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首页> 外文期刊>Journal of professional nursing: official journal of the American Association of Colleges of Nursing >THE EFFECT OF A SELF-REFLECTION AND INSIGHT PROGRAM ON THE NURSING COMPETENCE OF NURSING STUDENTS: A LONGITUDINAL STUDY
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THE EFFECT OF A SELF-REFLECTION AND INSIGHT PROGRAM ON THE NURSING COMPETENCE OF NURSING STUDENTS: A LONGITUDINAL STUDY

机译：自我反省和洞察力计划对护理学生护理能力的影响：一项纵向研究

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Nurses have to solve complex problems for their patients and their families, and as such, nursing care capability has become a focus of attention. The aim of this longitudinal study was to develop a self-reflection practice exercise program for nursing students to be used during clinical practice and to evaluate the effects of this program empirically and longitudinally on change in students' clinical competence, self-reflection, stress, and perceived teaching quality. An additional aim was to determine the predictors important to nursing competence. We sampled 260 nursing students from a total of 377 practicum students to participate in this study. A total of 245 students nurse completed 4 questionnaires, Holistic Nursing Competence Scale, Self-Reflection and Insight Scale, Perceived Stress Scale, and Clinical Teaching Quality Scale, at 2, 4, and 6 months after clinical practice experience. Generalized estimating equation models were used to examine the change in scores on each of the questionnaires. The findings showed that, at 6 months after clinical practice, nursing competence was significantly higher than at 2 and 4 months, was positively related to self-reflection and insight, and was negatively related to practice stress. Nursing students' competence at each time period was positively related to clinical teachers' instructional quality at 4 and 6 months. These results indicate that a clinical practice program with self-reflection learning exercise improves nursing students' clinical competence and that nursing students' self-reflection and perceived practice stress affect their nursing competence. Nursing core competencies are enhanced with a self-reflection program, which helps nursing students to improve self-awareness and decrease stress that may interfere with learning. Further, clinical practice experience, self-reflection and insight, and practice stress are predictors of nursing students' clinical competence. (C) 2015 Elsevier Inc. All rights reserved.
机译：护士必须为患者及其家人解决复杂的问题，因此，护理能力已成为关注的焦点。这项纵向研究的目的是为护理学生制定一项自我反思练习方案，以期在临床实践中使用该方案，并从纵向和纵向评估该方案对学生临床能力，自我反思，压力，和感知的教学质量。另一个目的是确定对护理能力重要的预测因素。我们从377名实习生中抽取了260名护理学学生参加了这项研究。共有245名学生护士在临床实践经验后的2、4和6个月内完成了4份问卷调查，包括整体护理能力量表，自我反思和洞察力量表，感知压力量表和临床教学质量量表。使用广义估计方程模型检查每份问卷的分数变化。研究结果表明，在临床实践后6个月，护理能力显着高于2个月和4个月，与自我反思和洞察力呈正相关，与实践压力呈负相关。护理学生在每个时间段的能力与4个月和6个月时临床教师的教学质量呈正相关。这些结果表明，通过进行自我反思学习练习的临床实践课程可以提高护理学生的临床能力，并且护理学生的自我反思和感知的实践压力会影响他们的护理能力。自我反思计划可提高护理人员的核心能力，该计划可帮助护理学生提高自我意识并减少可能干扰学习的压力。此外，临床实践经验，自我反思和洞察力以及实践压力是护理学生临床能力的预测指标。 （C）2015 Elsevier Inc.保留所有权利。

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