精神科护士职业认同现状及影响因素研究  

The study on the status quo and influencing factors of professional identity for psychiatric nurses

作　　者：李琦 史艳茹 画妍 曹效亲 李琰 强晓玲 张盛夏 惠娜 LI Qi;SHI Yanru;HUA Yan;CAO Xiaoqin;LI Yan;QIANG Xiaoling;ZHANG Shengxia;HUI Na(Department of Psychology,the First Affiliated Hospital of Air Force Military Medical University,Xijing Hospital,Xi'an 710032,China;Teaching and Research Section of Nursing,Air Force Military Medical University,Xi'an 710032,China;Nursing Department,the First Affiliated Hospital of Air Force Military Medical University,Xijing Hospital,Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院(西京医院)心理科,西安市710032 [2]空军军医大学护理系基础护理教研室,西安市710032 [3]空军军医大学第一附属医院(西京医院)护理部,西安市710032

出　　处：《护理管理杂志》2024年第6期498-502,共5页Journal of Nursing Administration

基　　金：2022年度西京医院护理学科助推计划青年项目(XJHL22D309)。

摘　　要：目的调查精神科护士职业认同现状,分析工作压力源和护理工作环境对职业认同的影响。方法采用一般资料调查表、职业认同问卷、护士工作压力源量表和护理工作环境量表对陕西省9所医院的569名精神科护士进行调查。结果精神科护士职业认同感得分为(32.46±9.33)分,工作压力源得分为(81.00±8.51)分,护理工作环境得分为(88.23±15.27)分。职业认同与护士工作压力源呈负相关(P<0.001),与护理工作环境呈正相关(P<0.001)。多元线性回归分析显示,年龄、月收入、时间分配及工作量、工作环境及仪器设备、护士参与医院事务、高质量护理服务的基础共解释职业认同47.8%的变异量。结论精神科护士职业认同感有待进一步提升,护理管理者需制订相应干预措施减轻压力,创造良好的护理工作环境,提高精神科护士职业认同水平。Objective To investigate the status quo of professional identity and analysis the influence of job stressor and nursing work environment on psychiatric nurses'professional identity.Methods A total of 569 psychiatric nurses from 9 hospitals in Shaanxi Province were investigated with general data questionnaire,Occupational Identity Scale(OIS),Chinese nurses job stressors scale(CNJSS)and Practice En⁃vironment Scale(PES).Results The score of professional identity was(32.46±9.33),the score of job stressor was(81.00±8.51),and the score of nursing work environment was(88.23±15.27).The scores of job stressors and its dimensions were negatively correlated with profes⁃sional identity(P<0.001).The scores of nursing work environment and its dimensions were positively correlated with professional identity(P<0.001).Moreover,the results of multiple stepwise regression analysis showed that age,monthly income level,workload and time alloca⁃tion,work environment and resources,nurse participation in hospital affairs and high quality nursing service accounted for 47.8%of the vari⁃ance of clinical psychiatric nurses'professional identity.Conclusion The enhancement of psychiatric nurses'professional identity requires further attention and development.Nurse managers should formulate corresponding interventions in reducing pressure of psychiatric nurses and creating good nursing work environment to improve the professional identity level.

关 键 词：工作压力源 工作环境 执业环境 职业认同 

分 类 号：R473.74[医药卫生—护理学] R192.6[医药卫生—临床医学]