临床归属感在护理实习生厌恶情绪和职业认同间的中介效应

摘要/Abstract

摘要： 目的了解护理实习生厌恶情绪、临床归属感与职业认同的现状,并探讨临床归属感在厌恶情绪和职业认同之间的中介效应。方法采用便利抽样方法,于2023年12月—2024年2月选取广西壮族自治区3所高等院校的282名护理专业实习生作为研究对象,采用一般资料调查表、中文版厌恶情绪量表、临床归属感量表、职业认同量表进行调查,并对数据进行分析。结果 282名护理实习生厌恶情绪为（46.02±10.82）分,临床归属感为（90.00±16.40）分,职业认同为（86.06±15.06）分。护理实习生厌恶情绪与临床归属感呈负相关（r=-0.455,P<0.01）,与职业认同呈负相关（r=-0.441,P<0.01）,临床归属感与职业认同呈正相关（r=0.531,P<0.01）,临床归属感在厌恶情绪与职业认同之间起部分中介作用,中介效应占总效应的43.07%,中介效应的95%CI为-0.328~-0.160。结论护理教育者和管理者应对护理实习生厌恶情绪进行干预,加强培养临床归属感,进而提升其职业认同感,推动护理行业发展。

关键词: 厌恶情绪, 临床归属感, 职业认同, 中介效应

Abstract: Objective To understand the current status of nursing students' aversion,clinical belongingness,and professional identity,and explore the mediating effect of clinical belonging between aversion and professional identity of nursing students. Methods Convenience sampling method was used to select 282 nursing students from three institutions of higher learning in Guangxi Zhuang Autonomous Region from December 2023 to February 2024 as the study subjects. The general information questionnaire,Chinese version of aversion scale,clinical sense of belonging scale,and nurses' professional identity scale were used to conduct the survey,and the data were analyzed. Results Totally 282 nursing students' aversion,clinical belongingness,and professional identity scores was （46.02±10.82）,（90.00±16.40） and （86.06±15.06）points,respectively. The nursing students' aversion was negatively correlated with clinical belongingness and professional identity（r=-0.455,-0.441,both P<0.01）,while clinical belongingness was positively correlated with professional identity（r=0.531,P<0.01）. Clinical sense of belonging partially mediated the relationship between aversion and professional identity,with a mediation effect accounting for 43.07% of the total effect and a 95%CI of -0.328 to -0.160. Conclusion Nursing educators and administrators should intervene in the aversion of nursing students to strengthen the cultivation of clinical belongingness,which in turn enhances their professional identity and promotes the development of the nursing industry.

Key words: Aversion, Clinical belongingness, professional identity, Mediating effects

崔秋月, 桂雨欣, 钟盈, 马帅, 葛圆. 临床归属感在护理实习生厌恶情绪和职业认同间的中介效应. [J]职业与健康, 2025, 41(11): 1526-1530.

CUI Qiuyue, GUI Yuxin, ZHONG Ying, MA Shuai, GE Yuan. Mediating effect of clinical belongingness on aversion and professional identity among nursing students. [J]OCCUPATION AND HEALTH, 2025, 41(11): 1526-1530.

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