earticle

영어

This descriptive correlational study examined the relationship between transition shock and clinical practice adaptation among nursing students, and tested the moderating effect of simulation-based practice experience. Participants were 179 fourth-year nursing students from a university located in J city, and were divided into a pre-simulation group that experienced clinical practice before simulation-based education and a post-simulation group that experienced clinical practice after simulation-based education. Data were collected using a structured online questionnaire and analyzed with SPSS PROCESS Macro (Model 1) to test moderating effects. Higher levels of transition shock were associated with lower levels of clinical practice adaptation. Students with simulation-based practice experience reported significantly lower transition shock and higher clinical practice adaptation than those without such experience. Simulation-based practice experience significantly moderated the relationship between transition shock and clinical practice adaptation, although the increase in explained variance was small. Simple slope analysis showed that, for students with simulation-based practice experience, the negative impact of transition shock on clinical practice adaptation was mitigated compared to those without such experience. These findings suggest that simulation-based practice experience may serve as an effective educational strategy to support nursing students’ adaptation during initial clinical practice. The development of structured simulation programs and replication studies in diverse settings are warranted.

중국어

本研究旨在探究护理专业学生实习转换冲击与临床实习适应度之间的关联,并验证模 拟实习经历在此过程中的调节作用,为此开展了一项描述性相关性研究;研究对象为J市某大 学护理专业179名四年级在校生,根据是否接受过模拟实习教育,将其分为两组, 前半组为未 接受过模拟实习教育的临床实习组,后半组为接受过模拟实习教育的临床实习组;研究数据 通过结构化在线问卷收集,采用SPSS PROCESS宏程序(模型1)进行分析以验证调节效应. 研究结果显示 : 护理专业学生实习转换冲击程度越高,其临床实习适应能力越低;而有模拟 实习经验的组别,其实习转换冲击水平显著低于无经验组,临床实习适应能力则显著更高;此 外,模拟实习经历在统计学上显著调节了实习转换冲击与临床实习适应度之间的关系,但其解 释力提升幅度有限;简单斜率分析结果显示,即使面临同等程度的实习转换冲击,有模拟实习 经历的学生相比无该经历的学生,其临床实习适应度的下降幅度会有所缓解; 这些研究结果表明,模拟实训是帮助护理专业学生适应临床实习初期的有效教学策略;未来 需要系统化开发模拟实训的内容与质量,并开展持续性研究;