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高职护生患者安全胜任力影响因素的混合研究

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目的 了解高职护生患者安全胜任力状况及其影响因素.方法 采用解释性序列混合研究设计,应用基础描述性信息表、患者安全胜任力、一般自我效能、大学生元认知能力量表,对494名高职护生进行问卷调查;使用目的抽样法,对12名高职护生进行半结构式访谈.结果 高职护生患者安全胜任力总分131.22±30.55.多元回归分析显示,实习时长、患者安全教育培训经历、患者安全教育培训态度、元认知能力及自我效能是高职护生患者安全胜任力的主要影响因素(均P<0.05).质性研究提炼出患者安全胜任力信心不足、患者安全胜任力的挑战、临床素养、元认知的激活4个主题.结论 高职护生患者安全胜任力处于中上水平,建议院校领导、教师根据主要影响因素和护生个性化需求采取相应措施,提高护生患者安全胜任力水平.
A mixed-method study on influencing factors of patient safety competency of voca-tional nursing students
Objective To understand the situation of patient safety competency among vocational nursing students and its influencing factors.Methods An explanatory sequential mixed methods design was utilized.A questionnaire survey using a general information form,the Patient Safety Competency Nurse Evaluation Scale,the General Self-efficacy Scale,and the Metacognitive Ability Scale of College Students,was conducted on 494 vocational nursing students.Then semi-structured interviews with 12 vocational nursing students selected through purposive sampling were conducted.Results The total score for patient safety competency among vocational nursing students was(131.22±30.55)points.Multiple regression analysis indicated that the length of internship,ex-perience in patient safety education and training,attitudes towards patient safety education and training,metacognitive abilities,and self-efficacy were the main factors influencing patient safety competency(all P<0.05).The qualitative study extracted four themes:lack of confidence in patient safety competency,challenges in patient safety competency,clinical literacy,and activation of metacognition.Conclusion The patient safety competency of vocational nursing students is above average level.It is recommended that school leaders and teachers take corresponding measures based on the main influencing factors and the personalized needs of the students to improve the level of patient safety competency among nursing students.

patient safetynursing studentssafety competencymetacognitionself-efficacyclinical teachingcurricu-lum reformmixed-method study

周鹭、孙银松、王俊、张希、沈军、赵庆华、肖明朝、马应卓

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重庆医科大学附属第一医院护理部(重庆,400016)

重庆医科大学附属第一医院骨科(重庆,400016)

重庆市护理职业学院

重庆医科大学附属第一医院泌尿外科(重庆,400016)

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患者安全 护生 安全胜任力 元认知 自我效能 临床教学 课程改革 混合研究

2022年重庆市研究生科研创新项目重庆医科大学2019年校级教育教学研究项目

CYS22382JY190316

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(16)