Yang Li, Li Si Ni, Wang Qingyu, Pan Si, Zhao Wen
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, Hong Kong.
Nurs Open. 2025 Jul;12(7):e70270. doi: 10.1002/nop2.70270.
This study aimed to explore factors related to clinical practice behaviours and investigate the role of clinical communication competence in promoting professional identity/values and clinical practice behaviours among nursing students.
Between July and August 2023, a cross-sectional online survey were conducted among 791 nursing students undergoing clinical internships at a tertiary hospital in Hunan Province, China, using convenience sampling methods. The Professional Identity Questionnaire for Nurse Students, the Nurses Professional Values Scale-Revised, the Clinical Communication Competence Scale and the Clinical Practice Behaviours Scale were used to assess students' professional identity, professional values, clinical communication competence and clinical practice behaviours, respectively. Descriptive statistics, t-tests, ANOVA and Pearson's correlation were performed. Mediation models explored relationships between professional identity, professional values, communication competence and clinical practice behaviours, with communication competence as a mediator. Indirect effects were tested using bias-corrected bootstrapping (5000 iterations) via the PROCESS macro.
The findings revealed that professional identity and professional values directly and indirectly influenced clinical practice behaviours in nursing students. Moreover, clinical communication competence was identified as a significant mediator in the relationship between professional identity (indirect effect = 0.11; 95% confidence interval [CI]: [0.09, 0.14], accounting for 23.4% of the total effect)/values (indirect effect = -0.13; 95% CI: [0.10, 0.17], accounting for 27.7% of the total effect) and clinical practice behaviours. Professional identity, professional values, clinical communication competence and clinical practice behaviours were found to have positive correlations with one another (Pearson's r ranged: 0.45-0.72, all ps < 0.05).
This study sheds light on factors influencing nursing students' clinical practice behaviour, including professional identity, professional values and clinical communication competence. These insights can inform evidence-based strategies for nursing education and practice, facilitating targeted interventions to enhance students' professional development and clinical competence.
No patient or public contribution was involved.
本研究旨在探讨与临床实践行为相关的因素，并调查临床沟通能力在促进护生职业认同/价值观及临床实践行为方面的作用。
2023年7月至8月期间，采用便利抽样法，对中国湖南省一家三级医院正在进行临床实习的791名护生进行了横断面在线调查。使用护生职业认同问卷、护士职业价值观量表修订版、临床沟通能力量表和临床实践行为量表，分别评估学生的职业认同、职业价值观、临床沟通能力和临床实践行为。进行了描述性统计、t检验、方差分析和Pearson相关性分析。中介模型探讨了职业认同、职业价值观、沟通能力和临床实践行为之间的关系，以沟通能力作为中介变量。通过PROCESS宏使用偏差校正自抽样法（5000次迭代）检验间接效应。
研究结果表明，职业认同和职业价值观直接和间接影响护生的临床实践行为。此外，临床沟通能力被确定为职业认同（间接效应 = 0.11；95%置信区间[CI]：[0.09, 0.14]，占总效应的23.4%）/价值观（间接效应 = -0.13；95% CI：[0.10, 0.17]，占总效应的27.7%）与临床实践行为之间关系的显著中介变量。职业认同、职业价值观、临床沟通能力和临床实践行为之间均呈正相关（Pearson相关系数r范围：0.45 - 0.72，所有p值 < 0.05）。
本研究揭示了影响护生临床实践行为的因素，包括职业认同、职业价值观和临床沟通能力。这些见解可为护理教育和实践提供循证策略，促进有针对性的干预措施，以提高学生的专业发展和临床能力。
未涉及患者或公众贡献。
