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題名:Y世代護生實習壓力源、學習幫助與因應行為
書刊名:長庚護理
作者:雷若莉 引用關係陳曉玫林京芬劉雪娥許淑蓮 引用關係
作者(外文):Lei, Ruoh-lihChen, Hsiao-meiLin, Ching-fenLiu, Hsueh-erhSheu, Sheila
出版日期:2000
卷期:11:4=32
頁次:頁11-23
主題關鍵詞:Y世代護生實習壓力源學習幫助因應行為Y generation nursing studentPerceived stressorBeneficial stressorsCoping behaviors
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(16) 博士論文(3) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:16
  • 共同引用共同引用:41
  • 點閱點閱:53
     本研究旨在探討Y世代大學護理系學生於臨床實習之壓力源,壓力源對臨床學習幫助及其因應行為。研究分為兩階段進行,第一階段採量性研究:運用結構性問卷收集壓力源之發生頻率、護生自覺學習幫助,並以SAS/PC軟體進行資料分析:平均值、標準差、雙樣本t檢定、變異數分析(ANOVA)、薛費氏事後比較(Scheffe' Method)、費雪精密檢定(Fisher Exact Test)等方法進行統計分析。第二階段以低結構性問卷針對第一階段個案進行訪談,並以內容分析法歸納護生所運用之因應行為。 研究結果顯示:護生實習之壓力源類別依序為:(1)專業知識與技能之壓力(2)作業及工作量之壓力(3)實際護理病人之壓力。對學習有幫助的壓力源則為:考試、對病情的判斷與處理能力及經驗不足、應用護理知識於臨床病人的情況、作團體衛教。護生最主要之因應方式:(1)問題導向方面為:「自己解決問題」、「尋求社會資源」、「企圖協調改變」、「建立原則」;(2)情緒導向方面為:「逃避事實」、「壓抑控制」、「言語發洩情緒」、「調整情緒」。本研究結果可協助學校及臨床單位瞭解Y世代護生之臨床實習壓力源、學習幫助及因應行為,並成為教師促進護生臨床學習幫助之重要依據。
     This two-phase study focused on exploring the reported stressors related to clinical practice,identifying their impact on clinical learning, and identifying the coping behaviors held by studentnurses of the Y generation. A quantitative design with structured questionnaires was used in phase 1.The frequencies of each stressor and its beneficial impact on personal learning were collected. Statisticssuch as mean, SD, two sample t-test, ANOVA, Scheffe's method, Fisher's exact test were performed.In phase II , a low structure interview was conducted. The coping strategies were categorized bycontent analysis. The results showed the foiling: 1.the perceived stressors included stress related to professionalknowledge and skills, stress from homework and workload, and stress from taking care of patients; 2.the beneficial stressors included quizzes, lack of experiences and ability in clinical judgement,application of nursing knowledge in patient care, and group education. The major coping strategies used by students were I. in the problem-focused dimension: problem-solving by oneself, seeking social resources, trying to negotiate with change and building principles2.in the emotion-focused dimension: avoidance of reality, suppressed control .verbalized emotion andregulation of emotion. This study improved our knowledge about perceived stressors, beneficial stressors, and copingstrategies of students in the Y generation. It can be used to help teachers develop teaching strategies.
期刊論文
1.Beck, D. L.、Hackett, M. B.、Srivastava, R.、McKim, E.、Rockwell, B.(1997)。Perceived level and sources of stress in university professional schools。Journal of Nursing Education,36(4),180-186。  new window
2.Jones, M. C.、Johnston, D. W.(1997)。Distress, stress, and coping in first-year students nurse。Journal of Advanced Nursing,26(3),475-482。  new window
3.Burns, K. R.、Egan, E. C.(1994)。Description of a stressful encounter: Appraisal, threat and challenge。The Journal of nursing education,33(1),21-27。  new window
4.Oermann, M. H.、Sperling, S.(1999)。Stress and challenge of psychiatric nursing clinical experience。Archives of Psychiatric Nursing,13(2),74-79。  new window
5.蕭淑貞、周照芳(19940900)。護理畢業生對精神科護理之興趣與工作意願之調查研究。護理研究,2(3),210-216。new window  延伸查詢new window
6.潘華倫(19960700)。我對新新人類的看法。諮商與輔導,127,48。  延伸查詢new window
7.Beck, D. L.、Srivastava, R.(1991)。Perceived Level and Source in Baccalaureate Nursing Students。Journal of Nursing Education,30(3),127-133。  new window
8.Allen, D. G.、Bowers, B.、Diekelmann, N.(1989)。Writing to learn: A reconceptualization of thinking and writing in the nursing curriculum。Journal of Nursing Education,28(1),6-11。  new window
9.Edwards, E. J.(1991)。Use of Listening Skill When Advising Nursing Students in Clinical Experience。Journal of Nursing Education,30(7),328-329。  new window
10.Clark, D. J.(1998)。Process recording: of what value is examination nursing interaction through assignment work?。Nurse Education Today,18(2),138-143。  new window
11.Kerr, D. L.、Gascoigne, L. L.(1996)。Getting to know Generation: Health Education for the Thirteenth Generation。Journal of Health Education,27(5),268-273。  new window
12.Huff, C.(1997)。Cooperative Learning: A Model for Teaching。Journal of Nursing Education,36(9),434-436。  new window
13.McKay, S. R.(1978)。A review of student stress in nursing education programs。Nursing Forum,17(4),376-393。  new window
14.Mahat, G.(1996)。Stress and Coping: First-Year Nepalese Nursing Students in Clinical Setting。Journal of Nursing Education,35(4),163-169。  new window
15.Wilson, D. M.(1991)。Improving feedback on student paper: a quantitative method which aids marking and gives valid feedback。Nurse Education Today,11(1),53-56。  new window
16.Orr, J.(1991)。Piaget theory of cognitive development may be useful in deciding what to teach and how to teach it。Nursing Education Today,11(1),65-69。  new window
17.Oermann, M. H.、Standfest, K. M.(1997)。Difference in stress and challenge in clinical practice among AND and BSN students in varying clinical courses。Journal of Nursing Education,36(5),228-233。  new window
18.段秀玲(199704)。解讀新新人類。諮商與輔導,136,47-48。  延伸查詢new window
19.馬藹屏(1997)。青少年次文化初探。學校衛生,30,55-59。  延伸查詢new window
20.向肇英(19970300)。五專護生外科單位實習面對壓力情緒和行為的變化。護理新象,7(1)=45,35-43。  延伸查詢new window
21.許淑蓮、林惠賢、黃秀梨、于博芮、胡文郁、羅美芳(19970800)。護生實習壓力量表之發展與測試。護理研究,5(4),341-352。new window  延伸查詢new window
22.劉長安、許秀月、呂素珍(19970900)。某醫學中心五專護理應屆畢業生臨床實習主觀經驗初探。榮總護理,14(3),304-313。new window  延伸查詢new window
23.簡淑珍(19910600)。護生實習情境內的壓力源與支持系統--初步調查。醫院,24(3),170-175。  延伸查詢new window
24.蘇麗智、郭憲文(19930600)。某醫專護生實習壓力之評估--初期階段實習。護理研究,1(2),166-175。new window  延伸查詢new window
25.鐘淑英、郭憲文(19900100)。中部兩專科學校護生實習壓力與臨床滿意度關係之研究。公共衛生,16(4),438-451。  延伸查詢new window
26.Lindop, E.(1999)。A comparative study of stress between pre- and post- project 2000 students。Journal of Advanced Nursing,29(4),967-973。  new window
27.Pagana, K. D.(1988)。Stresses and threats reported by baccalaureate students in relation to an initial clinical experience。Journal of Nursing Education,27(9),418-424。  new window
28.Compas, B. E.(1987)。Coping with stress during childhood and adolescence。Psychological Bulletin,101(3),393-403。  new window
29.梁培勇(19931200)。小學兒童壓力觀初步探討。中華心理學刊,35(2),87-114。new window  延伸查詢new window
研究報告
1.林文政(1998)。新人類工作族群價值觀及其對工作激勵方式的認知與人力資源管理之研究。  延伸查詢new window
圖書
1.Kohut, H.(1992)。The analysis of the self。International Vniversities press。  new window
2.Tostenson, D. C.、Adelstein, S. J.、Carver, S. T.(1994)。New pathways to medical education: learning to leam at Harvard medical school。Massachusetts:Harvard。  new window
3.Miles, M. B.、Huberman, A. M.(1994)。Qualitative Data Analysis。Sage。  new window
4.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.Gomez, D. A.、Lobodzinski, S.、Hartwell west, C. D.(1998)。Evaluatiing Clinical Performance。Teaching in Nursing, A Guide for Faculty。Philadelphia:W. B. Saunders。  new window
 
 
 
 
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