职业价值观与职业效能在基层医疗卫生机构本土化人才培养中医学生职业认知对职业认同影响的中介效应  

The mediating role of professional values and professional efficacy in the influence of professional values on professional efficacy of medical students in the cultivation of localized talents in primary medical and health institution

作　　者：夏小艳 曾朝锋 彭桂元 李耀军 李鑫 周小明[2] XIA Xiaoyan;ZENG Zhaofeng;PENG Guiyuan;LI Yaojun;LI Xin;ZHOU Xiaoming(Changsha Health Vocational College,Hu′nan Province,Changsha410100,China;Department of Cardiology,the First Hospital of Hu′nan University of Chinese Medicine,Hu′nan Province,Changsha410017,China)

机构地区：[1]长沙卫生职业学院,湖南长沙410100 [2]湖南中医药大学第一附属医院心内科,湖南长沙410017

出　　处：《中国医药导报》2020年第9期53-56,64,共5页China Medical Herald

基　　金：湖南省社会科学成果评审委员会课题(XSP19 YBC282)。

摘　　要：目的探讨基层医疗卫生机构本土化人才培养医学生的职业价值观与职业效能在职业认知对职业认同影响中的中介作用。方法选择符合2018年湖南省贫困地区基层医疗卫生机构本土化人才培养条件入学的404名2018级临床医学生作为调查对象。采用自制量表式问卷《贫困地区基层医疗卫生机构本土化人才培养临床医学生职业认同及影响因素调查问卷》进行调查,回收问卷393份,有效回收率为97.3%。运用中介效应检验程序对职业价值观与职业效能在职业认知对职业认同影响中的中介作用进行检验。结果职业认知、职业效能、职业价值观与职业认同呈显著正相关(r>0,P<0.01)。中介效应分析显示,职业认知不仅可以影响职业认同,还可以通过3条路径的间接作用影响职业认同,即职业价值观及职业效能的单独中介作用、职业价值观与职业效能的链式中介作用,相对中介效应分别31.37%、33.89%和7.45%。结论本土化人才培养医学生的职业认知可以直接影响职业认同,也可以通过职业价值观与职业效能间接影响职业认同。Objective To explore the mediating role of professional values and professional efficacy in the influence of career cognition on career intention of medical students for the local talent training in grass-roots medical and health institutions.Methods A self-made scale questionnaire“Questionnaire for the professional identification and influencing factors of cultivating clinical medical students for the local talent training in primary medical and health institutions in poor areas”was used for investigation.A total of 393 questionnaires were recovered with an effective recovery rate of 97.3%.The mediation effect of professional values and professional efficacy in the impact of professional values and professional efficacy were tested by using the mediation effect test.Results There were significant positive correlations between professional cognition,professional effectiveness,professional values,and professional identity(r>0,P<0.01).The analysis of the mediation effects showed that occupational cognition could not only affect professional identity,but also affected the professional identity through the indirect effects of the three paths,that was,the individual mediation effect of professional values and professional effectiveness,and the chain mediation effect of professional values and professional effectiveness.The related mediation effects were 31.37%,33.89%and 7.45%,respectively.Conclusion The professional cognition of medical students for the local talent training can directly affect professional identity,and can also indirectly affect professional identity through professional values and professional effectiveness.

关 键 词：基层医疗卫生机构 本土化人才培养 职业认知 职业认同 中介效应 

分 类 号：R195[医药卫生—卫生统计学]