临床一线护士领悟社会支持与职业认同感的关系:职业价值观的中介效应  

Correlation between perceived social support and professional identity in clinical first-line nurses:the mediating effect of professional values

作　　者：张娟[1] 洪静芳[2] 刘小玉[3] Zhang Juan;Hong Jingfang;Liu Xiaoyu(Nursing Department,Bengbu First People's Hospital of Anhui Province,Bengbu 233000,China;School of Nursing,Anhui Medical University,Hefei 230032,China;Department of General Surgery,Bengbu First People's Hospital of Anhui Province,Bengbu 233000,China)

机构地区：[1]安徽省蚌埠市第一人民医院护理部,233000 [2]安徽医科大学护理学院,合肥230032 [3]安徽省蚌埠市第一人民医院普外科,233000

出　　处：《中华现代护理杂志》2021年第23期3117-3123,共7页Chinese Journal of Modern Nursing

摘　　要：目的:了解临床一线护士的职业认同感现状,明确临床护士领悟社会支持和职业价值观与职业认同感的关系,为提升护士的职业认同感提供实证依据。方法:本研究为横断面描述性研究,采用便利取样法,于2020年2月24日—3月28日选择安徽省和湖南省13家三级公立医院1633名临床一线护士为研究对象,采用一般资料调查表、中文版护士职业价值观量表(NPVS-R)、领悟社会支持量表(PSSS)、职业认同感量表进行调查,并分析职业价值观在领悟社会支持与职业认同感之间的中介效应。本研究共调查1633名护士,其中收到有效问卷1507份,有效回收率为92.3%。结果:1507名临床一线护士职业认同感量表总分为106(26)分。中介效应分析显示,领悟社会支持直接正向预测职业价值观(β=0.480,P<0.001)及职业认同感(β=0.529,P<0.001);职业价值观直接正向预测职业认同感(β=0.303,P<0.001);领悟社会支持以职业价值观为中介变量对职业认同感有间接正向预测作用,其间接效应为β=0.145(P<0.001)。结论:临床一线护士的职业认同感得分处于中等水平,职业认同感与领悟社会支持及职业价值观呈正相关,其中职业价值观起部分中介作用。医院及护理管理者可通过提供社会支持和提升职业价值观,以期提高护士的职业认同感。Objective To explore the status of clinical first-line nurses'professional identity,and clarify the relationship among clinical nurses'perceived social support,professional values and professional identity,so as to provide empirical evidence for enhancing nurses'professional identity.Methods This study was a cross-sectional descriptive study.From February 24 to March 28,2020,convenience sampling was used to select 1633 clinical first-line nurses from 13 ClassⅢpublic hospitals in Anhui Province and Hunan Province.This study conducted the investigation with the General Information Questionnaire,Chinese version of Nursing Professional Value Scale-Revised(NPVS-R),Perceived Social Support Scale(PSSS)and the Professional Identity Scale,and analyzed the mediating effect of professional values in perceived social support and professional identity.A total of 1633 nurses were surveyed,and 1507 valid questionnaires were obtained,with an effective rate of 92.3%.Results The total score of 1507 clinical first-line nurses on the Occupational Identity Scale was 106(26).Mediating effect analysis showed that perceived social support directly predicted professional values(β=0.480,P<0.001)and professional identity(β=0.529,P<0.001);professional values directly predicted professional identity(β=0.303,P<0.001);perceived social support used professional values as a mediating variable to have an indirect positive predictive effect on professional identity,and its indirect effect wasβ=0.145(P<0.001).Conclusions The professional identity of clinical first-line nurses is at a medium level,and professional identity is positively correlated with perceived social support and professional values,and professional values play a part of the mediating role.Hospitals and nursing managers can provide social support and enhance professional values to improve nurses'professional identity.

关 键 词：护士 职业认同感 社会支持 职业价值观 中介效应 

分 类 号：R192.6[医药卫生—卫生事业管理]