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Relationship of Stress Coping Behaviors and Changes in Resilience during an Integrated Nursing Practicum

机译:综合护理实习期间应力应对行为的关系和恢复力的变化

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This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out effective learning activities. The study subjects were 86 students enrolled at Nursing University A for the 2019 school year and planning to take the integrated nursing practicum. The survey was conducted using an anonymous, self-administered questionnaire. The Wilcoxon signed-rank test was used to determine the amount of change in resilience factors from the surveys before and after the practicum. Subsequently, multiple regression analysis was carried out with stress coping behaviors that were significantly associated with resilience factors in univariate analysis as independent variables and the amount of change in resilience factors before and after the practicum as dependent variables. A total of 56 responses were received (response rate 65.8%) from the 85 survey subjects. Innate resilience factors increased significantly from 41 pre-practicums to 44 post-practicums. Acquired resilience factors also increased significantly from 32 pre-practicums to 35 post-practicums (p 0.01). The results of multiple regression analysis found that the stress coping behavior of "changing point of view" ( = 0.361, p 0.01) and pre-practicum innate resilience factors ( = -0.456, p 0.01) were significantly associated with innate resilience factors. Examining the relationship between the amount of change in student resilience and stress coping behaviors revealed that the stress coping behavior of "changing point of view" was associated with innate resilience. This finding suggests that resilience may be increased by changing one's perspective on an event by taking on a new way of thinking. The results suggested that helping students transform realizations made during reflection into learning and create a sense of meaning may lead to fostering innate resilience during integrated nursing practicums.
机译:本研究旨在澄清哪些复原力和应对策略学生在成功完成其临床实习,并为允许学生开展有效的学习活动的指导提供建议。研究科目是2019年学年招募护理大学的86名学生,并计划参加综合护理实习。调查是使用匿名自我管理的问卷进行的调查。 Wilcoxon签名等级试验用于确定在实习前后调查的弹性因素的变化量。随后,用压力应对行为进行多元回归分析,该行为显着与单变量分析中的弹性因子相关联,作为独立变量以及在实习前和之后的弹性因子的变化量作为依赖变量。来自85个调查科目的总共收到了56次响应(响应率65.8%)。 41个实际资源为44次实践中,先天弹性因素显着增加。获得的弹性因子也从32个实践中显着增加到35个实际水产(P <0.01)。多元回归分析的结果发现“变化的观点”(= 0.361,P <0.01)和前实天内恢复性因子(= -0.456,P <0.01)的应力应对行为与先天的弹性因素显着相关。检查学生恢复力和应力应对行为之间的变化量之间的关系透露,“变化观点”的应力应对行为与先天的恢复力有关。这一发现表明,通过采取新的思维方式,可以通过改变一个人的角度来改变一个人的观点来增加弹性。结果表明,帮助学生改变在思考期间进行的实现,创造意义感可能导致在综合护理实习期间培养天生的弹性。

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