山东省实习护生职业认同感潜在剖面分析及影响因素  

Analysis of latent potential profiles and influencing factors of intern nursing students'professional identity in Shandong Province

作　　者：于玲家[1] 王文佳 邢介霞[2,3] Yu Lingjia;Wang Wenjia;Xing Jiexia(Department of Rheumatology,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Neurology,Qilu Hospital of Shandong University,Jinan 250012,China;School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院风湿科,济南250012 [2]山东大学齐鲁医院神经内科,济南250012 [3]山东大学护理与康复学院,济南250012

出　　处：《中华劳动卫生职业病杂志》2024年第7期517-522,共6页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：山东大学教育教学改革研究项目(2023Y095)。

摘　　要：目的探讨山东省实习护生职业认同感的现状,分析不同类别实习护生职业认同感的潜在特征差异,为制定相关干预方案提供参考。方法于2023年9至10月,采用方便整群抽样,选取山东省不同地区高校实习护生作为研究对象,共发放和回收问卷1298份,有效问卷1221份,有效回收率94.07%。收集一般人口学资料,用《护生职业认同感问卷》《工作准备度量表》《反馈寻求行为量表》对护生职业认同感等信息进行调查。通过Mplus 8.3软件对护生职业认同感进行潜在剖面分析,通过适配性和差异性检验选择最佳拟合模型;计数资料组间比较采用χ2检验,计量资料组间比较采用方差分析,各因素对不同潜在剖面的影响采用多元logistic分析。结果1221名实习护生中女性984人(80.6%),男性237人(19.4%),年龄(21.12±2.96)岁,护生职业认同感总得分(64.23±14.99)分。护生职业认同感分为3个类别:低认同感组98人(8.0%),中认同感组624人(51.4%),高认同感组496人(40.6%)。不同类别护生的性别、地区、年龄、工作准备度得分及反馈寻求行为得分不同,差异均有统计学意义(P<0.05)。与高认同感组护生比较,低认同感组护生工作准备度越高、反馈寻求行为越好,越容易纳入高职业认同感组(OR=0.390、0.167,P=0.005、0.006);与高认同感组比较,中认同感组工作准备度越高、非济南市地区,越容易纳入高职业认同感组(OR=0.597、1.470,P=0.011、0.012);与中认同感组比较,低认同感组寻求反馈行为越多,越容易纳入中职业认同感组(OR=10.411,P<0.001)。结论实习护生职业认同感水平可分为3类,护理管理者可根据不同类型的潜在特征,提高工作准备度、增加反馈寻求行为,提升护生的职业认同感。ObjectiveTo explore the current situation of professional identity of intern nursing students in Shandong Province,to analyze the potential characteristics of different categories of intern nursing students'professional identity,and to provide reference for formulating relevant intervention programs.MethodsFrom September to October 2023,using convenient cluster sampling,selected nursing students from different regions of Shandong Province colleges and universities as the research objects,a total of 1298 questionnaires were released and recovered,with 1221 valid questionnaires,and the effective recovery rate of questionnaires was 94.07%.General demographic data was collected,and information on nursing students'professional identity was investigated with the Nursing Students'Professional Identity Questionnaire,the Work Readiness Scale,and the Feedback Seeking Behavior Scale.Latent potential profiles of nursing students'sense of professional identity were analyzed by Mplus 8.3 software,and the best-fitting model was selected by the test of fitness and difference.Theχ2 test was used for comparison between groups of count data,analysis of variance(ANOVA)was used for comparison between groups of measure data,and the effects of each factor on different potential profiles were analyzed by multivariate logistic analysis.ResultsA total of 1221 intern nursing students were 984(80.6%)females and 237(19.4%)males,aged(21.12±2.96)years old,with a total score of(64.23±14.99)for nursing students'professional identity.Nursing students'professional identity was divided into 3 categories:98(8.0%)in the low identity group,624(51.4%)in the medium identity group,and 496(40.6%)in the high identity group.The gender,region,age,work readiness scores and feedback seeking behavior scores of nursing students in different categories were different,and the differences were statistically significant(P<0.05).Compared with the high identity group,the nursing students in the low identity group were more likely to be included in the high identity

关 键 词：护士 认同(心理学) 实习护生 职业认同感 潜在剖面分析 工作准备度 反馈寻求行为 

分 类 号：G645.5[文化科学—高等教育学] R47[文化科学—教育学]