职业与健康 ›› 2026, Vol. 42 ›› Issue (2): 226-231.

• 论著 • 上一篇    下一篇

实习护生自我领导力和学业自我效能在职业认同与自主学习准备度间的链式中介作用

程婧婧1, 吴丹1(), 王文2, 李路平1   

  1. 1.安徽医科大学护理学院,安徽 合肥 230032
    2.安徽医学高等专科学校,安徽 合肥 230601
  • 收稿日期:2025-04-12 修回日期:2025-05-07 出版日期:2026-01-15 发布日期:2026-02-06
  • 通信作者: 吴丹,E-mail:wudan1963@126.com
  • 作者简介:程婧婧,女,在读硕士研究生,研究方向为护理教育。
  • 基金资助:
    安徽省教育厅科学研究资助项目(YJS20210314)

Chain mediating effects of self-leadership and academic self-efficacy among nursing students on professional identity and self-directed learning readiness

CHENG Jingjing1, WU Dan1(), WANG Wen2, LI Luping1   

  1. 1. Nursing College,Anhui Medical University,Hefei,Anhui 230032,China
    2. Anhui Institute of Medicine,Hefei,Anhui 230601,China
  • Received:2025-04-12 Revised:2025-05-07 Online:2026-01-15 Published:2026-02-06

摘要:

目的 研究实习护生自我领导力和学业自我效能在职业认同与自主学习准备度间的链式中介作用,为实施提升实习护生自主学习准备度干预策略提供依据。 方法 2023年3—10月,采用便利抽样法选取安徽省6家三级甲等医院不同学历的实习护生,并使用一般资料调查表、职业认同量表、自我领导力量表、学业自我效能量表、自主学习准备度量表进行问卷调查。 结果 951名实习护生职业认同得分为(53.90±6.15)分,自我领导力得分为(120.16±18.89)分,学业自我效能得分为(76.74±10.57)分,自主学习准备度得分为(145.32±16.42)分。实习护生职业认同、自我领导力、学业自我效能与自主学习准备度均呈正相关(均P<0.01),职业认同直接影响自主学习准备度,直接效应值为0.112(95%CI:0.076~0.180);职业认同通过自我领导力影响自主学习准备度,中介效应值为0.144(95%CI:0.122~0.208);职业认同以学业自我效能为中介影响自主学习准备度,中介效应值为0.023(95%CI:0.009~0.045);实习护生自我领导力和学业自我效能在职业认同与自主学习准备度间的链式中介值为0.088(95%CI:0.069~0.134)。 结论 实习护生自主学习准备度不仅受到职业认同感直接影响,还受自我领导力和学业自我效能的链式中介作用间接影响。护理教育者应重视对实习护生职业认同、自我领导力的培养,提升其学业自我效能,改善自主学习准备度。

关键词: 实习护生, 职业认同, 自我领导力, 学业自我效能, 自主学习准备度, 链式中介

Abstract:

Objective To investigate the chain mediating effects of self-leadership and academic self-efficacy between professional identity and self-directed learning readiness among nursing students,so as to provide a basis for the implementation of intervention strategies to improve self-directed learning readiness of nursing students. Methods From March to October 2023,a convenience sampling method was used to select nursing students with different educational backgrounds from six grade-A tertiary hospitals in Anhui Province. A questionnaire survey was conducted using a general information questionnaire,a professional identity scale,a self-leadership scale,an academic self-efficacy scale,and a self-directed learning readiness scale. Results The professional identity score of 951 nursing students was (53.90±6.15)points,the self-leadership score was (120.16±18.89)points,the academic self-efficacy score was (76.74±10.57)points,and the self-directed learning readiness score was (145.32±16.42)points. Professional identity,self-leadership and academic self-efficacy were all positively correlated with self-directed learning readiness(all P<0.01).Professional identity directly affected self-directed learning readiness,with a direct effect value of 0.112(95%CI:0.076-0.180). Professional identity affected self-directed learning readiness through self-leadership,with a mediating effect value of 0.144(95%CI:0.122-0.208). Professional identity affected self-directed learning readiness through academic self-efficacy,with a mediating effect value of 0.023(95%CI:0.009-0.045). The chain mediation value of self-leadership and academic self-efficacy of nursing students between professional identity and self-directed learning readiness was 0.088(95%CI:0.069-0.134). Conclusion The self-directed learning readiness of nursing students is not only directly affected by their professional identity,but also indirectly affects the self-directed learning readiness through the chain mediation effect of self-leadership and academic self-efficacy.Nursing educators should attach importance to cultivating the professional identity and self-leadership of nursing students,improving their academic self-efficacy,and improving their readiness for self-directed learning.

Key words: Nursing students, Professional identity, Self-leadership, Academic self-efficacy, Self-directed learning readiness, Chain mediation

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