中專護生臨床實習各期心理特點與教學對策

論文編號:HL120  論文字數:8178.頁數:23

論文題目：中專護生臨床實習各期心理特點與教學對策
摘　要
 目的：探討中專護生臨床實習各期存在的心理特點，并根據存在的心理問題實施相應的帶教對策，指導和幫助她們盡快適應角色，較好地完成臨床實習任務。方法：選擇2007年6月-2008年6月在我院康復部實習的5所護校50名中專學生。將一個實習周期做劃分，6～8月定為實習初期，8～4月定為實習中期，5～6月定為實習后期。分別于護生實習初期、中期、末期出科前發放自制調查問卷40份，共發放120份，收回120份，回收率100%，且均為有效問卷。根據調查結果顯示的心理特點，調整帶教計劃，制定分期教學目標，使中專護生的較好地完成臨床實習。結果：問卷調查結果顯示，在實習初期，護生的好奇心理、膽怯心理最為明顯，達到95%，求知欲強烈,占92.5%,90%反應有緊張心理,自卑擔心不能勝任工作占80%，70%對護理工作、護士職業憧憬；實習中期，驕傲自滿心理和松懈情緒突出，分別占90%和87.5%,厭煩情緒有所上升,22.5%；實習后期好奇、膽怯、緊張等不良心理基本消失，但82.5%的護生存在怕苦怕累及對臨床工作的厭惡心理，職業認同感下降，對未來就業沒有信心。根據這一結果，護理部要求各實習科室對原帶教計劃進行調整，并按分期教學目標實施帶教。實習結束前進行師生雙向評價反饋，該方法一定程度減輕臨床帶教壓力，教師對教學目標更明確，也避免重復勞動；護生能適應實習環境，減輕心理負擔，提高基礎護理技能，培養良好的溝通，樹立自信心，提高職業認同力，實習效果較滿意。結論：對護生實習期間心理特點的研究和了解，有助于臨床帶教中有的放矢的的調整教學方案，減輕中專護生不同實習時期存在的不良心理壓力，減少護理差錯的發生，提高學生對護理工作的認識，增強了臨床實習的興趣和效果，對臨床護理管理也起到促進作用。
 關 鍵 詞：中專護生；實習；心理特點；教學
 論文類型：其它
  
 Title: Nursing students clinical practice phases of the psychological characteristics and Teaching Strategies
ABSTRACT
Objective: To explore nursing students clinical practice phases of the existence of the psychological characteristics and, based on psychological problems exist in the implementation of appropriate measures with a teaching guide and help them to adapt to the role of good clinical practice to complete the task.
Methods: June 2007 -2008 year in June in our hospital rehabilitation department internship five secondary students in nursing school 50. To do an internship period will be divided, 6 to August as the initial attachment, 8 April as the medium-term internship, 5 June as a post-internship. Nursing students, respectively, the early, mid, late Chuke self-questionnaire pre-release 40, a total of 120 to recover the 120, 100% recovery rate, and are valid questionnaires. According to the survey results show that the psychological characteristics, adjusting the belt teaching plans, teaching objectives to develop in phases, so that a better secondary school students to complete clinical practice.
Results: The survey results show that in practice beginning nursing students curious about psychology, the most obvious cowardice, reaching 95%, a strong thirst for knowledge, accounting for 92.5%, 90% of psychological stress reactions, low self-esteem does not fear for jobs accounted for 80%, 70% of the nursing work, nurses and occupational aspirations; internship mid lax complacency psychological and emotional prominent, accounting for 90% and 87.5%, tired of feeling had increased, 22.5%; internship late curiosity, shyness, nervousness and other bad psychological disappeared However, 82.5% of the care and live in fear of suffering Palei aversion to the clinical work, vocational identity down for future employment, lack of confidence. According to this result,
 Nursing Department request the internship with the Education Departments of the original plan adjustments, in accordance with a phased implementation of the teaching objectives to teach. Internships for students and teachers before the end of a two-way evaluation feedback, the method to a certain extent reduce the pressure of clinical teaching, teachers teaching more targeted, but also to avoid duplication of work; nursing students to adapt to practical environment, reduce the psychological burden, and improving basic nursing skills, develop good communication, foster self-confidence and raise their professional identity strength, internship satisfactory results.
Conclusion: The psychological characteristics of nursing students during the study and understanding of clinical teaching will help the adjustment of teaching programs targeted to alleviate the nursing students in different periods internships adverse psychological pressure exists to reduce the occurrence of nursing errors and improve student awareness of the work of nursing, increased interest in clinical practice and effectiveness of clinical nursing management also play a catalytic role.
KEY WORDS: nursing students; practice; psychological characteristics; Teaching

TYPE OF THESIS: Other

目  錄
1 緒論………………………………………………………………………………………..1
 1.1背景與意義…………………………………………………………………………1
 1.2研究目的及目標……………………………………………………………………1
 1.3關鍵詞及定義………………………………………………………………………1
 1.4文獻回顧……………………………………………………………………………2
2 研究設計…………………………………………………………………………………..3
 2.1研究對象……………………………………………………………………………3
 2.2一般資料……………………………………………………………………………3
 2.3研究方法…………………………………………………………………………….3
 2.4研究步驟…………………………………………………………………………….4
3 研究結果…………………………………………………………………...………………5
4 討論……………………………………………………………………………………… ..7
 4.1實習初期…………………………………………………………………………….7
 4.1.1尊重愛護護生，加強交流溝通…………………………………………….…….7
 4.1.2強化理論知識，提高操作技能…………………………………………….…….7
 4.1.3培養溝通能力，建立良好的護患關系…………………………………….…….7
 4.2實習中期…………………………………………………………………………….8 
 4.2.1嚴格帶教，控制易出錯的環節…….…………………………………………….8
 4.2.2增加專科護理技能、較復雜操作技術的培訓……………….………………….8
 4.2.3培養基本觀察、處理能力………………………………….…………………….8
 4.3實習后期…………………………………………………………………………….9
 4.3.1重視職業道德教育，培養慎獨精神……………………………….…………….9
 4.3.2培養對護理對象的認識………………………………………….……………….9
 4.3.3培養獨立工作能力………………………………………………………….…….9
5 推論與建議……………………………………………………….……………………....11
  5.1推論………………………………………………………...………………………....11
 5.2建議………...………………………………………………………………………....11
致   謝………………… ……………………………………………………………..…12

參考文獻………………………………………………………………………………….....13