Factors affecting Korean nursing student empowerment in clinical practice
Factors affecting Korean nursing student empowerment in clinical practice
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DOI：
10.1016/j.nedt.2015.08.007
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发表时间：
2015-12-01
影响因子：
3.9
通讯作者：
Choi, Jihea
中科院分区：
文献类型：
--
作者：
Ahn, Yang-Heui;Choi, Jihea
背景：了解护生在临床实习中的增权现象是很重要的。调查的认知授权和识别的预测是必要的，以提高护理专业学生授权在临床practice.Objectives：以确定授权预测韩国护理专业学生在临床practice.Design的基础上的研究Bradbury-Jones等人。这项研究在韩国的三所护理学院进行，所有这些护理学院都有类似的学士学位护理课程。参与者：307名低年级或高年级护生完成了一项调查，旨在测量假设影响护生在临床实践中赋权的因素。数据收集时间为2011年11月至12月。研究变量包括自尊，临床决策，作为一个学习者的价值，对实践的满意度与团队成员，对教授/讲师/临床导师的态度，和临床实践领域的总数的看法。结果：所有假设的研究变项与护生授权有显著相关。多元逐步回归分析显示，护理临床决策能力（t = 7.59，p < 0.001）、作为学习者的价值（t = 6.24，p < 0.001）、自尊（t = 3.62，p < 0.001）和临床实践领域总数（t = 2.06，p = 0.040）是影响护理临床决策能力的主要因素。结论：通过教育策略提高护生临床决策能力，可以提高护生临床实践中的赋权能力。同时，护理教育者的态度也很重要，以确保护理学生被视为有价值的学习者，并在临床实践中提高学生的自尊心。最后，应考虑不同的临床实践领域环境，以提高经验。(C)2015爱思唯尔有限公司版权所有。
Background: Understanding the phenomenon of nursing student empowerment in clinical practice is important. Investigating the cognition of empowerment and identifying predictors are necessary to enhance nursing student empowerment in clinical practice.Objectives: To identify empowerment predictors for Korean nursing students in clinical practice based on studies by Bradbury-Jones et al. and Spreitzer.Design: A cross-sectional design was used for this study.Setting: This study was performed in three nursing colleges in Korea, all of which had similar baccalaureate nursing curricula.Participants: Three hundred seven junior or senior nursing students completed a survey designed to measure factors that were hypothesized to influence nursing student empowerment in clinical practice.Methods: Data were collected from November to December 2011. Study variables included self-esteem, clinical decision making, being valued as a learner, satisfaction regarding practice with a team member, perception on professor/instructor/clinical preceptor attitude, and total number of clinical practice fields. Data were analyzed using stepwise multiple regression analyses.Results: All of the hypothesized study variables were significantly correlated to nursing student empowerment. Stepwise multiple regression analysis revealed that clinical decision making in nursing (t = 7.59, p < 0.001), being valued as a learner (t = 6.24, p < 0.001), self-esteem (t = 3.62, p < 0.001), and total number of clinical practice fields (t = 2.06, p = 0.040). The explanatory power of these predictors was 35% (F = 40.71,p < 0.001).Conclusion: Enhancing nursing student empowerment in clinical practice will be possible by using educational strategies to improve nursing student clinical decision making. Simultaneously, attitudes of nurse educators are also important to ensure that nursing students are treated as valued learners and to increase student self-esteem in clinical practice. Finally, diverse clinical practice field environments should be considered to enhance experience. (C) 2015 Elsevier Ltd. All rights reserved.