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1、護(hù)生兒科實(shí)習(xí)之壓力源及壓力探討蔡佳純?黃靜鳳蔡佳純:元培科學(xué)大學(xué)助理教授。黃靜鳳:長(zhǎng)庚技術(shù)學(xué)院嘉義分部講師。摘要臺(tái)灣護(hù)理教育早已硏究護(hù)生的實(shí)習(xí)壓力,但較少著眼於特定科別之探討。本硏究的目的在探討五專護(hù)生兒科實(shí)習(xí)之壓力程度、壓力源及兩者之相關(guān)性。73位已完成兒科實(shí)習(xí)的護(hù)生完成回溯性問(wèn)卷。結(jié)果顯示護(hù)生的壓力程度平均値爲(wèi)2.11(SD=0.74),偏向中等程度,主要壓力源爲(wèi)病童家屬介入照護(hù)的過(guò)程,而護(hù)生自評(píng)經(jīng)歷其他壓力源中,作業(yè)排名第一。壓力程度與害怕傷害到病童(心.38)、從治療過(guò)程中造成的傷害(r=.4O)、害怕因受之前經(jīng)驗(yàn)的影響而造成錯(cuò)誤(r=?24)
2、、與病童溝通(廣二.25)、與病童(r=.26)/護(hù)理人員(廠=.30)/實(shí)習(xí)老師(廠=.33)之負(fù)向互動(dòng)關(guān)係呈正相關(guān)(p<.05)。此結(jié)果能做爲(wèi)臨床教師瞭解護(hù)生在兒科實(shí)習(xí)所面臨的壓力,進(jìn)而提供一個(gè)富有人性及支持性的學(xué)習(xí)環(huán)境。關(guān)鍵詞:兒科臨床實(shí)習(xí)、壓力程度、壓力源TheExplorationoftheStressorandStressfromPediatricClinicalPracticuminStudentNursesChia-ChunTsai?Ching?FengHuangC.-C.Tsai:PhD,RN,AssistantProfessor,D
3、epartmentofNursing,YuanpeiUniversity.C.-F.Huang:MSN,RN,Instructor,Chia-YiSchool,ChangGungInstituteofTechnology.AbstractEducationinTaiwanhasbeguntostudynursingstudents5stressinclinicalsettings-However,thestressofnursingstudentsinthepediatricpracticumisalsounderresearched.Thepurpo
4、seofthisstudywastoassessamountandsourcesofstressaswellastheirrelationshipsamongthestudentsof5-yearassociate-degreenursingprograminpediatricclinicalpractice.Seventy-threestudentswhohavehadclinicalpracticeinpediatricsettingscompletedthequestionnaire.Theresultsshowedthatthelevelofs
5、tresswasmoderateandtheprimarysourceofstresscamefromhavingfamilymembersinterferewithcare.Assignmentsrankedhighestamongstudentswhoidentifiedothersourcesofstress-Significantdifferencesexistedbetweenlevelofstressandbeingafraidofharmingchildbymakingmistakes,harmingthepatientsduringca
6、re,previousexperienceeffect,andhavingnegativeinteractionwithpatients,staffnurses,andinstructors.Theresultsofthisresearchcouldserveastheguidelineforclinicalinstructorstounderstandthestressthatnursingstudentswerefacing,andapplythecrucialknowledgetocreateacaringandsupportivelearnin
7、genvironment.KeyWords:pediatricclinicalpractice,levelofstress,sourcesofstress.Jl.Z.A.—uBiJs護(hù)理課程的安排不僅提供護(hù)生專業(yè)上的知識(shí)及技能,並將所學(xué)運(yùn)用於各科的臨床實(shí)習(xí)上。而臨床實(shí)習(xí)是護(hù)生認(rèn)識(shí)專業(yè)及養(yǎng)成專業(yè)態(tài)度的重要關(guān)鍵(劉、許、呂,1997),但許多硏究(許、林、黃,2001;劉等,1997;Martyn,2000)顯示護(hù)生對(duì)實(shí)習(xí)倍感壓力,且護(hù)理系的實(shí)習(xí)壓力比需學(xué)系、藥學(xué)系及社工系還大(Beck,Hackett,Strivastava,Mckim,&Rockwel
8、l,1997)°大部分的硏究(蘇、郭,1993;Admi,1997;Mahat,1996;Oe