职业安全态度在医学本科生实验室安全防护行为与职业自我效能间的中介效应

职业与健康 ›› 2025, Vol. 41 ›› Issue (21): 2986-2990.

职业安全态度在医学本科生实验室安全防护行为与职业自我效能间的中介效应

张铁玲^a, 何畔^b

天津中医药大学 a 护理学院, b 国有资产与实验室管理处,天津 301617

收稿日期:2025-01-19 修回日期:2025-02-24 发布日期:2025-12-15
通信作者: 何畔,实验师,E-mail：wskluf@163.com
作者简介:张铁玲,女,讲师,主要从事护理教育和实验教学管理工作。
基金资助:
天津市教委科研计划项目成果（2021SK139）

Mediating effect of occupational protection attitude between laboratory safety protection behavior and occupational self-efficacy of medical undergraduates

ZHANG Tieling^a, HE Pan^b

a School of Nursing,b Department of State-owned Assets and Laboratory Management,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China

Received:2025-01-19 Revised:2025-02-24 Published:2025-12-15
Contact: HE Pan,Experimentalist,E-mail：wskluf@163.com

摘要/Abstract

摘要： 目的了解医学本科生实验室安全防护行为、职业自我效能及职业安全态度现状,分析职业安全态度在职业自我效能与实验室安全防护行为间的中介效应。方法 2023年8—12月采用一般资料调查表、实验室安全防护行为、职业自我效能、职业安全态度量表对天津市2所医学高等院校1 073名医学本科生进行调查,并对数据进行分析。结果医学本科生实验室安全防护行为得分为（127.55±19.49）分,处于中上等水平;职业自我效能得分为（90.91±17.15）分;职业安全态度得分为（65.64±10.47）分。医学本科生实验室安全防护行为、职业自我效能、职业安全态度两两均呈正相关（均P<0.01）。医学本科生职业安全态度在职业自我效能与实验室安全防护行为间起部分中介效应,中介效应占总效应29.30%。结论医学本科生职业安全态度、职业自我效能是实验室安全防护行为的重要预测因子,且职业安全态度部分介导职业自我效能对实验室安全防护行为的作用效果,从理论到实践的早期实验室安全观念的建立和培养是提高医学生安全从医行为的必要手段。

关键词: 医学本科生, 实验室安全防护行为, 职业自我效能, 职业安全态度

Abstract: Objective To investigate the current situation of laboratory safety protection behavior,occupational self-efficacy and occupational protection attitude of medical undergraduates,explore the mediating effect of occupational protection attitude between occupational self-efficacy and laboratory safety protection behavior. Methods From August to December 2023,1 073 medical undergraduates of two medical universities in Tianjin were investigated by the general data questionnaire,laboratory safety protection behavior,occupational self-efficacy and occupational protection attitude scales,and the data were analyzed. Results The laboratory safety behavior score of medical students was (127.55±19.49)points,which was in the upper level. The scores of occupational self-efficacy and occupational protection attitude were (90.91±17.15) and (65.64±10.47)points,respectively. The laboratory safety protection behavior,occupational self-efficacy and occupational protection attitude of medical undergraduates were all correlated between each pair(all P<0.01). The occupational protective attitude of medical undergraduates had a partial mediating effect between occupational self-efficacy and laboratory safety protective behavior,and the mediating effect accounted for 29.30% of the total effect. Conclusion The occupational protection attitude and occupational self-efficacy of medical undergraduates are important predictors of laboratory safety protective behavior,and occupational protection attitude partly mediates the effect of occupational self-efficacy on laboratory safety protective behavior. The establishment and training of early laboratory safety concept from theory to practice is a necessary means to improve the safe medical behavior of medical students.

Key words: Medical undergraduates, Laboratory safety protection behavior, Occupational self-efficacy, Occupational protection attitude

中图分类号:

R181.3⁺1

张铁玲, 何畔. 职业安全态度在医学本科生实验室安全防护行为与职业自我效能间的中介效应. [J]职业与健康, 2025, 41(21): 2986-2990.

ZHANG Tieling, HE Pan. Mediating effect of occupational protection attitude between laboratory safety protection behavior and occupational self-efficacy of medical undergraduates. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2986-2990.

参考文献

[1] 余晓帆. 长春市消化内镜室护士职业防护知信行的现状调查与研究[D].吉林:吉林大学,2016.
[2] 徐美侠. 手术室护士职业暴露危害因素研究[J].中国社区医师,2019, 35(32):172-175.
[3] 袁治国,吴月玲,袁珲,等.检验医学专业实习期间职业暴露及防护调查[J].教育教学论坛,2017(26):106-108.
[4] 金丛兰. 医院急诊护士职业暴露的危险因素分析及防护措施[J].现代诊断与治疗,2019,30(15):2724-2726.
[5] 杨晓华,张明,马磊.我国临床医学生医院感染防控实践教育的现状、问题与对策分析[J].医学教育研究与实践践,2021,29(5):687-690.
[6] COOK T H,GILMER M J,BESS C J.Beginning students' definitions of nursing:An inductive framework of professional identity[J].J Nur Educ, 2003,42(7):311-317.
[7] 郑频频. 健康促进理论与实践[M].2版.上海:复旦大学出版社,2011:72-73.
[8] 郝玉芳. 提升护生职业认同、职业自我效能的自我教育模式研究[D].上海:第二军医大学,2011.
[9] 黄国贤,刘锦华,刘新霞,等.中文版职业安全态度量表编制及信、效度评价[J].中国公共卫生,2015,31(10):1317-1320.
[10] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学展,2014,22(5):731-745.
[11] 吴明隆. 结构方程模型:AMOS的操作与应用[M].重庆:重庆大学出版社,2010:108-110.
[12] 汪澄,张金龙,陈霞,等.护理实习生职业自我效能及其与大学社团经历的相关性[J].中国学校卫生,2020,41(9):1396-1398.
[13] 黄亚梅,郭建英,徐维国,等.临床护士安全防护态度在工作环境和职业幸福感间的中介效应[J].职业与健康,2022,38(19):2621-2630.
[14] 张平,向薇,武文佳,等.抗疫精神思政工作坊对高职护生职业认同、职业自我效能及应急态度的影响[J].护理学报,2023,30(1):28-32.
[15] 周莉莉,宋丽,马常兰,等.在校助产专业医学生职业防护知信行现状调查及对策分析[J].卫生职业教育,2019,37(23):129-130.
[16] 杨艳妮. 护理专业实习生职业暴露与职业安全防护研究[J].陇东学院学报,2018,27(5):133-138.
[17] SAVITZ-ROMER M,JAGER-HYMAN J,COLES A.Removing roadblocks to rigor:Linking academic and social supports to ensure college readiness and success[J].Teri,2009,10(2):168-181.
[18] NEISHABOURI M,AHMADI F,KAZEMNEJAD A.Iranian nursing students' perspectives on transition to professional identity:A qualitative study[J].Int Nurs Rev,2017,64(3):428-436.
[19] 吴秀丽,倪娟,李淳丽,等.低年资护士血源性职业暴露防护依从性现状及影响因素[J].华南预防医学,2022,48(3):397-402.
[20] 陈月芬,陈丽洁,管丽蓉,等.护理专案在改善护理人员血源性职业暴露防护效果中的应用[J].全科护理,2019,17(29):3686-3687.
[21] 仵晓荣,杜媛媛,刘红梅,等.外科实习护生锐器伤职业暴露认知现状及影响因素分析[J].护理实践与研究,2022,19(18):2713-2716.