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临床能力在新毕业护士的坚毅与职业适应关系中的中介作用的探索性研究

An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses.

作者信息

Shin Eunhee

机构信息

Department of Nursing Science, Sangji University, Wonju-si, Korea.

出版信息

SAGE Open Nurs. 2022 Oct 9;8:23779608221127979. doi: 10.1177/23779608221127979. eCollection 2022 Jan-Dec.

DOI:10.1177/23779608221127979
PMID:36238940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9551341/
Abstract

INTRODUCTION

Even under difficult situations, individuals with psychological resources such as positive psychological capital and resilience are less likely to consider turnover. Grit is a psychological factor that predicts success at work in other industries, but little is known about its impact on newly graduated nurses.

OBJECTIVES

The study's purpose is to investigate newly graduated nurses' grit, clinical competence, and field adaptation as well as the mediating effect of clinical competence in the relationship between grit and field adaptation.

METHODS

A total of 102 nurses from university hospitals located in W city took part in this investigation. Data were collected using a self-questionnaire and were analyzed using descriptive statistics, Pearson's correlation coefficient, multiple regression, and mediation analysis with the SPSS/26.0 program.

RESULTS

Grit was remarkably related to clinical competence (r = .53,  < .001) and field adaptation (r = .30,  = .003). Clinical competence was significantly related to field adaptation (r = .24  = .02). However, the role of clinical competence as a mediating factor in the relationship between grit and field adaptation was not found to be significant (β = .11,  = .32).

CONCLUSION

Grit boosted clinical competence and had a direct effect on field adaptation. In order for newly graduated nurses to retain a consistent level of enthusiasm in their work, it is necessary to develop a program or strategies to improve their grit.

摘要

引言

即使在困难的情况下,拥有积极心理资本和复原力等心理资源的个体也不太可能考虑离职。坚毅是一种心理因素,它能预测其他行业的工作成功,但人们对其对新毕业护士的影响知之甚少。

目的

本研究旨在调查新毕业护士坚毅、临床能力和职业适应情况,以及临床能力在坚毅与职业适应关系中的中介作用。

方法

来自W市大学医院的102名护士参与了此次调查。数据通过自填问卷收集,并使用描述性统计、皮尔逊相关系数、多元回归以及SPSS/26.0程序进行中介分析。

结果

坚毅与临床能力显著相关(r = 0.53,p < 0.001)和职业适应(r = 0.30,p = 0.003)。临床能力与职业适应显著相关(r = 0.24,p = 0.02)。然而,临床能力在坚毅与职业适应关系中的中介作用不显著(β = 0.11,p = 0.32)。

结论

坚毅提升了临床能力,并对职业适应有直接影响。为了使新毕业护士在工作中保持持续的热情,有必要制定一个计划或策略来提高他们的坚毅程度。

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本文引用的文献

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[The Influence of Grit on Turnover Intention of University Hospital Nurses: The Mediating Effect of Job Involvement].[坚毅对大学医院护士离职意愿的影响:工作投入的中介作用]
J Korean Acad Nurs. 2019 Apr;49(2):181-190. doi: 10.4040/jkan.2019.49.2.181.
2
A Survey of Nurse Leaders to Explore the Relationship Between Grit and Measures of Success and Well-being.一项针对护士领导者的调查,以探究毅力与成功及幸福感指标之间的关系。
J Nurs Adm. 2019 Mar;49(3):125-131. doi: 10.1097/NNA.0000000000000725.
3
The impact of nurse residency programs in the United States on improving retention and satisfaction of new nurse hires: An evidence-based literature review.美国护士住院医师项目对提高新入职护士留用率和满意度的影响:一项基于证据的文献综述
Nurse Educ Today. 2018 Dec;71:84-90. doi: 10.1016/j.nedt.2018.09.003. Epub 2018 Sep 13.
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Nursing Competency: Definition, Structure and Development.护理胜任力:定义、结构与发展
Yonago Acta Med. 2018 Mar 28;61(1):1-7. doi: 10.33160/yam.2018.03.001. eCollection 2018 Mar.
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A prospective study of nurses' intentions to leave the profession during their first five years of practice in Sweden.一项关于瑞典护士在执业头五年内离职意愿的前瞻性研究。
Int J Nurs Stud. 2014 Apr;51(4):612-24. doi: 10.1016/j.ijnurstu.2013.09.012. Epub 2013 Oct 4.
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Grit: perseverance and passion for long-term goals.坚毅:对长期目标的坚持不懈和热情。
J Pers Soc Psychol. 2007 Jun;92(6):1087-101. doi: 10.1037/0022-3514.92.6.1087.
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Resilience: a historical review of the construct.复原力:该概念的历史回顾
Holist Nurs Pract. 2004 Jan-Feb;18(1):3-8; quiz 9-10. doi: 10.1097/00004650-200401000-00002.
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The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.社会心理学研究中的调节变量与中介变量区分:概念、策略及统计考量
J Pers Soc Psychol. 1986 Dec;51(6):1173-82. doi: 10.1037//0022-3514.51.6.1173.