本文選題：臨床學(xué)習(xí)環(huán)境　切入點：臨床學(xué)習(xí)環(huán)境評估量表　出處：《山西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:1.翻譯、修訂中文版護生臨床學(xué)習(xí)環(huán)境評估量表,評價其效度及信度,為評估我國護生臨床學(xué)習(xí)環(huán)境質(zhì)量,進一步提高臨床教學(xué)質(zhì)量提供一種科學(xué)、有效的工具;2.使用修訂后的量表測評護理實習(xí)生對臨床學(xué)習(xí)環(huán)境的評價,分析臨床實習(xí)教學(xué)和管理中存在的問題。方法:1.經(jīng)直譯、回譯、專家咨詢和預(yù)試驗對(CLES+T)進行翻譯和文化調(diào)試,形成中文版(CLES+T),并通過條目分析和因子分析檢驗量表的項目鑒別力和結(jié)構(gòu)效度:2.采用中文版臨床學(xué)習(xí)環(huán)境問卷對從4所三級甲等醫(yī)院抽取的313名護生進行調(diào)查,數(shù)據(jù)導(dǎo)入SPSS 19.0軟件進行統(tǒng)計學(xué)分析,顯著性水平為ɑ0.05。結(jié)果:1.最終形成的中文版臨床學(xué)習(xí)環(huán)境評估量表(CLES+T)包括5個維度共38個條目。①量表總Cronbach'sα系數(shù)為0.932,各維度的Cronbach'sα系數(shù)為0.669~0.853,重測信度和分半信度分別為為0.922和0.886;②量表的內(nèi)容效度比為0.96,經(jīng)過驗證性因子分析結(jié)果顯示,各擬合指數(shù)均在可接受范圍內(nèi);2.①護生臨床學(xué)習(xí)環(huán)境評價問卷總均分為(4.00±0.49)分,各維度均分在3.67~4.18分。均分最高的維度:督導(dǎo)關(guān)系(4.18±0.58)分,均分最低的維度:科室的教學(xué)氛圍(3.67±0.67)分;②護生對于臨床學(xué)習(xí)環(huán)境的評價在與父母親的關(guān)系、從事護理工作的意愿、帶教形式和帶教老師的職稱上比較差異有統(tǒng)計學(xué)意義;③通過多元逐步回歸分析發(fā)現(xiàn),影響護生對臨床學(xué)習(xí)環(huán)境評價的因素中作用最大為與父母親的關(guān)系,其次為帶教形式,影響最小的因素為帶教老師的職稱。結(jié)論:1.調(diào)試后的(CLES+T)具有良好的信效度,適合中國文化背景下護生臨床學(xué)習(xí)環(huán)境的評估與測量;翻譯、修訂中文版護生臨床學(xué)習(xí)環(huán)境評估量表,評價其效度及信度,為評估我國護生臨床學(xué)習(xí)環(huán)境質(zhì)量,進一步提高臨床教學(xué)質(zhì)量提供一種科學(xué)、有效的工具;2.護生對于臨床學(xué)習(xí)環(huán)境較為滿意,影響臨床學(xué)習(xí)環(huán)境得分的主要因素是與父母的關(guān)系、帶教形式、帶教老師的職稱。
[Abstract]:Objective\\\. 2. Using the revised scale to evaluate the clinical learning environment of nursing interns, and to analyze the problems in clinical practice teaching and management. Expert consultation and pre-test translation and cultural debugging of CLES T, The Chinese version of CLES TX was formed, and 313 nursing students selected from 4 Grade 3A hospitals were investigated by item identification and structural validity of item analysis and factor analysis test scale: 2.The Chinese version of Clinical Learning Environment questionnaire was used to investigate 313 nursing students who were selected from 4 Grade 3A hospitals. The data were imported into SPSS 19.0 software for statistical analysis. Results: 1. The final Chinese version of the Clinical Learning Environment Assessment scale (CLES) consists of 5 dimensions and 38 items. 1 the total Cronbach's 偽 coefficient is 0.932, the Cronbach's 偽 coefficient of each dimension is 0.669 鹵0.853, and the test-retest reliability and split-half reliability are respectively. The content validity ratio of 0.922 and 0.886 Sp2 scale was 0.96. The results of confirmatory factor analysis showed that, Each fitting index was within the acceptable range of 2.1 nursing students' clinical learning environment assessment questionnaire, and the average scores of each dimension were 3.67 to 4.18. The highest score was: the supervisory relationship was 4.18 鹵0.58, the average score of each dimension was 3.67 ~ 4.18, and the average score of each dimension was 4.18 鹵0.58, respectively. The dimension of the lowest average score: the teaching atmosphere in the department was 3.67 鹵0.67). The evaluation of clinical learning environment of the nursing students was related to their parents and their willingness to engage in nursing work. There were significant differences between teaching form and teaching teacher's professional title. Through multiple stepwise regression analysis, it was found that the most important factor affecting nursing students' evaluation of clinical learning environment was the relationship with parents, followed by teaching form. Conclusion: the adjusted CLES has good reliability and validity, which is suitable for the evaluation and measurement of clinical learning environment of nursing students in Chinese cultural background. To evaluate the validity and reliability of the Chinese version of nursing students' clinical learning environment assessment scale, to provide a scientific method for evaluating the quality of clinical learning environment of nursing students in China and further improving the quality of clinical teaching. 2. Nursing students are satisfied with the clinical learning environment. The main factors influencing the score of clinical learning environment are the relationship with their parents, the form of teaching and the title of teaching teacher.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：G442

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本文編號：1650955