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儿科护理学生在给药方面的自我效能感和临床舒适度及担忧:护士指导与同伴指导的前后测试比较研究。

Pediatric nursing students' self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring.

机构信息

Karabük University, Faculty of Health Sciences, Department of Pediatric Nursing, Karabük, Türkiye.

Maltepe University, School of Nursing, İstanbul, Türkiye.

出版信息

Nurse Educ Pract. 2023 Aug;71:103712. doi: 10.1016/j.nepr.2023.103712. Epub 2023 Jul 10.

Abstract

AIM

This study aimed to examine the effect of mentoring practice by graduate nursing students and clinical nurses on students' self-efficacy in pediatric medication administration, clinical comfort and worry levels of students taking pediatric nursing courses.

BACKGROUND

Children are a highly sensitive group against medication administration errors. Improving the self-efficacy of student nurses who will work with this group toward medication administration is essential. Mentoring programs can increase students' skills and self-efficacy by reducing their stress levels during clinical practice.

DESIGN

The research is a two-group pretest-posttest randomized controlled experimental research design.

SETTINGS

The study was conducted in the pediatric units of a training and research hospital located in the Western Black Sea region of Turkey between October 1, 2022 and December 30, 2022, as part of the clinical practice of the Pediatric Nursing course in the fall semester of 2022-2023.

PARTICIPANTS

The study sample consisted of 143 students (peer mentoring group=73, nurse mentoring group=70) who were 3rd-year students taking the pediatric nursing course.

METHODS

Participant information form, Medication Administration Self-Efficacy Scale in Children for Nursing Students (MASSCNS) and Pediatric Nursing Students Clinical Comfort and Worry Tool (PNSCCWT) were administered to the students before the clinical practice. Then, the groups received mentoring practice in the clinical practice area for 14 weeks. At the end of the practice, MASSCNS and PNSCCWT were administered to the students again.

RESULTS

The groups were homogeneously distributed when compared according to descriptive characteristics (p > 0.05). The self-efficacy scores of the students in both groups after clinical practice were significantly different from those before clinical practice (t-4.724, p=0.000 <0.05; t=-3.742, p=0.001 <0.05).

CONCLUSIONS

This study's results indicate that nurse mentoring and peer mentoring effectively increase nursing students' self-efficacy during pediatric clinical practice. While nurse mentors decreased students' worry, peer mentors increased students' clinical comfort levels.

摘要

目的

本研究旨在探讨研究生护理学生和临床护士的指导实践对学生在儿科药物管理、临床舒适度和儿科护理课程学生担忧水平方面自我效能的影响。

背景

儿童是对药物管理错误高度敏感的群体。提高将与该群体一起从事药物管理工作的学生护士的自我效能感至关重要。指导计划可以通过降低学生在临床实践中的压力水平来提高学生的技能和自我效能感。

设计

该研究是一项两组成组前测后测随机对照实验研究设计。

设置

该研究于 2022 年 10 月 1 日至 12 月 30 日在土耳其西部黑海地区的一家培训和研究医院的儿科病房进行,作为 2022-2023 年秋季学期儿科护理课程临床实践的一部分。

参与者

研究样本由 143 名学生(同伴指导组=73 名,护士指导组=70 名)组成,他们是三年级学生,正在学习儿科护理课程。

方法

在临床实践之前,向学生发放了学生用药管理自我效能量表(MASSCNS)和儿科护理学生临床舒适度和担忧工具(PNSCCWT)。然后,两组学生在临床实践区接受指导实践。实践结束后,再次向学生发放 MASSCNS 和 PNSCCWT。

结果

在比较描述性特征时,两组学生均匀分布(p>0.05)。两组学生在临床实践后的自我效能得分与临床实践前的得分有显著差异(t=-4.724,p=0.000<0.05;t=-3.742,p=0.001<0.05)。

结论

本研究结果表明,护士指导和同伴指导在儿科临床实践中有效提高了护理学生的自我效能感。护士指导者降低了学生的担忧,同伴指导者提高了学生的临床舒适度水平。

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