微课联合Mini-CEX在实践教学预教育中对实习前择业效能感与对理实习生择业信心的影响研究
Efficacy of Pre-Internship Career Selection in Practice Teaching Pre-Education with Micro-Class Combined with Mini-CEX and the Influence on the Career Confidence of Science Interns
DOI: 10.12677/NS.2022.114075, PDF,    科研立项经费支持
作者: 苏建萍：新疆医科大学护理学院，新疆 乌鲁木齐；吉林大学护理学院，吉林 长春；马 静, 叶金婵, 李 月, 周 娟, 姑丽菲亚：新疆医科大学护理学院，新疆 乌鲁木齐；孙 皎*：吉林大学护理学院，吉林 长春
关键词: 护理实习生；择业效能感；觉知压力； Nursing Intern； Career Decision-Making Self-Efficacy； Perceived Stress
摘要: 目的：通过将微课联合Mini-CEX在护理实践教学预教育中的使用，探讨护理实习生临床实践前实习择业效能感及觉知压力的现状并分析两者的相关性，为护理教育者促进护理实习生职业探索及提高就业成功率提供一定的管理策略。方法：整群抽样，以自然班为单位，对新疆某高校进入外科临床实习的护生进行一般资料、觉知压力及择业效能感的问卷的调查。结果：共调查了422名护生，其择业效能感得分为(77.08 ± 12.89)分，觉知压力得分(38.84 ± 8.90)分，均处在中等水平。结果显示不同特征的护理实习生在志愿选择、选择实习医院的目的、对专业的态度等方面的择业效能感总分差异有统计学意义(P < 0.05)；觉知压力和择业效能感呈负相关。多元回归分析显示觉知压力、志愿选择、选择实习医院目的是影响护理实习生择业效能的因素。结论：临床护理实习生总体的择业效能感和觉知压力处于中等水平，高校与实习单位应紧密关注护理实习生临床实习期间觉知压力的状况，临床带教教师采取有针对性的干预措施以增强其择业信心，必要时进行心理疏导，提高其择业效能感。
Abstract: Objective: Through the application of micro-lessons combined with Mini-CEX in the pre-education of nursing practice teaching, the current situation of nursing interns’ career efficacy and perceived pressure before clinical practice was discussed and the correlation between the two was analyzed, so as to provide some management strategies for nursing educators to promote nursing interns’ career exploration and improve the success rate of employment. Methods: Nursing interns from a university in Xinjiang were investigated by cluster sampling and natural class. Results: A total of 422 nursing interns were investigated. The total score of job selection efficacy of nursing interns was (77.08 ± 12.89) and the score of perceived pressure was (38.84 ± 8.90). The results showed that there were statistically significant differences in the total score of career choice efficacy of nursing interns with different characteristics in the aspects of voluntary choice, purpose of choosing internship hospital and attitude towards specialty (P < 0.05); the scores of voluntary choice in all dimensions of career selection efficacy were statistically significant (P < 0.01); the scores of professional level in the dimension of self-concept were statistically significant (P < 0.05); Tere were statistical significance in the dimensions of self-evaluation, self-concept, professional information collection and social support (P < 0.01). Perceived pressure was positively correlated with job selection efficacy. Multiple linear regression analysis showed that voluntary choice, purpose of choosing internship hospital and perceived pressure were the influencing factors of job selection efficiency of nursing interns. Conclusion: The overall job selection efficacy of nursing interns is at a medium level. Colleges and practice units should pay close attention to the perceived pressure of nursing interns during clinical practice, take targeted intervention measures to enhance their confidence in job selection, and conduct psychological counseling when necessary to improve their job selection efficacy.
文章引用：苏建萍, 马静, 叶金婵, 李月, 周娟, 姑丽菲亚, 孙皎. 微课联合Mini-CEX在实践教学预教育中对实习前择业效能感与对理实习生择业信心的影响研究[J]. 护理学, 2022, 11(4): 445-453. https://doi.org/10.12677/NS.2022.114075

参考文献

[1] 吕芳菲, 何荷, 吕平玉, 缪珠珠. 护理专业本科毕业生自我概念对择业效能感的影响研究[J]. 护理管理杂志, 2014, 14(3): 190-191.
[2] Betz, N.E., Klein, K.L. and Taylor, K.M. (1996) Evaluation of a Short Form of the Career Decision Making Self-Efficacy Scale. Journal of Career Assessment, 4, 47-57. [Google Scholar] [CrossRef] 
[3] Maguavita, N. and Chiorri, C. (2018) Academic Stress and Active Learning of Nursing Students: A Cross-Sectional Study. Nurse Education Today, 68, 128-133. [Google Scholar] [CrossRef] [PubMed]
[4] 王琪, 李易泽, 雷豹, 向旭东. Mini-CEX在胸外科医学生培养中的应用与展望[J]. 科教文汇, 2022(13): 93-97.
[5] 景彩峰. 本科生就业压力与择业效能感: 社会支持和积极应对关性研究[D]: [硕士学位论文]. 济南: 山东大学, 2013.
[6] 胡艳红. 大学生择业效能感的因素分析及其与职业兴趣、职业价值观的关系研究[D]: [硕士学位论文]. 西安: 陕西师范大学, 2003.
[7] Cohen, S., Kamarck, T. and Mermelsrein, R. (1983) A Global Mesure of Perceived Stress. Journal of Health and Social Behavior, 24, 385-396. [Google Scholar] [CrossRef] 
[8] 杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9): 760-764.
[9] 程秋泓, 张红梅, 张盼盼, 石志宜, 黄丽洁, 郭瑞, 等. 觉知压力在护理实习生自我导向学习能力与择业效能感间的中介作用[J]. 中华护理杂志, 2019, 54(6): 908-912.
[10] 田丽源, 李婧, 杨霞, 周文华. 护理生产实习生应对方式与择业效能感的相关性研究[J]. 护理研究, 2015, 29(34): 4330-4333.
[11] 林蕙青. 推动信息技术与教育教学深度融合, 实现高等教育高质量内涵式发展[J]. 中国大学教学, 2018(1): 4-6+9.
[12] 尹兆华. 职业生涯规划与就业指导课程建设探索和实践[J]. 中国大学教学, 2019(7): 88-92. [Google Scholar] [CrossRef] 
[13] 王珊, 郭金花, 黄巧萍. 脊柱外科护理专业实习生心理健康状况及其影响因素的研究分析[J]. 实用临床护理学电子杂志, 2018, 3(50): 117+125.
[14] 张铭, 刘欢, 冯亚玲, 郑萍萍, 袁婷, 张丹丹. 某护理学院毕业生就业压力现状及影响因素分析[J]. 沈阳医学院学报, 2019, 21(3): 247-251.
[15] 李龙博. 大学生就业与择业辩证关系刍议[J]. 教书育人(高教论坛), 2020(3): 8-10.
[16] 余莉, 李翠景, 胡贵章. 大学生心理压力与择业自我效能感之间的关系研究[J]. 科教导刊, 2016(10): 174-175.
[17] 王晓蕾. 护理学硕士研究生择业效能感的调查研究[J]. 上海护理, 2018, 18(3): 63-65.
[18] 杨斌, 晁伟鹏. 上行社会比较对大学生择业效能感影响的实证研究——以新疆兵团两所高校为例[J]. 高教论坛, 2014(3): 102-104.
[19] 颜萍, 王亚南, 艾恒•托哈依, 赵晓娟. 不同层次护生择业效能感现状及影响因素研究[J]. 中国继续医学教育, 2020, 12(11): 49-51.

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