护生实习期职业认同的发展轨迹及影响因素分析  

Development trajectory and influencing factors of professional identity in nursing students during clinical practicum

作　　者：石惠姗 卢梓沛 朱崇宽 张园园[3] Shi Huishan;Lu Zipei;Zhu Chongkuan;Zhang Yuanyuan(Intensive Care Unit,Qingdao Hiser Hospital Affiliated of Qingdao University(Qingdao Traditional Chinese Medicine Hospital),Qingdao 266000,China)

机构地区：[1]青岛大学附属青岛市海慈医院(青岛市中医医院)重症医学科一科,山东青岛266000 [2]青岛大学附属青岛市海慈医院(青岛市中医医院)血管外科二病区,山东青岛266000 [3]青岛大学附属青岛市海慈医院(青岛市中医医院)介入科,山东青岛266000

出　　处：《护理学杂志》2025年第6期46-50,共5页Journal of Nursing Science

摘　　要：目的 探讨护生实习期职业认同的发展轨迹并分析影响因素,为采取措施提升护生职业认同提供参考。方法 采用便利抽样法,选取青岛市2所医院的354名实习期护生为研究对象,采用一般资料调查表、职业认同量表和未来工作自我清晰度量表,分别于实习开始,实习2个月、4个月、6个月、8个月进行调查。采用潜变量增长混合模型和无序多分类logistic回归探究护生实习期职业认同的潜在轨迹并分析其影响因素。结果 护生实习期职业认同可分为3个发展轨迹:高水平稳定组(33.90%)、中水平下降组(38.70%)和低水平上升组(27.40%)。专业选择方式、在校平均成绩和未来工作自我清晰度是护生实习期职业认同发展轨迹的影响因素(均P<0.05)。结论 护生实习期的职业认同表现为不同的发展轨迹,带教老师应帮助护生建立清晰的未来工作规划,强化职业认同。Objective To explore the development trajectory of professional identity in nursing students during clinical practicum and analyze its influencing factors,and to provide reference for taking measures to enhance nursing students′ professional identity.Methods A convenience sampling method was used to select 354 nursing students from two hospitals in Qingdao.Data were collected using a demographic information questionnaire,the Professional Identity Questionnaire for Nurse Students,and the Future Work Self-Salience Scale at the start of the internship,and then at 2,4,6,and 8 months during the internship.The latent growth mixture model and unordered multinomial logistic regression were used to explore the potential trajectories of professional identity and analyze its influencing factors.Results Three trajectories were identified:high-level stable group(33.90%),moderate-level declining group(38.70%),and low-level rising group(27.40%).Factors influencing the development trajectory of professional identity included the reason for choosing this major,average academic performance,and future work self salience(all P<0.05).Conclusion The professional identity of nursing during exhibits different developmental trajectories during clinical practicum.Mentors should help nursing during to establish clear future career planning and strengthen their professional identity.

关 键 词：护生 实习 职业认同 影响因素 未来工作自我清晰度 潜变量增长混合模型 纵向研究 护理教育 

分 类 号：R47[医药卫生—护理学] G444[医药卫生—临床医学]