职业发展规划和职业成功感在护士职业价值观与职业嵌入间的链式中介作用  

Chain mediation role of career development planning and career success in the relationship between nurses'professional values and occupational embeddedness

作　　者：吴苗苗[1] 徐雪雪 毛娟娟 陈玉梅[1] 蔡张滢[3] 施谧 Wu Miaomiao;Xu Xuexue;Mao Juanjuan;Chen Yumei;Cai Zhangying;Shi Mi(Department of Foot and Ankle Surgery,Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Orthopedics,Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Spine Surgery,Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院足踝外科,温州325000 [2]温州医科大学附属第二医院骨科,温州325000 [3]温州医科大学附属第二医院脊柱外科,温州325000

出　　处：《中华现代护理杂志》2024年第34期4751-4755,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2020KY184)。

摘　　要：目的探讨职业发展规划和职业成功感在护士职业价值观与职业嵌入间的链式中介作用。方法2024年2—3月,采用便利抽样的方法,选取温州市4家三级甲等医院的763名护士作为研究对象,采用一般资料调查表、护士职业嵌入量表(OESN)、护士职业价值观量表(NPVS-R)、护士职业生涯规划问卷(NCPQ)、护士职业成功感量表(CSSN)进行调查。采用Pearson相关分析探讨OESN、NPVS-R、NCPQ、CSSN得分的相关性。采用AMOS 21.0软件构建结构方程模型,探讨职业发展规划和职业成功感在护士职业价值观与职业嵌入间的链式中介作用。结果共回收763份问卷,有效问卷749份,有效回收率为98.17%。749名护士OESN得分(60.29±7.65)分,NPVS-R得分(108.99±11.82)分,NCPQ得分(42.98±4.44)分,CSSN得分(73.57±8.34)分;4个量表得分两两均呈正相关(P<0.05)。职业发展规划、职业成功感在护士职业价值观与职业嵌入间的链式中介效应成立,总间接效应占总效应的46.04%(0.302/0.656),职业发展规划、职业成功感在职业价值观与职业嵌入间的链式中介效应占总效应的10.21%(0.067/0.656)。结论护士职业嵌入水平有待进一步提高。护士的职业价值观不仅直接影响其职业嵌入程度,还通过影响护士的职业发展规划进而作用于职业成功感,最终间接作用于职业嵌入。护理管理人员应强化护士的职业价值观,协助其进行明确的职业发展规划并及时给予职业成功的反馈和认可。ObjectiveTo explore the chain mediation role of career development planning and career success in the relationship between nurses'professional values and occupational embeddedness.MethodsFrom February to March 2024,a convenience sampling method was used to select 763 nurses from ClassⅢGrade A hospitals in Wenzhou as research subjects.Data were collected using a General Information Questionnaire,the Occupational Embeddedness Scale for Nurses(OESN),the Nursing Professional Values Scale-Revised(NPVS-R),the Nurses'Career Planning Questionnaire(NCPQ),and the Career Success Scale for Nurses(CSSN).Pearson correlation analysis was performed to examine the correlations among the scores of OESN,NPVS-R,NCPQ,and CSSN.The AMOS 21.0 software was used to construct a structural equation model to explore the chain mediation role of career development planning and career success in the relationship between nurses'professional values and occupational embeddedness.ResultsA total of 763 questionnaires were collected,with 749 valid responses,resulting in an effective recovery rate of 98.17%.The average scores for the 749 nurses were as follows:OESN(60.29±7.65),NPVS-R(108.99±11.82),NCPQ(42.98±4.44),CSSN(73.57±8.34).All four scale scores were positively correlated with each other(P<0.05).The chain mediation effect of career development planning and career success in the relationship between nurses'professional values and occupational embeddedness was established,with the total indirect effect accounting for 46.04%(0.302/0.656)of the total effect and the chain mediation effect of career development planning and career success accounting for 10.21%(0.067/0.656).ConclusionsThe level of occupational embeddedness among nurses needs further improvement.Nurses'professional values not only directly influence their level of occupational embeddedness but also affect their career development planning,which in turn impacts their career success,ultimately exerting an indirect effect on occupational embeddedness.Nursing managers should strength

关 键 词：护士 职业价值观 职业嵌入 职业发展规划 职业成功感 中介 

分 类 号：R47[医药卫生—护理学]