社会认知生涯理论视角下护理本科生临床学习环境研究

The Evaluation of Clinical Learning Environment in Nurse Students with the Perspective of Social Cognitive Career Theory

摘要: 目的：调查本科护生临床学习环境评价现状，并基于社会认知生涯理论探讨其影响因素。方法：选取2019年毕业且在医疗机构实习的护理实习生409名为研究对象，采用一般资料问卷、中文版临床学习环境评估量表来评估护生临床学习环境现状及影响因素。结果：临床学习环境评价量表总得分为(136.12 ± 32.99)分，护生对临床学习环境的评价处于中等偏上水平；影响护生临床学习环境评价的主要因素有职业兴趣、职业期望、同学关系(P < 0.05)。结论：本科护生临床学习环境还需要进一步改善。学校应注重实习医院的选择并为在校生做好职业规划，实习医院应在选择实习生时优先选择有职业兴趣的学生，实习分组时可以允许学生自由选择，注重带教老师的准入和培养，从而改善临床学习环境，坚定护生的职业选择。

Abstract: Objective: To investigate the clinical practice status of nurse students and analyze the influencing factors with the perspective of social cognitive career theory. Methods: To select 409 nursing interns who graduated in 2019 and internships in medical institutions as a study object. The status of clinical learning environment in nurse students and its influencing factors were evaluated by using the general information questionnaire and clinical learning environment scale. Results: The overall scores of the clinical learning environment were (136.12 ± 32.99) points, at the upper middle level. The influencing factors of clinical learning environment in nurse students were career interests, career expectations and peer relationships (P < 0.05). Conclusion: The clinical learning environment of undergraduate nurse students needs to be further improved. Universities should pay attention to the choice of hospital and make career planning for nurse students. Nurse students who had career expectations should be preferred admission by the hospital. Nursing students should choose the practice group freely. Hospitals should boost the admission and training of clinical teachers, so as to improve the clinical learning environment and finally firm nursing students’ career choices.