规培护士临床归属感与职业认同感在临床学习环境与工作准备度间的中介效应分析  

Mediating effects of clinical belongingness and career identity on the relationships clinical learning environment and work readiness among standardized training nurses

作　　者：黄金贵 施玉梅 张海梅 文仁会 徐真 张照莉 HUANG Jingui;SHI Yumei;ZHANG Haimei;WEN Renhui;XU Zhen;ZHANG Zhaoli(Department of Medical Oncology,Chongqing Cancer Hospital Affiliated to Chongqing University,Chongqing 400030,China;Department of Nursing,Chongqing Cancer Hospital Affiliated to Chongqing University,Chongqing 400030,China)

机构地区：[1]重庆大学附属肿瘤医院肿瘤内科,重庆400030 [2]重庆大学附属肿瘤医院护理部,重庆400030

出　　处：《现代医药卫生》2025年第4期949-954,共6页Journal of Modern Medicine & Health

基　　金：重庆市科卫联合医学科研项目青年项目(2024QNXM005);重庆市科卫联合医学科研项目面上项目(2022MSXM002);重庆市沙坪坝区决策咨询与管理创新项目(2023125)。

摘　　要：目的探讨规范化培训(规培)护士临床归属感与职业认同感在临床学习环境与工作准备度间的中介作用。方法2023年9—12月采用便利抽样法选取重庆市主城区及区县某4所三级甲等医院的402名规培护士作为研究对象,应用一般资料调查表、毕业护士工作准备度量表、临床学习环境评价量表、临床归属感量表、护士职业认同感量表对其进行调查。使用Amos23.0构建结构方程模型,分析规培护士4个变量间的关系并进行检验。结果规培护士工作准备度得分为(274.48±42.18)分,其条目均分为(69.32±12.75)分,4个变量间两两呈正相关(均P<0.001)。构建中介模型发现,临床学习环境对工作准备度的直接效应显著(β=0.260,P<0.01);另外,临床学习环境还可通过3条路径的间接作用影响工作准备度,包括临床归属感的独立中介作用(β=0.126,P<0.05)、职业认同感的独立中介作用(β=0.072,P<0.05)、临床归属感与职业认同感的链式中介效应(β=0.087,P<0.05),中介效应占总效应的52.29%。结论临床归属感与职业认同感在规培护士临床学习环境与工作准备度间发挥了中介作用,护理教育者及管理者可通过增强规培护士临床归属感、强化职业认同感,进而提升其工作准备度。Objective To explore the mediating roles of clinical belongingness and career identity between the clinical learning environment and work readiness of standardized training nurses.Methods From September to December 2023,a total of 402 nurses were selected as the research objects by convenience sampling method from four tertiary hospitals in the main urban area and districts of Chongqing,and were investigated by general data questionnaire,graduate nurses′job readiness scale,clinical learning environment evaluation scale,clinical belonging scale and nurses′professional identity scale.Amos23.0 was used to construct a structural equation model,and the relationship between the four variables of the training nurses was analyzed and tested.Results The total score of nurses′work readiness in standardized training was(274.48±42.18)points,and the standard score was(69.32±12.75)points.There were positive correlations among the four variables(P<0.001).The mediation model revealed that the direct effect of clinical learning environment on work readiness was significant(β=0.260,P<0.01).Besides,clinical learning environment could also affect work readiness through three pathways:the independent mediating effect of clinical belongingness(β=0.126,P<0.05),the independent mediating effect of career identity(β=0.072,P<0.05),and the chain mediating effect of clinical belongingness and career identity(β=0.087,P<0.05),with the mediating effects accounting for 52.29%of the total effects.Conclusion Clinical belongingness and career identity serve as a mediating role between standardized training nurses′clinical learning environment and work readiness.And nursing teachers or managers can improve work readiness by enhancing the clinical belongingness and cultivating career identity.

关 键 词：规范化培训 护士 临床学习环境 临床归属感 职业认同感 工作准备度 

分 类 号：R47[医药卫生—护理学]