Analysis of the influencing factors of nursing student-patient relationship and practice effectiveness in Yunnan province

Abstract

Objective The aim of this study was to describe nursing student-patient relationship in Yunnan province, and study its influencing factors and practice effectiveness. Methods The multi-phase stratified cluster random sampling method was adopted to investigate 483 internship nursing students in two first class hospitals in Yunnan province. Results Among 483 nursing students, 379 (78.5%) students belonged to facilitative relationship, 101 (20.9%) students belonged to authoritative relationship, and 3 (0.6%) students belonged to mechanistic relationship. Sociodemographic data and factors related to three type of relationship showed no statistical significance among three types of nursing students. But student's personal and professional growth, student's increased confidence and self-esteem demonstrated statistical significance among three types of nursing students. In student's personal and professional growth, students of authoritative relationship got the lowest score (3.96±0.78) compared with students of mechanistic relationship and facilitative relationship [(4.17±0.29), (4.17±0.54)],F=4.82,P<0.01. In student's increased confidence and self-esteem, no significant difference was seen. Conclusions Nursing students' perceptions of student-patient relationship are mostly facilitative. And students' personal and professional growth and confidence and self-esteem increased obviously through internship for students with facilitative student-patient relationship. Key words: Students, nursing; Nurse-patient relations; Clinical clerkship; Contextual factors