Wu Xiaona, Lu Yingzi, Zhang Qishan, Wang Huiyuan, Sun Xiaoming, Han Hui, Ye Zengjie
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.
School of Marine Finance and Economics, Qingdao Engineering Vocational College, Qingdao, People's Republic of China.
Psychol Res Behav Manag. 2022 Aug 30;15:2409-2420. doi: 10.2147/PRBM.S378088. eCollection 2022.
Sense of coherence is significant to mental health and professional development in nursing students. However, the association among stress/resource complex, sense of coherence, and professional identity is less explored in nursing students. This study was designed to identify latent subtypes of stress/resource complex and to evaluate the mediating role of sense of coherence between stress/resource complex types and professional identity in nursing students.
A total of 595 nursing students were recruited from Be Resilient to Nursing Career (BRNC) between October and December 2021 and administered with 10-item Connor-Davidson Resilience Scale, General Self-efficacy Scale, 10-item Chinese Perceived Stress Scale, 13-item Sense of Coherence Scale, and Professional Identity Questionnaire for Undergraduate Students. Latent profile analysis and mediation analysis were performed.
Three latent subtypes of stress/resource complex were identified: Flexibility (14.8%), Ordinary (44.2%), and Maladjustment (41.0%). Nursing students with role model were prone to Ordinary (OR = 1.48, 95% CI 1.03-2.13, p = 0.035) and Flexibility (OR = 1.92, 95% CI 1.17-3.16, p = 0.011). The association between stress/resource complex types and professional identity was mediated by sense of coherence (P < 0.05).
There exists heterogeneity in nursing students' stress/resource complex. The association between stress/resource complex subtypes and professional identity was mediated by sense of coherence.
连贯感对护理专业学生的心理健康和职业发展具有重要意义。然而，压力/资源复合体、连贯感和职业认同之间的关联在护理专业学生中较少被探讨。本研究旨在识别压力/资源复合体的潜在亚型，并评估连贯感在护理专业学生压力/资源复合体类型与职业认同之间的中介作用。
2021年10月至12月期间，从“适应护理职业生涯”（BRNC）项目中招募了595名护理专业学生，并对他们进行了10项Connor-Davidson韧性量表、一般自我效能感量表、10项中文版感知压力量表、13项连贯感量表和本科学生职业认同问卷的测试。进行了潜在剖面分析和中介分析。
识别出压力/资源复合体的三种潜在亚型：灵活性型（14.8%）、普通型（44.2%）和适应不良型（41.0%）。有榜样的护理专业学生更倾向于普通型（OR = 1.48，95% CI 1.03 - 2.13，p = 0.035）和灵活性型（OR = 1.92，95% CI 1.17 - 3.16，p = 0.011）。连贯感介导了压力/资源复合体类型与职业认同之间的关联（P < 0.05）。
护理专业学生的压力/资源复合体存在异质性。压力/资源复合体亚型与职业认同之间的关联由连贯感介导。
