新护士反思性实践现状及影响因素的结构方程模型
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女,本科,主管护师

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2021年河南省医学科技攻关计划软科学重点项目(RKX202101004)


Reflective practice and its influencing factors among novice nurses:a structural equation model analysis
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    目的 探讨新护士反思性实践现状及影响因素,构建结构方程模型,为提升新护士反思性实践提供参考。方法便利抽取312名新护士,采用一般资料调查表、反思性实践问卷、护士工作效能条件量表、护士专业自我概念量表、时间管理倾向量表及简化版批判性思维量表进行调查。以护理反思性实践理论为理论指导,采用结构方程模型分析反思性实践的影响因素及作用路径。结果新护士的反思性实践得分为(56.32±14.68)分;结构方程模型拟合结果:χ2/df=2.312,NFI=0.962,CFI=0.978,RMSEA=0.065;结构性授权、专业自我概念、时间管理、批判性思维是新护士反思性实践的影响因素,总效应分别为0.442、0.545、0.328、0.171。结构性授权通过专业自我概念、时间管理和批判性思维间接影响反思性实践[间接效应=0.269, 95%CI(0.199,0.347)]。结论新护士反思性实践处于中等偏低水平,改善新护士结构性授权、专业自我概念、时间管理、批判性思维是提升其反思性实践的有效途径。

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    Objective To determine the level and explore the associated factors of reflective practice among novice nurses by constructing a structural equation model, and to provide reference for promoting novice nurses′ reflective practice. MethodsA total of 312 novice nurses were selected using convenience sampling and invited to complete a battery of questionnaires, including a general information questionnaire, the Reflective Practice Questionnaire (RPQ), the Conditions of Work Effectiveness Questionnaire Ⅱ (CWEQ Ⅱ), the Nurse Self concept Questionnaire (NSCQ), the Time Management Disposition scale and the Simplified Critical Thinking Disposition scale. Following the theory of reflective practice in nursing, a structural equation model was constructed to analyze the influencing factors and pathways of reflective practice among novice nurses. ResultsThe sample scored 56.32±14.68 on reflective practice. The structural equation model fitted well (χ2/df=2.312, NFI=0.962, CFI=0.978, and RMSEA=0.065). Structural empowerment, professional self concept, time management, critical thinking were the influencing factors of reflective practice among novice nurses, and the total effect were 0.442, 0.545, 0.328, and 0.171 respectively. Structural empo werment indirectly affected reflective practice through professional self concept, time management and critical thinking (indirect effect=0.269, 95%CI:0.199, 0.347). ConclusionThe reflective practice of novice nurses is at a low to medium level. Improving the structural empowerment, professional self concept, time management and critical thinking of novice nurses is an effective way to enhance their reflective practice.

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程静,刘珊珊,王玲,禹菲菲,张婷,李红.新护士反思性实践现状及影响因素的结构方程模型[J].护理学杂志,2023,28(18):59-63

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  • 收稿日期:2023-04-16
  • 最后修改日期:2023-06-19
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  • 在线发布日期: 2023-12-29