天津市三级甲等医院护士职业抱负与进修需求及职业认同的相关分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (19): 2659-2663.

天津市三级甲等医院护士职业抱负与进修需求及职业认同的相关分析

庄伊楠¹, 张亚军^2a, 石婷¹, 邵静雯¹, 赵怡婷¹, 王树苓^2b

1.天津中医药大学研究生院,天津 301617;
2.天津中医药大学第二附属医院 a手术室,b护理部,天津 300250

收稿日期:2023-12-27 修回日期:2024-01-22 发布日期:2026-03-17
通信作者: 王树苓,主任护师,E-mail：wsl_722@sina.com
作者简介:庄伊楠,女,在读硕士研究生,研究方向为临床护理。

Analysis on correlation between career aspiration and need for further study,professional identity among nurses in grade-A tertiary hospitals of Tianjin

ZHUANG Yi'nan¹, ZHANG Yajun^2a, SHI Ting¹, SHAO Jingwen¹, ZHAO Yiting¹, WANG Shuling^2b

1. Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;
2. a Operating Room,b Nursing Department,Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China

Received:2023-12-27 Revised:2024-01-22 Published:2026-03-17
Contact: WANG Shuling,Chief nurse,E-mail：wsl_722@sina.com

摘要/Abstract

摘要： 目的了解天津市三级甲等医院护士职业抱负现状,探索其与护士进修需求及职业认同感间的相关性,为实现天津市三级甲等医院护士职业抱负提供参考和方向。方法于2023年4—7月,采用便利抽样法抽取天津市3所三级甲等医院共368名护士作为研究对象,采用一般资料调查表、职业抱负量表（career aspiration scale,CAS）、护士进修需求量表（demands assessment scale of refresher nurses,DASRN）、职业认同量表（occupational identity scale,OIS）进行问卷调查,并对数据进行分析。结果天津市三级甲等医院护士职业抱负总分为（26.27±8.01）分,护士进修需求总分为（85.33±14.28）分,职业认同感总分为（116.60±22.83）分,三者均处于中等偏上水平。是否为独生子女、是否有提升学历的计划、是否有明确的职业规划及是否参与过科研的护士CAS总分比较,差异均有统计学意义（均P<0.05）。护士职业抱负与进修需求（r=0.307,P<0.05）及职业认同感（r=0.565,P<0.01）均呈正相关。结论天津市三级甲等医院护士职业抱负、进修需求及职业认同感水平均较高,但仍具有一定的提升空间。建议医院护理管理者帮助护士提升自身学历,鼓励支持护士积极参与科研项目,提供多种进修途径,提高护士的职业认同感,使护士在工作中更好的施展职业抱负。

关键词: 天津市, 三级甲等医院, 护士, 职业抱负, 进修需求, 职业认同

Abstract: Objective To understand the current situation of career aspiration among nurses in grade-A tertiary hospitals of Tianjin,explore its correlation with nurses' need for further study and professional identity,so as to provide reference and direction for the realization of nurses' career aspiration among nurses in grade-A tertiary hospitals of Tianjin. Methods From April to July 2023,a total of 368 nurses from three grade-A tertiary hospitals of Tianjin were selected by the convenience sampling method. The questionnaire investigation was performed by the general data questionnaire,career aspiration scale（CAS）,demands assessment scale of refresher nurses（DASRN）,and occupational identity scale（OIS）,and the data were analyzed. Results The total score of career aspiration among nurses in grade-A tertiary hospitals of Tianjin was （26.27±8.01）points,the total score of nurses' need for further study was （85.33±14.28）points,and the total score of professional identity was （116.60±22.83）points,all of which were above the medium level. There were statistically significant differences in the total CAS score among nurses whether she/he is the only child,whether she/he had a plan to improve his education,whether she/he had a clear career plan,and whether she/he had participated in the scientific research（all P<0.05）. The career aspiration of nurses was positively correlated with the need for further education（r=0.307,P<0.05） and the sense of professional identity（r=0.565,P<0.01）. Conclusions The levels of career aspiration,need for further study and professional identity among nurses in grade-A tertiary hospitals of Tianjin is high,but there is still room for improvement. It is suggested that hospital nursing managers help nurses to improve their academic qualifications,encourage and support nurses to actively participate in scientific research projects,provide a variety of ways for further study,improve nurses' professional identity,and enable nurses to better display their career in work.

Key words: Tianjin, Grade-A tertiary hospital, Nurse, Career aspiration, Need for further study, Occupational identity

中图分类号:

R192.6

庄伊楠, 张亚军, 石婷, 邵静雯, 赵怡婷, 王树苓. 天津市三级甲等医院护士职业抱负与进修需求及职业认同的相关分析. [J]职业与健康, 2024, 40(19): 2659-2663.

ZHUANG Yi'nan, ZHANG Yajun, SHI Ting, SHAO Jingwen, ZHAO Yiting, WANG Shuling. Analysis on correlation between career aspiration and need for further study,professional identity among nurses in grade-A tertiary hospitals of Tianjin. [J]OCCUPATION AND HEALTH, 2024, 40(19): 2659-2663.

参考文献

[1] 陈玲玲,潘疆疆,陈圆圆.三级甲等医院临床护士职业抱负对工作形塑的影响研究[J].军事护理,2023,40(2):80-82.
[2] 吴文珊. 大学生职业抱负特点调查研究[J].韶关学院学报,2012, 33(7):177-180.
[3] 李想. 护士长情绪智力、职业抱负与其变革型领导行为的相关性研究[D].郑州:郑州大学,2014.
[4] 吴林秀,刘茜,张丽君,等.不同等级医院护士在三甲医院进修期间真实体验的质性研究[J].中国实用护理杂志,2014(8):67-70.
[5] 徐慧,巢健茜.南京市临床护士职业认同的潜在剖面分析[J].医学与社会,2023,36(6):53-58.
[6] 龙凤英. 结直肠癌造口患者社会约束、造口接受度、孤独感与社会心理适应的相关性研究[D].天津:天津中医药大学,2022.
[7] 谢金娜,李金娥,廖思琴,等.工作场所欺凌对综合医院医务人员职业抱负的影响研究[J].职业与健康,2019,35(16):2234-2236.
[8] 廖宗峰,李玲,王宗文,等.护士进修需求评估量表的编制及信度、效度检验[J].现代临床护理,2021,20(1):45-50.
[9] 刘玲,郝玉芳,刘晓虹.护士职业认同评定量表的研制[J].解放军护理杂志,2011,28(3):18-20.
[10] 张惠婷,吴晓丹,张丽娟,等.乳腺癌个案管理专科进修护士的培养与效果[J].护理学杂志,2020,35(21):60-62.
[11] 丁琳,王宝莲,李晓蓉.介入护士进修意愿调查及其原因分析[J].介入放射学杂志,2020,29(2):201-204.
[12] 韩笑笑,娄晓平.麻醉科护士工作压力与职业认同感水平的相关性[J].河南医学高等专科学校学报,2022,34(1):90-93.
[13] 张秀英,李小麟.心理资本在精神科护士职业认同与职业倦怠间的中介作用[J].职业与健康,2020,36(6):808-811.
[14] 武园园,石彩晓,弓高云,等.共情能力在儿科护士职业认同感与临床沟通能力间的中介效应分析[J].中华护理教育,2023,20(7):784-789.
[15] 李洁,张卫红.三级甲等医院临床护士职业抱负状况及影响因素调查[J].护理研究,2018,32(1):153-155.
[16] CZIRAKI K,READ E,SPENCE L H,et al.Nurses' leadership self-efficacy,motivation,and career aspirations[J].Leadersh Health Serv (Bradf Engl),2018,31(1):47-61.
[17] BAROUDI S E,KHAPOVA S N,FLEISHER C,et al.How do career aspirations benefit organizations? The mediating roles of the proactive and relational aspects of contemporary work[J].Front Psychol,2018, 9:2150.
[18] 王嘉豪,林绵优,黄巾人,等.公立医院职工职业抱负与工作绩效的关系:心理资本的中介作用[J].中国临床心理学杂志,2023,31(4):1019-1022.
[19] 柏晓玲,王荻,楼婷,等.进修护士岗前培训效果及需求分析[J].全科护理,2014,12(21):1990-1992.
[20] AREFI M F,POURSADEQIYAN M.A review of studies on the COVID-19 epidemic crisis disease with a preventive approach[J].Work,2020,66(4):717-729.
[21] KHANDAN M,VOSOUHI S,AZRAH K,et al.Decision making models and human factors:TOPSIS and ergonomic behaviors(TOPSIS-EB)[J].Manage Sci Letters,2017,7(2):111-118.
[22] 邵丹,江春霞,吴亚会,等.某军队医院护士工作压力、职业认同、职业倦怠的现状及关系研究[J].海军医学杂志,2023,44(6):584-589.