一般自我效能对实习护生工作沉浸体验的影响:抗逆力的中介效应  

Impact of general self-efficacy on work immersion experience of intern nursing students:the mediating effect of resilience

作　　者：张晓莹 梁婷婷 王国伟 孙宝平 Zhang Xiaoying;Liang Tingting;Wang Guowei;Sun Baoping(Department of Joint and Sports Medicine Surgery,Shandong Provincial Third Hospital,Jinan 250031,China)

机构地区：[1]山东省立第三医院关节与运动医学外科,济南250031

出　　处：《中华现代护理杂志》2025年第13期1783-1788,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨一般自我效能对实习护生工作沉浸体验的影响及抗逆力的中介效应,为相关干预措施的制订提供依据。方法采用便利抽样法,于2024年1—9月,选取在山东省立第三医院实习的210名护生为研究对象。采用一般资料调查表、工作沉浸度体验量表、医护人员抗逆力量表、一般自我效能感量表对护生进行调查。采用SPSS 26.0统计软件中的Process插件进行中介效应检验。结果本研究共发放问卷210份,回收有效问卷204份,有效回收率为97.14%。实习护生工作沉浸度体验量表总分为(107.33±17.06)分,医护人员抗逆力量表总分为(63.12±12.96)分,一般自我效能感量表总分为(25.65±4.60)分。一般自我效能对实习护士工作沉浸体验具有正向预测作用(β=0.321,P<0.05);抗逆力在实习护生一般自我效能与工作沉浸体验间起部分中介效应,效应值为0.126,95%置信区间为(0.050,0.211),中介效应占总效应的28.19%(0.126/0.447)。结论一般自我效能高的实习护生,其工作沉浸体验更好;抗逆力在实习护生自我效能与工作沉浸体验间起部分中介效应。护理教育者和管理者可以通过设计针对性的培训课程、提供充足的实践机会、开展心理疗法等提升实习护生的自我效能和抗逆力,从而改善实习护生的工作沉浸体验。Objective To explore the impact of general self-efficacy on the work immersion experience and the mediating effect of resilience in intern nursing students,so as to provide a basis for the development of interventions.Methods Convenience sampling was used to select 210 intern nursing students in the Shandong Provincial Third Hospital from January to September 2024 for the study.Nursing students were surveyed using the General Information Questionnaire,Work Immersion Experience Scale,Medical Staff Resilience Scale,and General Self-Efficacy Scale.The mediating effects test was performed using the Process plug-in in SPSS 26.0.Results A total of 210 questionnaires were distributed and 204 valid questionnaires were recovered,with a valid recovery rate of 97.14%.The total scores of the Work Immersion Experience Scale,Medical Staff Resilience Scale,and General Self-Efficacy Scale were(107.33±17.06),(63.12±12.96)and(25.65±4.60),respectively.General self-efficacy was a positive predictor of the work immersion experience(β=0.321)of intern nursing students.Resilience partially mediated the effect between general self-efficacy and the work immersion experience of intern nursing students,with an effect size of 0.126 and a 95%confidence interval of(0.050,0.211),which accounted for 28.19%(0.126/0.447)of the total effect.Conclusions Intern nursing students with high general self-efficacy have good work immersion experiences,and resilience partially mediates the effect between self-efficacy and work immersion experiences.Nursing educators and administrators can improve the work immersion experience of intern nursing students by designing targeted training courses,providing adequate practice opportunities,and conducting psychotherapy to enhance their self-efficacy and resilience.

关 键 词：学生 护理 实习 工作沉浸体验 一般自我效能 抗逆力 

分 类 号：R47[医药卫生—护理学]