摘要
目的了解护理实习生的医学叙事能力水平现状,并对其影响因素进行讨论,为制定提高护理实习生医学叙事能力的教育方案提供依据。方法2021年10月至12月,采用便利抽样法选取来自汕头大学医学院第一附属医院、汕头大学医学院第二附属医院、广州市红十字会医院共144名护理实习生作为研究对象,年龄在16~25岁间,应用医学叙事能力量表(NCS)对护理实习生进行调查并分析其影响因素。采用χ^(2)检验、t检验、方差分析,多因素分析采用多重线性回归分析。结果护理实习生的医学叙事能力得分为(140.50±19.19)分;各维度的条目均分从高到低分别为关注倾听(5.27±0.75)分、反思再现(5.21±0.78)分、理解回应(5.15±0.83)分。对护理行业的认可程度、对医学叙事能力的熟悉程度、对朋友的关怀程度的护理实习生医学叙事能力得分比较,差异有统计学意义(P<0.05)。多重线性回归分析显示,对护理行业的认可程度、对医学叙事能力的熟悉程度、对朋友的关怀程度是影响其医学叙事能力的主要影响因素。结论护理实习生的医学叙事能力处于较低水平,护理管理者应加强培养护理实习生的职业认同感,并重视叙事护理的学校教育。
Objective To investigate the current situation of medical narrative ability of nursing interns,to explore its influencing factors,and to provide evidences for making educational program to improve the medical narrative ability of nursing interns.Methods From October to December 2021,a total of 144 nursing interns who were 16-25 years old were selected from First Hospital,Medical College,Shantou University,Second Hospital,Medical College,Shantou University,and Guangzhou Red Cross Hospital as the research objects by the convenient sampling method.The medical Narrative Ability Scale(NCS)was used to investigate the nursing interns,and the influencing factors were analyzed.χ^(2) test,t test,and analysis of variance were applied.The multilinear regression analysis was used for the multivariate analysis.Results The nursing interns'score of medical narrative ability of was(140.50±19.19).The scores of attentive listening,reflective representation,and understanding response were(5.27±0.75),(5.21±0.78),(5.15±0.83).The scores of medical narrative ability of the nursing interns with recognition of nursing industry,familiarity with medical narrative ability,and care for friends had statistical significance(P<0.05).Multilinear regression analysis showed that the recognition degree of nursing industry,the familiarity degree of medical narrative ability,and the care degree of friends were the main factors affecting their medical narrative ability.Conclusions The medical narrative ability of nursing interns is at a low level,so nursing interns'vocational identity education and school education of narrative nursing should be strengthened.
作者
许枫敏
冯舒爽
魏睿宏
卢俊红
Xu Fengmin;Feng Shushuang;Wei Ruihong;Lu Junhong(Medical College,Shantou University,Shantou 515000,China;CCU,Second Hospital,Medical College,Shantou University,Shantou 515000,China;Nursing Department,Second Hospital,Medical College,Shantou University,Shantou 515000,China;Department of Respiratory and Tumor Medicine,Tumor Hospital,Medical College,Shantou University,Shantou 515000,China)
出处
《国际医药卫生导报》
2023年第10期1463-1467,共5页
International Medicine and Health Guidance News
基金
广东省临床教学基地教学改革研究项目(2019JD109)。
关键词
护理实习生
医学叙事能力
影响因素
Nursing interns
Medical narrative ability
Influencing factors
