护士职业心理韧性的概念分析  

Conceptual analysis of career resilience in nurses

作　　者：蒋莹莹 许勤[1] 蒋玲[2] 朱姝芹[1] 王敏丹 毛辰蓉 高雅惠 JIANG Yingying;XU Qin;JIANG Ling;ZHU Shuqin;WANG Mindan;MAO Chenrong;GAO Yahui(School of Nursing,Nanjing Medical University,Nanjing 211166,Jiangsu,China;The Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215000,Jiangsu,China)

机构地区：[1]南京医科大学护理学院,江苏南京211162 [2]南京医科大学附属苏州医院,江苏苏州215000

出　　处：《护士进修杂志》2024年第4期356-362,共7页Journal of Nurses Training

基　　金：苏州市医学重点扶持学科建设项目(编号:SZFCXK202101)。

摘　　要：目的分析并界定护士职业心理韧性的概念。方法系统检索中国知网、万方数据库、中国生物医学文献数据库、维普数据库、Embase、Web of Science、Pubmed数据库,检索时限从建库至2023年5月31日,语种限定为中/英文。依据纳排标准纳入相关文献,按照Rodgers演化概念分析法的步骤,从概念演化、属性特征、先决条件、后果、相关概念、典型案例、为概念的进一步发展提出假设和启示7个方面对护士职业心理韧性的相关内容进行分析界定。结果最终纳入文献38篇,护士职业心理韧性涉及5个概念属性特征,包括适应性、控制性、灵活性、主动性和坚韧性,先决条件包括内部及外部因素2个方面,内部因素包括人口统计学特征(年龄、受教育程度、岗位能级、工作年限、婚姻状况等)及个体特征(自我效能、积极的情绪如希望和乐观、自我认知、护理职业认同及职业承诺),外部因素包括临床环境因素(工作场所暴力、工作量、职场欺凌)、他人支持、社交网络,后果包括职业倦怠水平、职业成功感、工作满意度、离职意愿、职业生活质量。结论通过Rodgers演化概念分析法明确了护士职业心理韧性的属性特征、先决条件和后果,为后期编制特异性评估工具,并对影响因素和干预等进行深入研究提供了概念支持。Objective To analyze and clarify the concept of career resilience in nurses.Methods A systematic search was conducted on CNKI,Wanfang database,Chinese Biomedical database,VIP database,Embase,Web of Science,and Pubmed database from the establishment of the database to March 31,2023,and the language was limited to Chinese or English.Relevant literatures were included according to the exclusion criteria,and the relevant contents of nurses'career resilience were analyzed and defined from 7 aspects followed by the steps of Rodgers evolutionary method of concept analysis:concept evolution,attribute characteristics,prerequisites,consequences,related concepts,typical cases,hypothesis and inspiration for the further development of concepts.Results A total of 38 literatures were finally included.Nurses'career resilience involved 5 attributes,including adaptability,self-control,fexibility,proactivity,and hardiness.Prerequisites included both internal factors and external factors with internal factors including demographic characteristics(age,education level,post level,working fixed number of year,and marital status,etc.)and individual characteristics(self-efficacy,positive emotions such as hope and optimism,self-awareness,nursing professional identity and professional commitment),and external factors including clinical environment factors(workplace violence,workload,and workplace bullying),support from others,social networking.The consequences included the level of job burnout,perceived career success,job satisfaction,demission intention,and quality of professional life.Conclusion The conceptual attributes,prerequisites,and consequences of career resilience in nurses are clarified through Rodgers evolutionary method of concept analysis,which provided conceptual support for the construction of specific assessment tools and in-depth research on influencing factors and interventions of career resilience in nurses.

关 键 词：职业心理韧性 概念分析 护士 Rodgers演化概念分析法 

分 类 号：R471[医药卫生—护理学]