Zhang Minghao, Wang Qing, Chen Yingying, He Mengjiao, Zhou Weiqing, Yao Zihui, Wang Lina, Lin Yan
School of Nursing, Xinxiang Medical University, Xinxiang, Henan, China.
Henan International Joint Laboratory of Recombinant Therapeutic Protein Expression System, Xinxiang, Henan, China.
Heliyon. 2024 Sep 7;10(17):e37644. doi: 10.1016/j.heliyon.2024.e37644. eCollection 2024 Sep 15.
With the development of nursing positions and nursing disciplines in China's tertiary hospitals, the number of people applying for the master's degree in nursing is also increasing year by year. Postgraduate examinations are held during internship, so nursing students face the dual pressure of testing and internship, which brings varying degrees of negative experiences and emotional fluctuations.
To explore the psychological experiences and influencing factors of undergraduate nursing students under the dual pressures of clinical nursing internships and postgraduate examination preparations.
Descriptive qualitative study.
Purposeful sampling was used to recruit 18 participants from eight tertiary hospitals in China between October and December 2023. Semi-structured in-depth interviews were conducted, with interview recordings transcribed verbatim. Thematic analysis was then applied to the data.
Four themes were identified: negative experiences under dual pressures, coping mechanisms for negative experiences, motivational effects under dual pressures, and evaluations of significant individuals. Nursing students improved their overall abilities through internships and exam preparations, gaining a clear understanding of themselves and certain hospital roles. However, at this stage, students also experienced adverse psychological experiences for various reasons. Thus, they employed several methods to alleviate their psychological stress, aiming for a better state to face internships and exam preparations.
Schools and hospitals should pay more attention to the needs of nursing students under dual pressures, monitoring their emotional states, and providing psychological support to enhance their stress-coping abilities. It is important to ensure the overall well-being of students while strengthening the motivational effects of internships and learning experiences.
随着我国三级医院护理岗位和护理学科的发展，申请护理学硕士学位的人数也逐年增加。研究生考试在实习期间举行，因此护理专业学生面临考试和实习的双重压力，这带来了不同程度的负面体验和情绪波动。
探讨本科护理专业学生在临床护理实习和考研准备双重压力下的心理体验及影响因素。
描述性定性研究。
采用目的抽样法，于2023年10月至12月从中国8家三级医院招募18名参与者。进行半结构化深度访谈，访谈录音逐字转录。然后对数据进行主题分析。
确定了四个主题：双重压力下的负面体验、负面体验的应对机制、双重压力下的激励作用以及对重要他人的评价。护理专业学生通过实习和备考提高了整体能力，对自己和医院的某些角色有了清晰的认识。然而，在这个阶段，学生们也因各种原因经历了不良的心理体验。因此，他们采用了几种方法来缓解心理压力，以更好的状态面对实习和备考。
学校和医院应更加关注护理专业学生在双重压力下的需求，监测他们的情绪状态，并提供心理支持以提高他们的压力应对能力。在加强实习和学习经历的激励作用的同时，确保学生的整体幸福感非常重要。
