Mediating role of active coping between social support and turnover intention among nursing students at two traditional Chinese medicine hospitals of Xi'an City

Abstract

Abstract: Objective To explore the mediating effect of positive coping styles between social support and turnover intentions of nursing students using structural equation modeling. Methods From February to March 2022,a questionnaire survey was conducted among 203 nursing students at two traditional Chinese medicine hospitals of Xi'an City by the general information questionnaire,the turnover intention questionnaire,the social support rating scale,and the simple coping style questionnaire,and the data were analyzed. Results The score of turnover intention,social support and active coping among nursing students in traditional Chinese medicine hospitals was （14.79±2.10）,（33.42±6.24） and （20.57±6.16）points,respectively. The social support and active coping were negatively correlated with turnover intention,and the social support was positively correlated with positive coping（all P<0.01）. The positive coping partially mediated the relationship between social support and turnover intention. Conclusion The nursing managers and educators should take effective measures to improve nursing students' coping style when facing clinical problems in the studentship stage,improve their social support level,and reduce their turnover intention,so as to stabilize the nursing team and cultivate high-quality reserve talents.

Key words: Nursing students, Social support, Positive coping, Turnover intention, Mediating role

CLC Number:

R181.3⁺1

HAN Hongna, YANG Haixia, YANG Ying, GAO Xueni, ZHANG Jia, CHENG Fan. Mediating role of active coping between social support and turnover intention among nursing students at two traditional Chinese medicine hospitals of Xi'an City. [J]OCCUPATION AND HEALTH, 2023, 39(13): 1822-1826.

References

[1] MAR M,BARTOSIEWICZ A,BURZYSKA J,et al.A nursing shortage-a prospect of global and local policies[J].Int Nurs Rev,2019,6(1):9-16.
[2] DRENNAN V M,ROSS F.Global nurse shortages-the facts,the impact and action for change[J].Br Med Bull,2019,30(1):25-37.
[3] PARRY J.Intention to leave the profession:Antecedents and role in nurse turnover[J].J Adv Nurs,2008,64(2):157-167.
[4] 曾晓凤,潘杰,楚鑫,等.成都市某三甲医院实习护生离职意愿调查[J].现代预防医学,2019,46(10):1917-1920.
[5] 彭晓玲,黄海珊.本科护生实习应激及其影响因素关系的模型构建[J].护理学报,2010,17(11):1-6.
[6] 刘民辉,吉彬彬,唐四元.实习护生职业倦怠水平及其与离职意愿相关性研究[J].护理研究,2012,26(35):3294-3295.
[7] 张秀婷,何登鑫,侯丹华,等.护理实习生专业自我概念的影响因素分析[J].中华护理教育,2019,16(11):851-855.
[8] 高改,嵇星辰,江淑琴,等.护理在读硕士研究生心理韧性、逆境商、职业认同现状及相关分析[J].职业与健康,2022,38(13):1847-1853.
[9] 张盼盼,梁芳芳,曲瑞杰,等.新冠肺炎流行期间护理本科实习生职业认同现状及其对突发公共卫生事件应急态度的影响[J].中国护理管理,2021,21(3):398-402.
[10] 谢念,蔡益民,赵雯雯.临床护理实习生的心理现状及影响因素分析[J].职业与健康,2021,37(9):1201-1205.
[11] 李敏,李恩亮,谢相宜.正念与心理弹性对医学准实习生压力-焦虑-抑郁的影响[J].职业与健康,2021,37(3):401-405.
[12] 缪金林,苏向妮,闫静,等.微视频联合情景模拟教学在手术室实习护生骨科手术体位摆放培训中的应用[J].中华现代护理杂志,2021, 27(35):4877-4881.
[13] 李悦,刘怡琳,杨小蕾,等.漫画视频教学在手术室护理实习生无菌技术培训中的应用[J].解放军护理杂志,2022,39(3):85-88.
[14] 吴明隆. 结构方程模型:AMOS的操作与应用[M].2版.重庆:重庆大学出版社,2017:31-33.
[15] MICHAELS C E,SPECTOR P E.Causes of employee turnover:A test of the mobley,riffeth,hand,and meglion model[J].J Appl Psychol,1982, 67(1):53-59.
[16] 李经远,李栋荣.矩阵式组织结构下角色冲突、组织承诺、离职意愿关联性研究—以工业技术研究院员工为例[J].中华管理学报,2003(1):21-44.
[17] 吴冬梅,全婷.实习前护生离职意愿与主观幸福感的相关性研究[J].护理研究,2012,26(4):305-307.
[18] CHEN H,LI G,LI M,et al.A cross-sectional study on nurse turnover intention and influencing factors in Jiangsu Province,China[J].Int J Nurs Sci,2018,5(4):396-402.
[19] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994(2):98-100.
[20] 解亚宁. 简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998(2):53-54.
[21] LIN Y,HU Z,DANAEE M,et al.The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students[J].Risk Manag Healthc Policy,2021,14:3605-3615.
[22] 何亚林,杜娟,周莉,等.本科实习护生的社会支持和成就动机在其自主学习准备度与问题解决能力间的中介作用[J].护理学报,2021, 28(8):50-55.
[23] 陈逸飞. 护生逆境商、积极应对与专业适应性的相关性[J].护理研究,2021,35(15):2802-2805.
[24] ROOK K S,DOOLEY D.Applying social support research:Theoretical problems and future directions[J].J Sport Soc Issues,1985,41(1): 5-28.
[25] LI R,TANG R,JIANG H,et al.The Influence of family function on occupational attitude of chinese nursing students in the probation period:The moderation effect of social support[J].J Korean Acad Nurs,2021,51(6):746-757.
[26] 蒲丹,倪菊华,吴立玲,等.应对方式通过学习倦怠影响学习成绩的探究[J].中国健康心理学杂志,2020,28(4):604-607.