首页|护理硕士研究生对高级实践护士的认知与期望现状及影响因素分析

护理硕士研究生对高级实践护士的认知与期望现状及影响因素分析

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目的:了解护理硕士研究生对高级实践护士(APN)的期望和认知现状,分析其影响因素。方法:于 2023 年 10 月~11月,采用便利抽样法,以设有护理硕士学位点的 6 所高等院校的全日制在读护理硕士研究生为研究对象,采用自行编制的"护理硕士研究生对APN角色的期望与认知调查问卷"进行问卷调查,并分析其影响因素。结果:共有 294 名全日制在读护理硕士研究生参与本研究,其中期望APN的工作形式为负责整体管理、不具体分管床位者占比 47。96%;期望其在科室的权力与护士长相同者占比 55。78%;期望通过APN基地脱产培训完成认证考核者占比 56。12%。在认知方面,护理硕士研究生对APN的认知总分为(44。06±8。67)分,其中角色定位维度得分最低;多元线性回归分析显示,认知水平的影响因素包括未来从事临床护理的家庭支持情况、所在高校开设高级护理实践相关课程的情况、研究生导师类型、硕士学位类型,共可解释回归方程 32。4%的变异量。结论:护理硕士研究生在对APN的角色期望表现出临床实践逃避意愿,倾向于从事管理工作;对APN的认知处于中等水平,应注重从提升护理硕士研究生从事临床护理的家庭支持、改善高校开设高级护理实践相关课程的情况、关注不同导师类型及学位类型的护理硕士研究生的培养差异等方面提升其对APN的认知水平和树立积极的临床实践价值观,推动APN在我国的发展。
Analysis of the Current Status and Influencing Factors of Cognition and Expectations of Nursing Master's Students towards Advanced Practice Nurses
Objective:To understand the expectations and cognitive status of nursing master's students towards advanced practice nurses(APN),and analyze their influencing factors.Method:From October to November 2023,convenience sampling was used to investigate the expectations and cognition of nursing master's students towards the role of APN among full-time nursing master's students from six higher education institutions with nursing master's degree programs.A self-designed questionnaire was used to analyze the influencing factors.Re-sults:A total of 294 full-time nursing master's students participated in this study,of which 47.99%were expected to work as APN respon-sible for overall management and not specifically managing beds,55.78%were expected to have the same level of authority in the depart-ment as the head nurse,and 56.12%were expected to complete certification assessments through APN based off duty training.In terms of cognition,the total score of nursing master's students towards APN is 44.06±8.67,with the lowest score in the role positioning dimen-sion.Multiple linear regression analysis shows that the influencing factors of cognitive level include family support for future clinical nurs-ing,the availability of advanced nursing practice related courses in the university,the type of graduate supervisor,and the type of master's degree,which can explain 32.4%of the variation in the regression equation.Conclusion:Nursing master's students exhibit a willingness to avoid clinical practice and tend to engage in management work when it comes to the role expectations of APN.The understanding of APN is at a moderate level,and attention should be paid to improving the family support for nursing master's students to engage in clinical nurs-ing,improving the situation of offering advanced nursing practice related courses in universities,paying attention to the differences in the training of nursing master's students with different mentor types and degree types,and establishing positive clinical practice values to pro-mote the development of APN in China.

Advanced practice nursesGraduate studentsExpectationsCognitionInfluence factor

刘晓莅、张彦奇、徐梅

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山东大学护理与康复学院 山东济南 250012

山东第一医科大学附属省立医院

济南市市中区人民医院

高级实践护士 研究生 期望 认知 影响因素

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(7)
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