摘要
目的了解临床实习护生所面临的护理风险现状,为医学院校和相关部门制定相关对策提供参考。方法自行设计护生临床风险现状调查问卷,对4所三级以上医院360名临床一线实习护生进行调查。由实习组长担任调查员,调查对象在30分钟内以无记名方式填写问卷,内容包括护生基本情况、临床实习操作情况、护理操作问题和护理风险认知情况四个方面。结果共发放问卷400份,回收有效问卷360份,有效回收率90%。分析结果显示:21项护理操作均有护生单独执行的现象,80%以上认为能独立胜任铺床、生命体征监测等11项日常操作;6项护理操作问题的发生率在1.11%～12.22%之间;4道护理风险认知题中,49.44%的护生因为自己想锻炼而独自进行没有把握的护理操作,护生认为发生护理风险较高的科室依次是急诊、手术室、外科、儿科、内科、妇产科。结论实习护生面临的护理风险现状不容乐观,应加强院校阶段的培训教育,并进一步规范临床教学,以提高护生实习安全,减少临床护理风险。
Objective To investigate the current status of clinical nursing risks to nursing students,so as to pro-vide scienti c references for medical universities and policy makers.Methods e self-designed questionnaires were distributed to 360 clinical nursing students in four ird-Level hospitals.e group leaders were trained as investigators regularly.All the other nursing students were asked to ll in the questionnaire alone within 30 minutes.e questions is-sued were the following four aspects： general information of nursing students,clinical intern operating situation,nursing defects and awareness of nursing risks.Results Among the total 400 questionnaires distributed,360 valid ones were re-trieved（90%）.e analysis showed all 21 nursing operations could be performed by students alone,and 80% of the nurs-ing students believed that they were able to do 11 routine operations alone,such as bed-making and vital sign monitoring.e incidence rate of eight nursing defects was between 0.56% and 12.22%.As for the four questions about nursing risks,49.44% of the nursing students operated alone before getting themselves ready because of their eagerness for such experi-ences.According to the nursing students,the departments with the highest nursing risks ranked as emergency,operating theatre,surgery,pediatrics,internal medicine,and gynecology and obstetrics.Conclusion e current situation of clini-cal nursing risks to nursing interns is still far from being satisfactory,so it is necessary to improve the training at univer-sity,regulate the clinical education,and ensure the intern safety for nursing students.
出处
《中国循证医学杂志》
CSCD
2011年第12期1373-1376,共4页
Chinese Journal of Evidence-based Medicine
关键词
护理风险
实习护生
现状调查
Nursing risk
Nursing student
Current status
