本科实习护生结构性赋权、专业认同与完成能力的关系研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (20): 2838-2842.

本科实习护生结构性赋权、专业认同与完成能力的关系研究

李新¹, 吴红霞^2a, 赵倩^2b, 张腾¹, 何亚鹏¹

1.山西医科大学护理学院,山西太原 030001;
2.山西省人民医院a呼吸与危重症医学科,b护理部,山西太原 030012

收稿日期:2023-03-04 修回日期:2023-03-27 发布日期:2026-03-26
通信作者: 吴红霞,教授,E-mail：sanyafangd@163.com
作者简介:李新,女,在读硕士研究生,研究方向为临床护理。
基金资助:
山西省高等学校教学改革创新项目（J20220339）; 山西省卫生健康委科研课题（202107）; 山西省中医药管理局科研课题（2022ZYYC072）

Relationship among structural empowerment,professional identity and completion ability of nursing undergraduates

LI Xin¹, WU Hongxia^2a, ZHAO Qian^2b, ZHANG Teng¹, HE Yapeng¹

1. School of Nursing,Shanxi Medical University,Taiyuan Shanxi 030001,China;
2. a Department of Respiratory and Critical Care Medicine,b Department of Nursing,Shanxi Provincial People's Hospital,Taiyuan Shanxi 030012,China

Received:2023-03-04 Revised:2023-03-27 Published:2026-03-26
Contact: WU Hongxia,Professor,E-mail：sanyafangd@163.com

摘要/Abstract

摘要： 目的调查本科实习护生结构性授权、专业认同及完成能力间的关系。方法选取2022年7—9月在山西省某三级甲等医院实习的243名护理本科生作为研究对象,采用一般资料调查表、工作自我效能量表（Chinese version of conditions of work effectiveness questionnaire,CWEQ-Ⅱ-CV）、护生完成能力量表（nursing students competence instrument,NSCI）及专业认同量表（professional identity questionnaire for nurse students,PIQN）进行调查,分析结构性授权、专业认同及完成能力三者的关系。结果本科实习护生结构性授权得分为（67.37±5.85）分,专业认同得分为（64.48±7.27）分,完成能力得分为（191.71±23.23）分。结构性授权、专业认同与完成能力均呈正相关（均P<0.01）;专业认同在结构性授权与完成能力间起部分中介效应,占总效应的29.12%。结论本科实习护生结构性授权、专业认同及完成能力均处于中等水平,专业认同作为中介变量对实习护生的完成能力产生影响,改善护生的专业认同感有助于其完成能力的提高。

关键词: 结构性授权, 专业认同, 完成能力, 本科实习护生

Abstract: Objective To investigate the relationship among structural empowerment,professional identity and completion abilityof nursing undergraduates. Methods A total of 243 nursing undergraduate students interning at a grade-A tertiary hospital in Shanxi Province were selected as investigation objects from July to September 2022. The investigation was conducted by the general data questionnaire,Chinese version of conditions of work effectiveness questionnaire（CWEQ-Ⅱ-CV）,nursing students competence instrument（NSCI） and professional identity questionnaire for nurse students（PIQN）. The relationship among structural empowerment,professional identity and completion ability was analyzed. Results The structural empowerment score of nursing undergraduates was （67.37±5.85）points,the professional identity score was （64.48±7.27）points,the completion ability score was （191.71±23.23）points.The structural empowerment,professional identity and completion ability were positively correlated（all P<0.01）.The professional identity played a partial mediating effect between structural empowerment and completion ability,accounting for 29.12% of the total effect. Conclusion The structural empowerment,professional identity and completion ability of nursing undergraduates are at a medium level,the professional identity,as a mediating variable,has an impact on the completion ability of intern nursing students,and improving their professional identity can help improve their completion ability.

Key words: Structural empowerment, Professional identity, Completion ability, Nursing undergraduates

中图分类号:

R395.6

李新, 吴红霞, 赵倩, 张腾, 何亚鹏. 本科实习护生结构性赋权、专业认同与完成能力的关系研究. [J]职业与健康, 2023, 39(20): 2838-2842.

LI Xin, WU Hongxia, ZHAO Qian, ZHANG Teng, HE Yapeng. Relationship among structural empowerment,professional identity and completion ability of nursing undergraduates. [J]OCCUPATION AND HEALTH, 2023, 39(20): 2838-2842.

参考文献

[1] 李娜,王建英.情景游戏在本科实习护生评判性思维能力与临床实践能力培养中的应用[J].护理学报,2022,29(5):5.
[2] 杨从艳,李静,周小梅,等.实习护生临床实习适应能力的影响因素分析及教学提升策略[J].中华全科医学,2022,20(11):1950-1953.
[3] 郭曼,刘峥,刘淑玲.实习护生心理弹性与职业认同感的相关性研究[J].天津护理,2022,30(5):4.
[4] 夏文君. 临床实习教学环境对护理实习生职业倦怠感的影响[J].全科护理,2018,16(17):4.
[5] 王诗瑜,臧爽,杨肖依.护理本科生学习收获与学习信念、专业认同及学习满意度关系的研究[J].中华现代护理杂志,2019,25(8):1040-1043.
[6] FITZGERALD A,CLUKEY L.Professional Identity in Graduating Nursing Students[J].J Nurs Educ,2021,60(2):74-80.
[7] LIVSEY K R.Structural empowerment and professional nursing practice behaviors of baccalaureate nursing students in clinical learning environments[J].Int J Nurs Educ Scholarsh,2009,6:Article26.
[8] SALEH M O,ESHAH N F,RAYAN A H.Empowerment Predicting Nurses' Work Motivation and Occupational Mental Health[J].SAGE Open Nurs,2022,8:23779608221076811.
[9] 黄春平,刘彦慧,年庆婷,等.护士结构性授权测评工具中文版信效度研究[J].中华护理杂志,2011,46(12):1213-1215.
[10] LIN C C,WU C J,HSIAO Y C,et al.An exploratory factor analysis for developing and validating a scale of Nursing Students Competence Instrument[J].Nurse Educ Today,2017,50:87-91.
[11] 郝玉芳. 提升护生职业认同、职业自我效能的自我教育模式研究[D].上海:第二军医大学,2011.
[12] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.
[13] 胡双,朱建华,董璇玥,等.实习护生结构性授权与职业认同的现状及相关性分析[J].全科护理,2020,18(36):5137-5140.
[14] CAYABAN A R R,VALDEZ G F D,LEOCADIO M L,et al.Structural and psychological empowerment and its influencing factors among nursing students in Oman[J].J Prof Nurs,2022,39:76-83.
[15] BEAUVAIS A M,STEWART J G,DENISCO S,et al.Factors related to academic success among nursing students:A descriptive correlational research study[J].Nurse Educ Today,2014,34(6):918-923.
[16] BRADBURY-JONES C,IRVINE F,SAMBROOK S.Empowerment of nursing students in clinical practice:spheres of influence[J].J Adv Nurs,2010,66(9):2061-2070.
[17] KELLY C,BARATTUCCI M,SHAKIL AHMAD M.Job satisfaction as a mediator between structural empowerment and intent-to-leave:A study of critical care nurses[J].Intensive Crit Care Nurs,2022,70:103194.
[18] 陈红琢,张彩云.本科护生职业认同感的现状调查研究——以兰州大学护理学专业为例[J].中国临床护理,2015,7(6):537-541.
[19] 王振洋,侯善兵,韩小雪,等本科护生人文关怀能力与职业认同感的影响因素和关联性研究[J].卫生职业教育,2021,39(15):111-113.
[20] 郑凯丰,刘凤,徐芬.实习护生完成能力现状及影响因素分析[J].中国护理管理,2020,20(9):1386-1390.
[21] 张嘉,王月华.三甲医院实习护生完成能力现状及影响因素研究[J].现代医药卫生,2021,37(21):5.
[22] LIAO R X,LIU Y H.The impact of structural empowerment and psychological capital on competence among Chinese baccalaureate nursing students:A questionnaire survey[J].Nurse Educ Today,2016,36:31-36.
[23] WU C,PALMER M H,SHA K.Professional identity and its influencing factors of first-year post-associate degree baccalaureate nursing students:A cross-sectional study[J].Nurse Educ Today,2020,84:104227.
[24] WEI L Z,ZHOU S S,HU S,et al.Influences of nursing students' career planning,internship experience,and other factors on professional identity[J].Nurse Educ Today,2021,99:104781.
[25] GAO Z,WEI X,YANG L,et al.Mediating role of career self-efficacy between clinical learning environment and professional identity in nursing students[J].J Adv Nurs,78(4):1012-1019.