医学教育环境对护生临床完成能力的影响路径研究

创新创业理论研究与实践 ›› 2025, Vol. 8 ›› Issue (16): 26-29.

医学教育环境对护生临床完成能力的影响路径研究

谢瑞霞¹, 温萌², 廖雨风¹, 韩祺¹

1.深圳职业技术大学医学技术与护理学院,广东深圳 518055;
2.甘肃卫生职业学院护理学院,甘肃兰州 730207

出版日期:2025-08-25 发布日期:2025-11-18
通讯作者: 韩祺（1980—）,女,山西晋中人,硕士研究生,副教授,研究方向：内科护理及护理教育,电子邮箱：hq4001@szpu.edu.cn。
作者简介:谢瑞霞（1989—）,女,甘肃甘谷人,硕士研究生,副教授,研究方向：内科护理及护理教育。
基金资助:
深圳职业技术大学质量工程项目（教育教学研究一般项目）“智慧护理背景下护理实习生临床完成能力提升路径研究”（202409）; 深圳职业技术大学医学技术与护理学院2022年攀登计划项目“基于结构方程模型的高等职业院校护生临床实习表现影响因素研究”（PDJH20220205）

Study on the Impact Path of Medical Education Environment on the Clinical Completion Ability of Nursing Students

XIE Ruixia¹, WEN Meng², LIAO Yufeng¹, HAN Qi¹

1. School of Medical Technology and Nursing, Shenzhen Polytechnic University, Shenzhen Guangdong, 518055, China;
2. Nursing School, Gansu Health Vocational College, Lanzhou Gansu, 730207, China

Online:2025-08-25 Published:2025-11-18

摘要/Abstract

摘要： 目的探讨护生职业认同感和学业自我效能感在教育环境与临床完成能力间的中介作用。方法采用医学教育环境量表、职业认同感问卷、学业自我效能感问卷和护生临床实践行为表现自评量表对302名职业学院护理专业临床实习生进行调查,构建链式中介效应模型。结果医学教育环境直接影响护生临床完成能力,直接效应为0.537;也可通过职业认同感间接影响护生临床完成能力,中介效应为0.168;还可由学业自我效能感影响护生临床完成能力,中介效应为0.055;职业认同感和学业自我效能感在医学教育环境与护生临床完成能力间起链式中介作用,中介效应为0.060。结论医学教育环境可直接影响护生临床完成能力,也可通过职业认同感和学业自我效能感间接作用于护生临床完成能力。

关键词: 护生, 医学教育环境, 临床完成能力, 职业认同感, 学业自我效能感, 链式中介效应

Abstract: Objective Exploring the mediating role of nursing students' professional identity and academic self-efficacy in the relationship between educational environment and clinical completion ability. Method A survey was conducted on 302 clinical interns majoring in nursing at vocational colleges using the Medical Education Environment Scale, Professional Identity Questionnaire, Academic Self Efficacy Questionnaire, and Self Evaluation Scale for Clinical Practice Behavior of Nursing Students. A chain mediation effect model was constructed. Result The medical education environment directly affects the clinical completion ability of nursing students, with a direct effect of 0.537; professional identity can also indirectly affect the clinical completion ability of nursing students, with a mediating effect of 0.168; academic self-efficacy can also affect the clinical completion ability of nursing students, with a mediating effect of 0.055; professional identity and academic self-efficacy play a chain mediating role between the medical education environment and the clinical completion ability of nursing students, with a mediating effect of 0.060. Conclusion The medical education environment can directly affect the clinical completion ability of nursing students, and can also indirectly affect their clinical completion ability through professional identity and academic self-efficacy.

Key words: Student protection, Medical education environment, Clinical completion ability, Professional identity, Academic self-efficacy, Chain mediation effect

中图分类号:

G642

谢瑞霞, 温萌, 廖雨风, 韩祺. 医学教育环境对护生临床完成能力的影响路径研究[J]. 创新创业理论研究与实践, 2025, 8(16): 26-29.

XIE Ruixia, WEN Meng, LIAO Yufeng, HAN Qi. Study on the Impact Path of Medical Education Environment on the Clinical Completion Ability of Nursing Students[J]. The Theory and Practice of Innovation and Enntrepreneurship, 2025, 8(16): 26-29.

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