关键词: 本科实习护生, 就业压力, 职业决策自我效能感

Abstract: Objective To investigate the current situation of employment pressure and career decision-making self-efficacy among fourth year nursing students at Tianjin University of Traditional Chinese Medicine,explore its influencing factors and analyze the correlation. Methods From February to April 2023,a convenience sampling method was used to select 501 undergraduate fourth year nursing students from Tianjin University of Traditional Chinese Medicine as the survey subjects. A general information questionnaire,employment pressure scale and career decision-making self-efficacy scale were used to investigate them,and the data were analyzed. Results The employment pressure score of undergraduate fourth year nursing students at Tianjin University of Traditional Chinese Medicine was （160.10±49.64）points,and the career decision-making self-efficacy score was （73.85±24.18） points. Age,personality,participation in employment guidance,family percapita monthly income,reasons for choosing nursing major,career decision-making were factors that affected the employment pressure of fourth year undergraduate nursing students （adjusted R²=0.171,all P<0.05）. Age,personality,and whether they have served as student cadres were factors that affected the self-efficacy of career decision-making among fourth year undergraduate nursing students（adjusted R²=0.075,all P<0.05）. There was a negative correlation between the employment pressure and career decision-making self-efficacy of undergraduate nursing students（P<0.05）. Conclusion Fourth year undergraduate nursing students at Tianjin University of Traditional Chinese Medicine face greater employment pressure and lower self-efficacy in career decision-making. Educators can develop targeted intervention measures based on corresponding influencing factors,provide employment guidance,and promote their successful entry into the workplace.

Key words: Undergraduate nursing students, Employment pressure, Career decision-making self-efficacy