Mediating effect of career decision making on bullying behavior and career exploration among nursing students in grade-A tertiary hospitals

Abstract

Abstract: Objective To investigate the correlation between bullying behavior,career decision making and career exploration among nursing interns in grade-A tertiary hospitals in Jinzhou City,and to explore the mediating effect of career decision making between bullying behavior and career exploration,so as to provide a basis for nursing educators and managers to adopt targeted strategies and improve the career exploration level of nursing students. Methods A total of 318 nursing students who interned at 2 grade-A tertiary hospitals in Jinzhou City from June 2022 to March 2023 were selected by convenience sampling method. The Chinese version bullying behavior scale,career exploration questionnaire and career decision questionnaire were used to investigate the nursing students,and the data were analyzed. Results The total score of bullying behavior[M（P₂₅,P₇₅）] was 16.00（10.00,22.25）points,the total score of career decision making was （32.50±6.57）points,and the total score of career exploration was （57.98±11.10）points. Career exploration was positively correlated with career decision making（P<0.01）,and negatively correlated with bullying（P<0.01）. The Bootstrap test results showed that the mediating effect of career decision makingbetween bullying behavior and career exploration among intern nursing students in grade-A tertiary hospitals was -0.152（95%CI=-0.208--0.099）,accounting for 59.6% of the total effect. Conclusion There is a pairwise correlation between bullying behavior,career decision making and career exploration in two grade-A tertiary hospitals in Jinzhou City,and career decision making plays a negative mediating role between bullying behavior and career exploration. Nursing educators and managers should pay attention to the practice environment of nursing students,take effective measures to reduce the occurrence of bullying behavior,improve their career determination,and promote an increase of the frequency of career exploration.

Key words: Bullying behavior, Career determination, Career exploration, Mediating effect, Intern nursing students

CLC Number:

R181.3⁺1

ZHANG Jian, WU Chunyan, LI Hongyu. Mediating effect of career decision making on bullying behavior and career exploration among nursing students in grade-A tertiary hospitals. [J]OCCUPATION AND HEALTH, 2024, 40(12): 1673-1677.

References

[1] ZHANG Y P,HUANG X,XU S Y,et al.Can a one-on-one mentorship program reduce the turnover rate of new graduate nurses in China? A longitudinal study[J].Nurse Educ Pract,2019,40:102616.
[2] 陈中兰. 舒伯生涯发展理论视角下中职学生职业生涯规划现状及对策研究[D].天津:天津职业技术师范大学,2020.
[3] LIU X J,SUN X J,HAO Q.Influence of discrimination perception on career exploration of higher vocational students:Chain mediating effect test[J].Front Psychol,2022,13:968032.
[4] 陈晓妹,靳梅媚,刘志新.高职护生职业探索现状及影响因素研究[J].当代护士,2021,28(6):27-29.
[5] JOHNSON S L.An ecological model of workplace bullying:a guide for intervention and research[J].Nurs Forum,2011,46(2):55-63.
[6] KARATUNA I,JÖNSSON S,MUHONEN T.Workplace bullying in the nursing profession:A cross-cultural scoping review[J].Int J Nurs Stud,2020,111:103628.
[7] 侯铭,刘泳秀,余莉,等.实习护生工作场所欺凌现状及其影响因素[J].护理学杂志,2020,35(2):81-84.
[8] 张军成,黄颖洁,张淑莹,等.大学生职业决断力的测量问卷与个体差异[J].心理技术与应用,2019,7(10):629-640.
[9] 庄建锋. 就业压力对大学生职业探索的影响:职业决断力的中介作用[J].经济师,2022(2):253-255.
[10] 倪延延,张晋昕.假设检验时样本含量估计中容许误差δ的合理选取[J].循证医学,2011,11(6):370-372.
[11] CERIT K,TüRKMEN KESKIN S,EKICI D.Development of instrument of bullying behaviors in nursing education based on structured equation modeling[J].Asian Nurs Res(Korean Soc Nurs Sci),2018,12(4):245-250.
[12] 王方园,王萌,刘彬,等.护理教育欺凌行为量表的汉化及信效度检验[J].护理学杂志,2021,36(2):58-61.
[13] STUMPF S A,COLARELLI S M,HARTMAN K.Development of the career exploration survey(CES)[J].J Vocat Behav,1983,22(2):191-226.
[14] 许存. 职业决策自我效能及其与焦虑、职业探索的关系研究[D].武汉:华中师范大学,2008.
[15] 潘思恩,杨振,张会君.心理资本在男护士工作压力源和职业生涯成功间的中介作用[J].职业与健康,2021,37(19):2670-2674.
[16] 季小燕. 大学生职业生涯的职业兴趣探索[J].现代职业教育,2021(36):142-143.
[17] 金松仙. 本科护生自我同一性、职业探索与职业成熟度的相关性研究[D].延吉:延边大学,2021.
[18] 徐超强,刘艳平,李红玉.职业认同感在护理实习生职业成熟度和工作场所暴力管理能力间的中介作用[J].全科护理,2022,20(13):1739-1743.
[19] 陈赢. 遭受职场暴力急诊护士反刍性沉思水平与创伤后成长状况及其相关性分析[J].护士进修杂志,2021,36(2):150-153.
[20] 桂先锋,谢员,许倩,等.歧视知觉对乙肝病毒携带者职业满意度的影响:工作决断力的中介作用和社会支持的调节作用[J].中国临床心理学杂志,2020,28(4):803-808.
[21] 罗婷婷,陆俊潇.就业感知能力在大学生心理韧性与职业决策自我效能感的中介作用[J].校园心理,2022,20(4):286-291.
[22] 梁百慧,林静,张洁,等.中高职护生职业环境认知调查分析[J].全科护理,2019,17(23):2921-2923.
[23] JOHNSON S L.Workplace bullying,biased behaviours and performance review in the nursing profession:A qualitative study[J].J Clin Nurs,2019,28(9-10):1528-1537.
[24] MA S Z,XIE W F,RAMALHO N J C.Impact of bullying on occupational commitment in young nursing professionals:the mediating role of emotional labour and emotional exhaustion[J].Contemp Nurse,2021, 57(1-2):13-27.