護生初次臨床實習之學習態度、實習壓力及因應行為對其學習成效之影響-以中部某科技大學為例

The Effect of Learning Attitudes, Clinical Stress and Coping Behaviors on The Learning Achievement for Student Nurse of Their First Clinical Practice- A Study of a University of Science and Technology in Central Taiwan

陳虹伶(HUNG-LING CHEN)

指導教授 ： 鍾月琴

中臺科技大學/護理學院/護理研究所/碩士(2018年)

摘要

本研究目的為探討護生初次臨床實習之學習態度、實習壓力及因應行為對其學習成效之影響。採橫斷面結構設計，以立意取樣方式，選取中部某科大四技護理系二年級已完成基本護理學實習生為調查對象，共發出115份問卷，實際回收有效問卷114份，回收率99.1%。統計以SPSS 20.0版統計套裝軟體進行描述性統計、t檢定（t-test）、卡方檢定（Chi-square）、單因子變異數分析（One Way ANOVA）、相關分析(correlation analysis)。研究結果發現：護理興趣對「同學間的壓力」有顯著差異。課室成績對「護理人員的壓力」、「實習老師的壓力」、「整體實習滿意度」皆有顯著差異。實習成績對「學習態度」、「實習老師的壓力」、「同學間的壓力」、「醫護人員的滿意度」皆有顯著差異。父母管教方式對「學習實用性」有顯著差異。父親教育程度對「整體實習滿意度」有顯著差異。母親教育程度對「實際護理病人的壓力」、「作業及工作量的壓力」有顯著差異。個人畢業後生涯規劃對「學習態度」有顯著差異。另外實習成績與學習態度、實習壓力、實習滿意度皆有顯著相關；學習態度與實習壓力及因應行為間皆有顯著相關。
研究結果提供給學校教育方面、臨床實務教學及護理研究方面作參考。學校授課教師及臨床實習指導教師方面，期望隨時瞭解護生初次臨床實習之挫折點，進而提供有助於提升學習成效的具體方法，以幫助護生達到最佳臨床實習之學習成效。

關鍵字

護生 ； 實習 ； 學習態度 ； 實習壓力 ； 因應行為 ； 學習成效

並列摘要

The purpose of this study was to explore the effect of learning attitudes, clinical practice stress and coping behaviors on the learning achievement for student nurse of their first clinical practice. A cross-sectional design and purposive sampling method were used. A total sample of 114 were nursing students who have completed the internship in the third grade of department of nursing in University of Science and Technology, resulting in a 99.1% response rate. After questionnaires data encoding, the data were analyzed by SPSS 20.0 statistical software. Descriptive statistics were used such as percentage, average, and standard deviation; Inferential statistical analysis includes t-test, Chi-square, One Way ANOVA, and correlation analysis. There were significant differences among nursing interests and stress from peers ; otherwise, there were significant differences among term grade and stress from nursing staff, stress from clinical practice instructors, and internship satisfaction. There were significant differences among clinical practice grade and learning attitudes, stress from clinical practice instructors, stress from peers, satisfaction of healthcare workers. There were significant differences among parents’ child-rearing attitude and practical learning. There were significant differences among father’s educational level and internship satisfaction. There were significant differences among mother’s educational level and stress from actual care of patients, stress from homework overload. There were significant differences among career development after graduation and learning attitudes. There was a significant correlation between clinical practice grade, learning attitudes, clinical stress, internship satisfaction; otherwise, there were significant correlations between learning attitudes, clinical stress and coping behaviors.
The study results provided for the school education domain, clinical practice teaching programs domain and nursing research domain. In school and clinical practice instructors’ domain, they are expected to understand stressor and difficulty for student nurse of their first clinical practice and provide specific methods to help enhance them achieve the best learning effectiveness during the clinical practice period.

並列關鍵字

Student Nurse ； Clinical Practice ； Learning Attitudes ； Clinical Practice Stress ； Coping Behaviors ； Learning Achievement

參考文獻

一、中文部分

中華民國考選部（2017，8月31日）‧專門職業及技術人員高等考試護理師、普通考試護士考試實習認定基準‧取自http://wwwc.moex.gov.tw/main/ExamLaws/wfrmExamLaws.aspx?kind=3&menu_id=320&laws_id=110

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王思臻、尹一橋 鍾少鳳（2015）‧澳門某院校畢業班護生臨床實習滿意度的調查分析‧澳門護理雜誌，14（1），1-3。

王霈、呂俊宏、吳建春、謝松蒼、錢宗良（2004）‧護理學系學生修習解剖學課程之成效評估‧醫學教育，8（1），78-86。