。

Influencing factors of sense of responsibility among undergraduate nursing students: A cross-sectional study.

机构信息

School of Nursing, Guizhou Medical University, Guiyang, China; School of Nursing, Peking Union Medical College &Chinese Academy of Medical Sciences, Beijing, China.

School of Nursing, Guizhou Medical University, Guiyang, China.

出版信息

Nurse Educ Today. 2023 Nov;130:105938. doi: 10.1016/j.nedt.2023.105938. Epub 2023 Aug 23.

DOI:10.1016/j.nedt.2023.105938
PMID:37625352
Abstract

BACKGROUND

Nursing students are critical in responding to public health emergencies like the COVID-19 pandemic. Their ability to fulfill their responsibilities is influenced by their sense of responsibility, which holds profound cultural significance, particularly in traditional Chinese culture. However, limited research has specifically explored the sense of responsibility among undergraduate nursing students in China and globally.

OBJECTIVES

This study aimed to determine the sense of responsibility among undergraduate nursing students and identify potential factors associated with it.

DESIGN, SETTING & PARTICIPANTS: We conducted a cross-sectional study and recruited 526 nursing students from June to July 2022 in Guizhou province in southwest China.

METHODS

Participants completed the General Information Questionnaire, Sense of Responsibility, and Self-esteem Scale. We analyzed the relationship between a sense of responsibility and self-esteem using Spearman correlation analysis. Then we determined factors that affect undergraduate nursing students' sense of responsibility using multiple linear stepwise regression.

RESULTS

Nursing students' total sense of responsibility scores were 96(84,106). The study found a positive association between self-esteem and a sense of responsibility (r = 0.433, P < 0.001) and its four dimensions: altruism (r = 0.381, P < 0.001), self-control (r = 0.378, P < 0.001), courage (r = 0.300, p < 0.001), and commitment (r = 0.361, P < 0.001). Self-esteem (β = 1.532, p < 0.001), personality (extroverted personality β = 7.263, P < 0.001; neutral personality β = 3.221, P = 0.029), and social practice experience (β = -3.156, P = 0.010) significantly influenced undergraduate nursing students' sense of responsibility (R = 0.268, F = 17.065, P < 0.001).

CONCLUSIONS

The study highlights the importance of nursing students' sense of responsibility and suggests room for improvement in its level. Higher self-esteem was associated with a stronger sense of responsibility. Additionally, self-esteem, personality, and social practice experience emerged as significant influencing factors. Nursing educators should prioritize students' sense of responsibility and explore targeted interventions, such as social practice activities, particularly for students with low self-esteem and introversion.

摘要

背景

护理学生在应对 COVID-19 等公共卫生突发事件方面至关重要。他们履行职责的能力受到责任感的影响,而责任感在中国乃至全球文化中都具有深远的文化意义,尤其是在中国传统文化中。然而,目前针对中国乃至全球本科护理学生的责任感研究还很有限。

目的

本研究旨在确定本科护理学生的责任感,并确定与之相关的潜在因素。

设计、地点和参与者:我们进行了一项横断面研究,于 2022 年 6 月至 7 月期间在我国西南部的贵州省招募了 526 名护理专业学生。

方法

参与者完成了一般信息问卷、责任感和自尊量表。我们使用 Spearman 相关分析来分析责任感与自尊之间的关系。然后,我们使用多元线性逐步回归确定影响本科护理学生责任感的因素。

结果

护理学生的总责任感评分为 96(84,106)。研究发现,自尊与责任感呈正相关(r=0.433,P<0.001),与责任感的四个维度呈正相关:利他主义(r=0.381,P<0.001)、自我控制(r=0.378,P<0.001)、勇气(r=0.300,P<0.001)和承诺(r=0.361,P<0.001)。自尊(β=1.532,P<0.001)、人格(外向人格β=7.263,P<0.001;中性人格β=3.221,P=0.029)和社会实践经验(β=-3.156,P=0.010)显著影响本科护理学生的责任感(R=0.268,F=17.065,P<0.001)。

结论

本研究强调了护理学生责任感的重要性,并指出其水平有待提高。较高的自尊与较强的责任感相关。此外,自尊、人格和社会实践经验是显著的影响因素。护理教育者应重视学生的责任感,并探索有针对性的干预措施,如社会实践活动,特别是针对自尊心较低和内向的学生。

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