背景:在全球范围内,所有年龄组和社会阶层的精神障碍患病率都越来越高,预计到2030年,但没有相应的精神卫生保健资源,特别是在发展中国家。
目的:本研究调查了临床精神科工作对Ebonyi州护理专业学生精神科职业选择的影响。尼日利亚。
方法:使用前瞻性队列研究设计,并使用对精神病学(ATP)的态度收集数据,精神疾病临床医生态度量表(MICA-4)和研究人员在临床前后发布方法中开发了有关职业选择的问卷。这项研究是在11月之间进行的,2023年至2024年5月。研究涉及400名学生的样本量(在发布之前和发布之后收集了数据)。数据被编码,使用SPSS版本26进行清理和分析。McNemar测试用于确定临床发布对精神病学职业选择的影响。使用简单和多元逻辑回归分析有关精神病学职业选择决定因素的数据。假设(空假设和替代假设)在p值<0.05进行测试。
结果:精神病学和心理健康护理是最不受欢迎的专业之一,21名(6%)受访者在临床发布前表现出兴趣,25名(7.1%)受访者在发布后表现出兴趣。通常首选的专业是儿科护理(20.5%),社区卫生护理(17.1%)和助产(17.7%)。McNemer检验显示,在临床发布之前和之后,精神病学的选择没有统计学上的显着差异。职业选择的关键决定因素是对精神病学的兴趣(AOR=16.06(95%CI=1.10,14.96)P=0.009),对社区服务的兴趣(AOR=4.01(95%CI=1.32,12.20)P=0.014),家庭影响(AOR=13.76(95%CI=1.74,108.57)p=0.013)和工作满意度(AOR=0.10(95%CI=0.03,0.26)P<0.001)。
结论:因此,研究人员得出结论,在尼日利亚护理专业的学生中,临床精神病任职对精神病学的职业选择没有重大影响。学生的兴趣,在受访者中,家庭影响和工作满意度与职业选择显著相关.
BACKGROUND: Globally, there is increasingly high prevalence of mental disorders across all age groups and social classes with more being projected by 2030, but without commensurate resources for mental health care delivery especially in developing countries.
OBJECTIVE: This study examined the impacts of clinical psychiatric posting on career choice in psychiatry among nursing students in Ebonyi state, Nigeria.
METHODS: A prospective cohort research design was used and data were collected using attitude towards psychiatry (ATP), mental illness clinician attitude scale (MICA-4) and researcher developed questionnaires on career choice in pre and post clinical posting approach. This study was conducted between November, 2023 to May 2024. A sample size of 400 students (with data collected before posting and after posting) were involved in the study. Data were coded, cleaned and analyzed using SPSS version 26. McNemar Test was used to determine effects of clinical posting on career choices in psychiatry. Simple and multiple logistic regressions were used to analyze data on determinants of career choices in psychiatry. The hypotheses (Null and alternative hypotheses) were tested at p-value < 0.05.
RESULTS: Psychiatric and mental health nursing was one of the least preferred specialty, 21(6%) respondents showed interest before clinical posting and 25(7.1%) after the posting. Commonly preferred specialty was pediatric nursing (20.5%), community health nursing (17.1%) and midwifery (17.7%). McNemer test showed no statistically significant differences in choice of psychiatry before and after clinical posting. Key determinants of career choices were interest in psychiatry (AOR = 16.06(95% CI = 1.10, 14.96) P = 0.009), interest in community services (AOR = 4.01(95% CI = 1.32, 12.20)P = 0.014), family influence(AOR = 13.76(95% CI = 1.74, 108.57)p = 0.013) and job satisfaction(AOR = 0.10(95% CI = 0.03, 0.26)P < 0.001).
CONCLUSIONS: The researcher therefore concluded that clinical psychiatric posting has no significant impacts on career choices in psychiatry among nursing students in Nigeria. Interest of the students, family influence and job satisfaction were significantly associated with career choices among the respondents.