关键词: 心胸外科, 护士, 职业妥协, 职业发展观, 包容型领导, 影响因素

Abstract: Objective To investigate the current situation of career compromise of cardiothoracic surgery nurses in Sichuan Province,and analyze its influencing factors,in order to provide theoretical basis for formulating targeted intervention strategies. Methods From March to April 2024,purposive sampling was used to select nurses from the cardiothoracic surgery departments of 14 tertiary comprehensive hospitals in Sichuan Province as the research subjects. General information questionnaire,career compromise scale,career outlook scale,and inclusive leadership scale were used for the survey,and the data were analyzed. Results The professional compromise score of 398 cardiothoracic surgery nurses in Sichuan general hospital was （45.72±6.61）points, the inclusive leadership score was （30.21±6.58）points,and the professional development score was （121.00±18.08）points. The results of univariate analysis showed that there were statistically significant differences in career compromise scores among cardiothoracic nurses of different genders,ages,educational backgrounds,professional titles,monthly income,whether they had clear career plans,and whether they were willing to engage in cardiothoracic nursing work（all P<0.05）. The correlation analysis results showed that inclusive leadership of nurses in cardiothoracic surgery was positively correlated with occupational development concept,and negatively correlated with occupational compromise, the career development concept was negatively correlated with career compromise（all P<0.05）. The results of the multivariate analysis showed that whether there was a clear career plan,age,gender,willingness to engage in cardiothoracic nursing working,occupational development outlook and inclusive leadership entered the regression equation,which could explain 78.0% of the total variation（all P<0.05）. Conclusion The occupational compromise of cardiothoracic surgery in Sichuan Province is above the medium level. Nurses who lack clear career planning,are older,more male,less willing to engage in cardiothoracic nursing work,have lower scores in career development concepts,and have lower scores in inclusive leadership tend to have more severe professional compromise. Managers should adopt targeted intervention strategies to enhance nurses' occupational development concept and inclusive leadership perception,thereby reducing their level of professional compromise and enabling them to better engage in their work.

Key words: Cardiothoracic surgery, Nurse, Career compromise, Occupational development concept, Inclusive leadership, Influencing factor