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注册前护士的污名化和自决:路径分析。

Stigmatization and self-determination of preregistration nurses: A path analysis.

机构信息

School of Education, University of Wollongong, Wollongong, New South Wales, Australia.

School of Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.

出版信息

Int J Ment Health Nurs. 2018 Feb;27(1):422-428. doi: 10.1111/inm.12336. Epub 2017 Apr 20.

Abstract

The concept of stigma and the stigmatizing behaviours of health-care professionals can have a profound influence on people with mental illness. A key construct that has been identified as influencing our behaviours is self-determination. As such, in the present study, we attempted to examine the connection and influence of motivational measures on the stigmatization of preregistration nurses. Data were collected once using three surveys that measured the motivational responses and stigmatizing behaviours of preregistration nurses after an approved mental health clinical placement. Using a path analysis, the results indicated that psychological needs significantly influenced preregistration nurses' self-determination towards work. In addition, self-determination was a significant influence on the stigmatization behaviours of preregistration nurses. The results of the present study provide initial empirical evidence that supports the importance of professional self-determination and the potential connection of quality care, as illustrated with the low stigmatizing behaviours of preregistration nurses who are more self-determined towards their work/career. Because of the significant results of the present study, it is recommended that future research is needed that uses self-determination theory as a lens to understand the application and importance within the field of nurse education.

摘要

污名化概念和医疗保健专业人员的污名化行为会对精神病患者产生深远影响。一个被确定为影响我们行为的关键结构是自我决定。因此,在本研究中,我们试图检验动机措施对预备注册护士污名化的联系和影响。我们使用三种调查一次性收集数据,这些调查在经过批准的心理健康临床实习后测量了预备注册护士的动机反应和污名化行为。通过路径分析,结果表明心理需求对预备注册护士的工作自主性有显著影响。此外,自主性对预备注册护士的污名化行为有显著影响。本研究的结果提供了初步的实证证据,支持专业自主性的重要性以及高质量护理的潜在联系,这表现在更自主的预备注册护士对工作/职业的污名化行为较低。由于本研究的重要结果,建议未来的研究需要使用自我决定理论作为一个视角来理解该理论在护士教育领域的应用和重要性。

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