护士职业认同在中医医院临床护士护理工作环境与职业生涯成功的中介效应

摘要/Abstract

摘要： 目的探讨护士职业认同在中医医院临床护士护理工作环境与职业生涯成功的中介效应。方法 2023年11月,采用便利抽样法,选择宜宾市272名中医医院临床护士为调查对象,采用一般资料表、护理工作环境量表、护士职业认同量表、护士职业生涯成功感量表展开现状调查,并对数据进行分析。结果 272名中医医院临床护士护理工作环境得分为（121.47±23.41）分,护士职业认同感得分为（121.94±21.43）分,职业生涯成功感得分为（40.01±9.18）分;单因素分析中,不同学历、婚姻状态、职务、工资、合同类型、职称的临床护士护理工作环境、护士职业认同、职业生涯成功感得分比较,差异均有统计学意义（均P<0.05）;护理工作环境、护士职业认同均与职业生涯成功感间存在正相关（r=0.711、0.589,均P<0.01）;护理工作环境对中医医院护士职业生涯成功感有直接正向预测作用（β=0.74,P<0.05）,护士职业认同对护士职业生涯成功感有部分中介作用（β=0.226,P<0.05）,中介效应占比为26.81%。结论护理管理者应积极构建良好的护理工作环境,提升护士对自我职业价值的认同感,从而激发护士职业生涯成功感。

关键词: 护理工作环境, 职业认同, 职业生涯成功, 中介效应, 现状调查

Abstract: Objective To explore the mediating effect of professional identity in the nursing work environment and career success of clinical nurses in traditional Chinese medicine hospitals. Methods In November 2023,using the convenience sampling method,272 clinical nurses in traditional Chinese medicine hospitals of Yibin City were selected as the research subjects. A status quo survey was conducted using the general information form,the nursing work environment scale,the nurses' occupational identity scale,and the nurses' sense of career success scale,and the data were analyzed. Results The scores of nursing work environment,nurses' occupational identity and career success of 272 clinical nurses in traditional Chinese medicine hospitals were （121.47±23.41）,（121.94±21.43） and （40.01±9.18）points,respectively. In the univariate analysis,the differences in the scores of nursing work environment,nurses' professional identity,and career success were statistically significant among clinical nurses of different academic degrees,marital statuses,job titles,salaries,contract types,and professional titles（all P<0.05）. The nursing work environment and nurses' professional identity were positively correlated with career success（r=0.711,0.589,both P<0.01）. The nursing work environment had a direct positive predictive effect on career success of nurses in traditional Chinese medicine hospitals（β=0.74,P<0.05）,and nurses' professional identity had a partially mediating effect on nurses' career success（β=0.226,P<0.05）,which the mediating effect accounted for 26.81%. Conclusion The nursing managers should actively build a good nursing work environment to enhance nurses' identification with their own professional values,thus stimulating nurses' sense of career success.

Key words: Nursing work environment, Professional identity, Career success, Mediation effect, Status quo survey

中图分类号:

R192.6

侯丹, 何艳灵, 兰静. 护士职业认同在中医医院临床护士护理工作环境与职业生涯成功的中介效应. [J]职业与健康, 2025, 41(3): 351-355.

HOU Dan, HE Yanling, LAN Jing. Mediating effect of professional identity in nursing work environment and career success of clinical nurses in traditional Chinese medicine hospitals. [J]OCCUPATION AND HEALTH, 2025, 41(3): 351-355.

参考文献

[1] 王蕾,王小霞,金晓玲,等.四川省6所三级甲等医院心内科护士结构性授权、创新行为、自我效能感与职业生涯成功的关系分析[J].职业与健康,2023,39(14):1929-1934.
[2] 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.
[3] 丁茱萸,庄一渝,张佳佳,等.浙江省三级综合医院ICU健康工作环境评估量表常模的构建[J].中华急危重症护理杂志,2023,4(11):993-999.
[4] 郑卫军,何凡.现况调查的样本量计算方法[J].预防医学,2020,32(6):647-648.
[5] 李泽楷,尤黎明,SALLY W C,等.中文版职业生涯成功量表在三级甲等医院医护人员测量中的信效度研究[J].中华护理杂志,2013,48(9):828-830.
[6] 叶志弘,邵静,汤磊雯.护理工作环境量表的研制及信效度研究[J].中华护理杂志,2016,51(2):142-147.
[7] 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.
[8] 梅爱英,李秋萍,韩斌如.护理工作环境对护理缺失影响的研究[J].中国护理管理,2022,22(12):1804-1809.
[9] 李源,陈雨朦,周宗蓉,等.护理工作环境对临床护士工作满意度影响的多水平模型分析[J].护理管理杂志,2023,23(1):1-6.
[10] 郭笑然,王海燕,杜秋明,等.三甲医院合同制护士护理工作环境与离职意愿现状及其相关性[J].广西医学,2020,42(18):2471-2475.
[11] 何会芹,龚晓玲,杜陈英,等.绵阳市746名三级甲等医院护士群体职业认同调查[J].职业与健康,2020,36(22):3090-3094,3099.
[12] 杨翠翠,刘汝梅,杨妮,等.安宁疗护护士职业成功感及影响因素调查分析[J].护理学杂志,2023,38(4):62-65.
[13] 苏丹,张晓乐.武汉市某三级甲等医院三院区儿科护士职业认同与工作环境的现状及相关性[J].职业与健康,2021,37(7):936-938,942.
[14] 吴妍平,徐仁华,王云文,等.老年专科护士职业生涯成功感现状及相关因素分析[J].中国护理管理,2021,21(7):1079-1083.
[15] 祝学梅. 第二受害者经历与支持、心理资本、职业成功对手术室护士职业认同的影响研究[D].济南:山东大学,2024.
[16] WU C,FU M M,CHENG S Z,et al.Career identity and career success among Chinese male nurses:The mediating role of work engagement[J].J Nurs Manag,2022,30(7):3350-3359.
[17] ZHANG Y,AN Y,WANG L,et al.Psychosocial factors associated with career success among nurses:A latent profile analysis[J].J Adv Nurs,2023,79(2):652-663.
[18] BOURGAULT A M,VOSS J G,STANFILL A G,et al.Strategies to enhance the success of mid-career nurse scientists[J].Nurs Outlook,2022,70(1):127-136.
[19] SONMEZ B,GUL D,İSPIR DEMIR Ö,et al.Antecedents and Outcomes of Nurses' Subjective Career Success:A Path Analysis[J].J Nurs Scholarsh,2021,53(5):604-614.
[20] WU C,ZHANG L Y,ZHANG X Y,et al.Factors influencing career success of clinical nurses in northwestern China based on Kaleidoscope Career Model:Structural equation model[J].J Nurs Manag,2022, 30(2):428-438.
[21] XU H,CAO X,JIN Q X,et al.The impact of the second victim's experience and support on the career success of psychiatric nurses:The mediating effect of psychological resilience[J].J Nurs Manag,2022, 30(6):1559-1569.
[22] LI W,HONGGUI W,HONG P,et al.Factors that affect career success of nurses who practice in assisted reproductive technology[J].Rev Lat Am Enfermagem,2023,31:e3926.