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新冠疫情期间的职业认同:一项中国护士的横断面调查

Professional Identity During the COVID-19 Pandemic: A Cross-Sectional Survey of Nurses in China.

机构信息

Feifei Zhang is a PhD candidate, West China School of Nursing/West China Hospital, Sichuan University, Chengdu, Sichuan Province, China, and a lecturer, School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang Province, China.

Qiantao Zuo is MSN candidate, West China School of Nursing/West China Hospital, Sichuan University.

出版信息

Am J Crit Care. 2021 May 1;30(3):203-211. doi: 10.4037/ajcc2021245.

Abstract

BACKGROUND

Emergency and intensive care unit nurses are the main workforce fighting against COVID-19. Their professional identity may affect whether they can actively participate and be competent in care tasks during the pandemic.

OBJECTIVE

To examine the level of and changes in professional identity of Chinese emergency and intensive care unit nurses as the COVID-19 pandemic builds.

METHODS

A cross-sectional survey composed of the Professional Identity Scale for Nurses plus 2 open-ended questions was administered to Chinese emergency and intensive care unit nurses through an online questionnaire.

RESULTS

Emergency and intensive care unit nurses had a medium level of professional identity. Participants' total and item mean scores in 5 professional identity dimensions were higher than the professional identity norm established by Liu (P < .001). The greatest mean item score difference was in the dimension of professional identity evaluation (3.57 vs 2.88, P < .001). When asked about their feelings witnessing the COVID-19 situation and their feelings about participating in frontline work, 68.9% and 83.9%, respectively, reported positive changes in their professional identity.

CONCLUSIONS

The professional identity of emergency and intensive care unit nurses greatly improved during the early stages of the COVID-19 pandemic. This finding may be attributed to more public attention and recognition of nurses' value, nurses' professional fulfillment, and nurses' feelings of being supported, motivated, respected, and valued.

摘要

背景

急诊和重症监护病房护士是抗击 COVID-19 的主要力量。他们的职业认同可能会影响他们在大流行期间是否能够积极参与并胜任护理任务。

目的

调查 COVID-19 疫情期间中国急诊和重症监护病房护士职业认同的水平和变化。

方法

通过在线问卷对中国急诊和重症监护病房护士进行了横断面调查,调查内容包括护士职业认同量表和 2 个开放式问题。

结果

急诊和重症监护病房护士的职业认同感处于中等水平。参与者在 5 个职业认同维度的总分和项目平均分均高于刘(Liu)建立的职业认同常模(P<0.001)。职业认同评价维度的平均分差值最大(3.57 比 2.88,P<0.001)。在回答他们对目睹 COVID-19 情况的感受和对参与一线工作的感受时,分别有 68.9%和 83.9%报告说他们的职业认同感有积极的变化。

结论

在 COVID-19 大流行早期,急诊和重症监护病房护士的职业认同感有了很大的提高。这一发现可能归因于公众对护士价值的更多关注和认可、护士的职业成就感,以及护士感受到的支持、激励、尊重和重视。

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