护士专业自我概念与工作应激源的关系及其影响因素
Influencing factors of professional self-concept in nurses and its relationship with work stressors
投稿时间:2024-04-19  修订日期:2025-01-14
DOI:
中文关键词:  工作应激源  专业自我概念  护士
英文关键词:Nurse Stressors  Professional Self-Concept  Nurses
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作者单位地址
陈吉* 绵阳市中医医院成都中医药大学附属绵阳医院 绵阳市涪城区涪城路14号
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中文摘要:
      背景 护士的专业自我概念是护士个人成长发展和职业规划的重要指标,既往研究表明,实习护生在实习期间的压力源可能会导致其专业自我概念水平下降,但护生与临床护士在社会角色上存在差别,护士专业自我概念和工作应激源之间的关系及其影响因素需要进一步探讨。目的 探讨护士工作应激源与专业自我概念的关系,以期为临床护士专业自我概念水平的提高提供参考。方法 于2022年12月—2023年2月,采用分层随机抽样法选取绵阳市中医医院238名在职护士作为研究对象。采用中文版护士工作应激源量表(CNSS)和中文版护理专业自我概念量表(PSCNI)进行评定。采用Pearson相关分析考查CNSS评分与中文版PSCNI评分的相关性。采用多元线性回归分析探讨护士专业自我概念的影响因素。结果 不同婚姻状况的护士中文版PSCNI总评分比较,差异有统计学意义(F=8.947,P<0.05),有应急医疗救援经历的护士中文版PSCNI总评分高于无应急医疗救援经历者(t=2.208,P<0.05),最近一年体检有异常的护士中文版PSCNI总评分低于体检无异常者(t=-2.584,P<0.05)。相关分析结果显示,护士CNSS总评分和各分量表评分与中文版PSCNI总评分均呈负相关(r=-0.169、-0.198、-0.193、-0.275、-0.229、-0.237、-0.222,P均<0.01)。多元线性回归分析结果表明,与护士期望相关的应激源、婚姻状况和应急医疗救援经历可能是护士专业自我概念的影响因素(β=-0.350、0.345、0.183,P均<0.01)。结论 护士工作应激源与专业自我概念呈负相关,与护士期望相关的应激源水平过高可能导致护士专业自我概念水平下降,已婚和具有应急医疗救援经历的护士专业自我概念水平可能更高。
英文摘要:
      Background The professional self-concept of nurses is a crucial indicator for their personal growth, development, and career planning. Previous studies have shown that stress sources during the internship period may lead to a decrease in the level of professional self-concept among nursing students. However, there are differences in social roles between nursing students and clinical nurses. Influencing factors of professional self-concept in nurses and its relationship with work stressors requires further exploration. Objective To explore the relationship between work stressors and professional self-concept among nurses, so as to provide references for improving the level of professional self-concept of clinical nurses. Methods From December 2022 to February 2023, a stratified random sampling method was employed to select 238 in-service nurses from Mianyang Hospital of Traditional Chinese Medicine as the study subjects. Chinese Nurse’ Stressor Scale (CNSS) and Chinese version of Professional Self-concept of Nurses Instrument (PSCNI) were used for assessment. Pearson correlation analysis was conducted to examine the correlation between CNSS scores and Chinese version of PSCNI scores. Multiple linear regression analysis was utilized to explore the factors influencing the professional self-concept of nurses. Results A statistically significant difference was observed in the total score of the Chinese version of PSCNI among nurses with different marital statuses (F=8.947, 5.183, P<0.05). The total PSCNI scores for nurses with experience in emergency medical assistance were significantly higher than those without such experience (t=2.208, P<0.05). And nurses who had abnormal results in their health check-ups within the past year had lower total PSCNI scores compared to those with normal check-up results (t=-2.584, P<0.05). Correlation analysis results showed that the total score and subscale scores of CNSS were negatively correlated with the total score of Chinese version of PSCNI (r=-0.169, -0.198, -0.193, -0.275, -0.229, -0.237, -0.222, P<0.01). The results of multiple linear regression analysis indicated that stressors related to nurses' expectations, marital status and emergency medical assistance experience might be influencing factors of their professional self-concept(β=-0.350、0.345、0.183,P<0.01). Conclusion Nurses' job stressors are negatively correlated with their professional self-concept. High levels of stressors related to nurses' expectations may lead to a decrease in nurses’ professional self-concept levels. Married nurses and those with frontline anti-epidemic work experience may have higher levels of professional self-concept.
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