临床护理导师的指导动机、态度和实践以及与之相关的因素。
Clinical nursing mentors' motivation, attitude, and practice for mentoring and factors associated with them.
作者信息
Wang Yan, Hu Suzhen, Yao Jiali, Pan Yangmiao, Wang Junling, Wang Hua
机构信息
Nursing Institute, Ningbo College of Health Science, Ningbo, 315100, P.R. China.
Delivery and Labor Room, Zhejiang University Mingzhou Hospital, Ningbo, 315100, P.R. China.
出版信息
BMC Nurs. 2024 Jan 30;23(1):76. doi: 10.1186/s12912-024-01757-8.
OBJECTIVE
To investigate the motivation, attitude, and practice toward mentoring and related factors among clinical nursing mentors.
METHODS
This cross-sectional study included clinical nursing mentors from 30 hospitals in Zhejiang Province between August and September 2023. Demographic information, motivation, attitude, and practice were collected through a self-administered questionnaire.
RESULTS
A total of 495 valid questionnaires were collected, and most of the participants were 30-39 years old (68.7%). Average motivation, attitude, and practice scores were 29 [26, 32] (possible range: 8-40), 87 (82, 94) (possible range: 22-110), and 41 (38, 45) (possible range: 11-55), respectively. Correlation analyses showed that the motivation scores were positively correlated with attitude scores (r = 0.498, P < 0.001) and practice scores (r = 0.408, P = 0.001), while attitude scores were positively correlated with practice scores (r = 0.554, P < 0.001). Multivariate logistic regression showed that intermediate and senior nursing mentors (OR = 0.638, 95% CI: [0.426-0.956], P = 0.030) and different hospitals (OR = 1.627, 95% CI: [1.054-2.511], P = 0.028) were independently associated with motivation. The hospital's frequency of psychological care was a significant factor associated with nursing mentoring motivation, attitude, and practice. Participation in training (OR = 2.908, 95% CI: [1.430, 5.913], P = 0.003) and lower frequency of job evaluation in hospital ("Often": OR = 0.416, 95% CI: [0.244-0.709], P = 0.001 and "Sometimes": OR = 0.346, 95% CI: [0.184-0.650], P = 0.001) were independently associated with practice.
CONCLUSION
Clinical nursing mentors had adequate motivation, positive attitude, and proactive practice towards mentoring and associated factors. Clinical nursing mentorship should be enhanced by prioritizing mentor training, fostering a supportive environment with consistent psychological care, and promoting structured mentorship activities.
目的
调查临床护理带教老师对带教的动机、态度、实践情况及相关因素。
方法
本横断面研究纳入了2023年8月至9月间浙江省30家医院的临床护理带教老师。通过自填式问卷收集人口统计学信息、动机、态度和实践情况。
结果
共收集到495份有效问卷，大多数参与者年龄在30 - 39岁之间（68.7%）。动机、态度和实践的平均得分分别为29[26, 32]（可能范围：8 - 40）、87（82, 94）（可能范围：22 - 110）和41（38, 45）（可能范围：11 - 55）。相关性分析表明，动机得分与态度得分呈正相关（r = 0.498，P < 0.001），与实践得分呈正相关（r = 0.408，P = 0.001），而态度得分与实践得分呈正相关（r = 0.554，P < 0.001）。多因素逻辑回归显示，中级和高级护理带教老师（OR = 0.638，95% CI：[0.426 - 0.956]，P = 0.030）和不同医院（OR = 1.627，95% CI：[1.054 - 2.511]）与动机独立相关。医院心理护理的频率是与护理带教动机、态度和实践相关的重要因素。参与培训（OR = 2.908，95% CI：[1.430, 5.913]，P = 0.003）和医院较低的工作评价频率（“经常”：OR = 0.416，95% CI：[0.244 - 0.709]，P = 0.001；“有时”：OR = 0.346，95% CI：[0.184 - 0.650]，P = 0.001）与实践独立相关。
结论
临床护理带教老师对带教及相关因素有足够的动机、积极的态度和主动的实践。应通过优先进行带教老师培训、营造提供持续心理护理的支持性环境以及促进结构化带教活动来加强临床护理带教。
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