疫情背景下上海市规范化培训护士职业态度现况及其相关因素研究  

Investigation on professional identity and perceived social support of nurses in standardized training under epidemic period in Shanghai

作　　者：许华娇 张瑛 吴玲玲[1] 蒋连青 沈卫红[1] XU Huajiao;ZHANG Ying;WU Lingling;JIANG Lianqing;SHEN Weihong(Jinshan Hospital of Fudan University,Shanghai 201508,China)

机构地区：[1]复旦大学附属金山医院,上海201508

出　　处：《职业卫生与应急救援》2023年第1期79-84,共6页Occupational Health and Emergency Rescue

基　　金：上海市护理学会2020年优秀青年人才育苗计划支持项目(1233)。

摘　　要：目的调研疫情背景下上海市规范化培训护士领悟社会支持和职业认同感的现状,分析当前形势下,规培护士职业认同感的影响因素。方法2022年4月,按照方便抽样的方法,选取上海市三所公立综合医院的332名规范化培训护士为研究对象,通过网上问卷调查,调研规培护士的一般资料及疫情防控相关行为、职业认同感和领悟社会支持得分,对研究对象的职业认同感的影响因素采用多元线性回归分析。结果回收有效问卷320份,有效回收率为96.4%。规培护士职业认同感总得分为(108.44±19.94)分,其各维度得分从高到低依次为职业自我反思、职业社会支持、职业挫折应对、职业认知评价和职业社交技能;规培护士领悟社会支持总分(61.74±12.54)分,各维度中朋友支持得分最高,家庭支持得分最低。多元线性回归分析结果表明:上海市新冠疫情时期,相比大专学历,本科学历的规培护士其职业认同感得分降低9.058分(P<0.001);规培护士新冠病毒感染防控知识知晓度每上升一个等级(了解、熟悉、掌握),其职业认同感得分则提高3.339分(P=0.003);相比无相关经历者,有参与抗疫志愿服务经历或有管控区域抗疫经历的规培护士,其职业认同感得分分别提高6.491分(P<0.01)、4.343分(P=0.005);领悟社会支持得分每增加1分,规培护士职业认同感得分平均增加1.064分(P<0.001)。结论2022年上海市疫情期间,规培护士职业认同感及领悟社会支持均处于中等水平。建议家庭、单位及社会各界给予规培护士更多支持和关爱,各医疗卫生机构完善护士用人机制,多措并举增加规培护士疫情防控知识的储备,鼓励规培护士积极参与抗疫志愿服务,提升其职业认同度。Objective To investigate the status of professional identity and perceived social support of nurses in standardized training nurses under specific epidemic period in Shanghai,and to understand the influencing factors on professional identity.Methods Convenience sampling was used to recruit 332 nurses for standardized training from three public general hospitals in Shanghai.General information and epidemic prevention-related behaviors,professional identity,and perceived social support were surveyed online using the Questionnaire Star Platform.Then,the survey data were analyzed by multiple linear regression analysis.Results Totally 320 valid questionnaires were collected,with a recovery rate of 96.4%.The total score of these nurses’professional identity was(108.44±19.94).The scores for each dimension,from high to low,were professional self-reflection,professional social support,professional frustration response,professional cognitive evaluation,and professional social skills.The total score of perceived social support was(61.74±12.54).The friend support score was the highest,while the family support score was the lowest.Multiple linear regression analysis showed that under the specific epidemic period in Shanghai,the nurses in standardized training with a bachelor’s degree scored 9.058 points lower in professional identity than those with a junior college degree(P<0.001).The score of nurses’professional identity increased by 3.339 points for each grade(unfamiliarity,familiarity,and mastery)increase in awareness of epidemic prevention and control knowledge(P=0.003).The scores of professional identity of nurses in standardized training who participated in anti-epidemic volunteer service or had experience in fighting regional epidemics increased by 6.491(P<0.001)and 4.343(P=0.005),respectively,compared with those without such experience.For every 1 point increase in the perceived social support score,the professional identity score increased by an average of1.064 points(P<0.001).Conclusions The status quo of p

关 键 词：规范化培训护士 职业认同感 领悟社会支持 疫情 

分 类 号：B822.9[哲学宗教—伦理学]