234名本科实习护生遭受护理教育欺凌现状及影响因素分析

doi:10.16460/j.issn1008-9969.2023.14.001

摘要/Abstract

摘要： 目的调查本科实习护生的护理教育欺凌的现状,并分析其影响因素。方法采用便利抽样法,于2022年5—6月选取长沙市5所三级甲等综合医院的234名本科实习护生为研究对象。采用一般资料调查问卷、护理教育欺凌行为量表、实习护生学业支持感知量表、情绪智力量表对其进行调查。采用多重线性回归分析探讨本科实习护生遭受护理教育欺凌的影响因素。结果本组本科实习护生护理教育欺凌得分为9.50（3.00,15.00）分,遭受过护理教育欺凌行为的本科实习护生为177名（75.6%）;多重线性回归分析结果显示,是否喜欢护理职业、实习中与临床带教老师的关系、学业支持感知和情绪智力进入回归方程（P<0.05）,共解释总变异的67.6%。结论本组本科实习护生遭受护理教育欺凌处于轻度水平,遭受过护理教育欺凌行为的本科实习护生比例为75.6%,不喜欢护理职业、实习中与临床带教老师的关系有些不融洽、学业支持感知水平和情绪智力水平低的本科实习护生遭受护理教育欺凌的水平更高。护理教育者和管理者应加强对本科实习护生的学业支持,注重对其情绪智力的培养,以减少护理教育欺凌行为的发生。

关键词: 实习护生, 护理教育, 欺凌, 学业支持感知, 情绪智力

Abstract: Objective To investigate the current status of bullying in nursing education among nursing undergraduates, and analyze its influencing factors. Methods Convenience sampling was used to select 234 nursing undergraduates from 5 tertiary grade-A general hospitals in Changsha from May to June in 2022. The general information questionnaire, Bullying Behaviors in Nursing Education Scale, Academic Support in the Practicum Scale, and Emotional Intelligence Scale were used to conduct investigation. Multiple linear regression analysis was used to explore the influencing factors of bullying in nursing education among nursing undergraduates. Results The average total score of bullying in nursing education among nursing undergraduates was 9.50（3.00,15.00）. Totally 177 (75.6%) nursing undergraduates had experienced bullying in nursing education. Multiple linear regression analysis showed that attitudes towards nursing occupation, relationship with clinical teachers, perception of academic support, and emotional intelligence entered the regression equation(P<0.05), which explained 67.6% of the total variation. Conclusion Nursing undergraduates in this group suffer from mild level of bullying in nursing education, and 75.6% of the nursing undergraduates experience bullying in nursing education. Nursing undergraduates exhibiting no interest in the nursing profession, experiencing strained interactions with clinical teachers during clinical practice, and reporting low levels of perceived academic support and emotional intelligence are at an increased risk of bullying in nursing education. Nursing educators and managers should strengthen academic support for nursing undergraduates and focus on developing their emotional intelligence to reduce bullying in nursing education.

Key words: nursing student, nursing education, bullying, perception of academic support, emotional intelligence

中图分类号:

G424.4

黄伊, 李超凤, 陈丹, 孔祥麟, 范瑛瑛. 234名本科实习护生遭受护理教育欺凌现状及影响因素分析[J]. 护理学报, 2023, 30(14): 1-6.

HUANG Yi, LI Chao-feng, CHEN Dan, KONG Xiang-lin, FAN Ying-ying. Current status of bullying in nursing education among nursing undergraduates and its influence factors: a 234-case study[J]. Journal of Nursing, 2023, 30(14): 1-6.

参考文献

[1] Cerit K, Turkmen KS, Ekici D.Development of instrument of bullying behaviors in nursing education based on structured equation modeling[J]. Asian Nurs Res, 2018,12(4):245-250. DOI:10.1016/j.anr.2018.07.002.
[2] 王方园,王萌,刘彬,等.护理教育欺凌行为量表的汉化及信效度检验[J].护理学杂志,2021,36(2):58-61. DOI:10.3870/j.issn.1001-4152.2021.02.058.
[3] Onieva-Zafra MD,Fernández-Muñoz JJ, Fernández-Martínez E, et al.Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study[J]. BMC Med Educ,2020,20(1):370. DOI:10.1186/s12909-020-02294-z.
[4] Jack K, Hamshire C, Harris WE, et al.“My mentor didn't speak to me for the first four weeks”: perceived unfairness experienced by nursing students in clinical practice settings[J]. J Clin Nurs,2017,27(5-6). DOI:10.1111/jocn.14015.
[5] Fernández-Gutiérrez L, Mosteiro-Díaz MP.Bullying in nursing students: a integrative literature review[J].Int J Ment Health Nurs,2021,30(4):821-833. DOI:10.1111/inm.12854.
[6] Tee S, Üzar Özçetin YS, Russell-Westhead M.Workplace violence experienced by nursing students: a UK survey[J]. Nurse Educ Today,2016,41:30-35. DOI:10.1016/j.nedt.2016.03.014.
[7] Abdelaziz EM, Abu-Snieneh HM.The impact of bullying on the mental health and academic achievement of nursing students[J]. Perspect Psychiatr Care,2022,58(2):623-634. DOI:10.1111/ppc.12826.
[8] O'Flynn-Magee K, Rodney P, Pearson M, et al. Interrupting the cycle of bullying witnessed or experienced by nursing students:an ethical and relational action framework[J]. Nurse Educ Today,2020,91:104458.DOI:10.1016/j.nedt.2020.104458.
[9] 孙爱华,常振平,于佳佳,等.烟台市实习护生感知教育欺凌行为的现状及影响因素分析[J].中国卫生统计,2022,39(5):792-794,797. DOI:10.3969/j.issn.1002-3674.2022.05.037.
[10] 王艳,贾可,梁圆,等.护生遭受欺凌行为现状及影响因素分析[J].护士进修杂志,2020,35(4):300-304. DOI:10.16821/j.cnki.hsjx.2020.04.003.
[11] Eick SA, Williamson GR, Heath V.A systematic review of placement-related attrition in nurse education[J].Int J Nurs Stud,2012,49(10):1299-1309.DOI:10.1016/j.ijnurstu.2011.12.004.
[12] 成萍萍,任一飞,郑晓萌,等.新疆护士工作场所欺凌与情绪智力的相关性分析[J].护理学杂志,2021,36(19):69-72. DOI:10.3870/j.issn.1001-4152.2021.19.069.
[13] 李铮,刘宁.护理学研究方法[M].2版.北京:人民卫生出版社,2018:58.
[14] Arribas-Marín J, Hernández-Franco V, Plumed-Moreno C.Nursing students' perception of academic support in the practicum: development of a reliable and valid measurement instrument[J]. J Prof Nurs, 2017,33(5):387-395. DOI:10.1016/j.profnurs.2017.03.001.
[15] 李晨阳,张春梅,侯振华,等.实习护生学业支持感知量表的汉化及信度效度检验[J].中国护理管理,2018,18(9):1192-1196. DOI:10.3969/j.issn.1672-1756.2018.09.009.
[16] Law K S, Wong C-S, Song L J.The construct and criterion validity of emotional intelligence and its potential utility for management studies[J]. J Appl Psychol,2004,89(3):483-496. DOI:10.1037/0021-9010.89.3.483.
[17] 王叶飞. 情绪智力量表中文版的信效度研究[D].长沙:中南大学,2010.DOI:10.7666/d.y1721011.
[18] 夏燕. 情绪智力量表在临床低年资护士中的信效度研究及应用[D].扬州:扬州大学,2017.
[19] 孙振球. 医学统计学[M].4版.北京:人民卫生出版社,2014:615.
[20] 王方园. 护生遭受欺凌行为量表的汉化及其在实习护生中的初步应用[D].开封:河南大学,2020. DOI:10.27114/d.cnki.ghnau.2020.000714.
[21] Ulrich DL, Gillespie GL, Boesch MC, et al.Reflective responses following a role-play simulation of nurse bullying[J]. Nurs Educ Perspect, 2017,38(4):203-205. DOI:10.1097/01.NEP.0000000000000144.
[22] 侯铭,刘泳秀,余莉,等.实习护生工作场所欺凌现状及其影响因素[J].护理学杂志,2020,35(2):81-84. DOI:10.3870/j.issn.1001-4152.2020.02.081.
[23] 丁姣姣,李艳,刘梅梅.护理本科生实习参与度现状及影响因素研究[J].护理学杂志,2021,36(13):73-75. DOI:10.3870/j.issn.1001-4152.2021.13.073.
[24] Ward AE, McComb SA. Formalising the precepting process: a concept analysis of preceptorship[J]. J Clin Nurs,2018,27(5-6):e873-e881. DOI:10.1111/jocn.14203.
[25] Tambağ H.Examination of nursing students' anxiety levels related to clinical practice with respect to peer support[J]. Perspect Psychiatr Care,2021,57(3):1114-1119.DOI:10.1111/ppc.12664.
[26] Dou S, Han C, Li C, et al.Influence of emotional intelligence on the clinical ability of nursing interns: a structural equation model[J].BMC Nurs,2022,21(1):149.DOI:10.1186/s12912-022-00933-y.
[27] 张万鸾,梁雨,周利华.自我效能在本科护生情绪智力与文化智力间的中介效应[J].护理学报,2022,29(10):14-18. DOI:10.16460/j.issn1008-9969.2022.10.014.
[28] 耿玉芳,周利华,王维利.文化智力影响临床护士整合-冲突处理模式的中介效应分析[J].中国护理管理,2020,20(8):1215-1219.DOI:10.3969/j.issn.1672-1756.2020.08.020.

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