影响中国职业护理学生患者安全能力的因素:使用COM-B模型和理论领域框架的混合方法研究
Lu Zhou1,2, Yinsong Sun3, Mingzhao Xiao2,4
1Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
International journal of nursing studies advances
|March 4, 2025
概括
超认知通过一般的自我效能和自我指导的学习影响护理学生的患者安全能力. 干预措施应培养这些技能,以提高患者安全结果.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 健康 职业 教育 教育 专业
背景情况:
- 护理学生的患者安全能力对于优质护理至关重要.
- 护理学生目前的患者安全能力水平适度,尽管教育重点增加.
- 影响护理学生患者安全能力的因素需要进一步调查.
研究的目的:
- 探索影响中国高等职业护理学生患者安全能力的因素.
- 识别患者安全能力背后的心理机制.
主要方法:
- 采用了一种解释性的顺序混合方法设计.
- 定量阶段:对523名护理学生进行横截面调查,使用经过验证的尺度表.
- 定性阶段:与16名学生进行半结构面试,将数据映射到COM-B模型.
主要成果:
- 超认知显著预测患者的安全能力间接通过一般的自我效能和自我指导的学习.
- 在COM-B模型和理论领域框架中,确定了关键因素:能力,机会和动机.
- 具体的动机因素包括元认知能力,个性,角色,信仰和目标.
结论:
- 一般的自我效能和自我指导的学习连续介绍了元认知和患者安全能力之间的关系.
- 心理因素在培养患者安全能力方面发挥着关键作用.
- 干预措施应侧重于提高护理学生的元认知,自我效能和自我导向学习,以提高患者的安全.
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