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癌症医院新毕业护士转型冲击与工作准备度之间核心竞争力的中介作用:一项横断面研究

Mediating effects of core competence between the transition shock and work readiness of newly graduated nurses in cancer hospitals: A cross-sectional study.

作者信息

Ma Fengyan, Zhu Yajing, Liu Lu, Liu Yan

机构信息

Department of Thoracic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Department of Thoracic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

出版信息

Nurse Educ Today. 2023 Jun;125:105793. doi: 10.1016/j.nedt.2023.105793. Epub 2023 Mar 15.

Abstract

BACKGROUND

Newly graduated nurses face a dilemma of transitioning from student to clinical nurse roles, resulting in a low level of work readiness. The special professional environment of oncology hospitals requires newly graduated nurses to have specialized and novel theoretical knowledge and nursing skills. Therefore, they are constantly expected to develop better core competence. However, whether the core competence of newly graduated nurses mediates the relationship between transition shock and work readiness has not been investigated.

OBJECTIVE

This study examined the relationship among transition shock, core competence, and work readiness of newly graduated nurses in cancer hospitals.

DESIGN

A descriptive, cross-sectional study design.

SETTING

This study was conducted at a tertiary cancer hospital in Beijing.

PARTICIPATIONS

A convenience sample of 188 newly graduated nurses was studied from July to August 2022.

METHODS

Sociodemographic data and Transition Shock Scale for Newly Graduated Nurses, Work Readiness Scale for Newly Graduated Nurses, and Core Competence Scale scores were collected using the online Questionnaire Star support platform. Pearson correlation and multiple regression analysis were applied using the Statistical Package for the Social Sciences version 24 to test the relationship among transition shock, core competencies, and work readiness. The Analysis of Moment Structures version 24.0 software was used to construct structural equation models. This report followed the Strengthening the Reporting of Observational studies in Epidemiology checklist.

RESULTS

The transition shock of newly graduated nurses was negatively correlated with work readiness and core competence, whereas core competence was positively correlated with work readiness. Core competence partially mediated the effect between transition shock and work readiness, accounting for 19 % of the total effect.

CONCLUSION

Core competence is the mediating variable between transition shock and work readiness of newly graduated nurses in oncology hospitals. During the transition period of newly graduated nurses, clinical nursing managers and teachers should pay attention to cultivating the core competence of newly graduated nurses to improve their work readiness.

摘要

背景

新毕业护士面临从学生角色向临床护士角色转变的困境,导致工作准备水平较低。肿瘤医院特殊的专业环境要求新毕业护士具备专业且新颖的理论知识和护理技能。因此,人们一直期望他们能培养出更好的核心竞争力。然而,新毕业护士的核心竞争力是否在转型冲击与工作准备之间起中介作用尚未得到研究。

目的

本研究探讨肿瘤医院新毕业护士的转型冲击、核心竞争力和工作准备之间的关系。

设计

描述性横断面研究设计。

地点

本研究在北京一家三级肿瘤医院进行。

参与者

2022年7月至8月,对188名新毕业护士进行便利抽样研究。

方法

使用在线问卷星支持平台收集社会人口学数据、新毕业护士转型冲击量表、新毕业护士工作准备量表和核心竞争力量表得分。使用社会科学统计软件包第24版进行Pearson相关性分析和多元回归分析,以检验转型冲击、核心竞争力和工作准备之间的关系。使用Mplus 24.0软件构建结构方程模型。本报告遵循加强流行病学观察性研究报告清单。

结果

新毕业护士的转型冲击与工作准备和核心竞争力呈负相关,而核心竞争力与工作准备呈正相关。核心竞争力部分中介了转型冲击与工作准备之间的效应,占总效应的19%。

结论

核心竞争力是肿瘤医院新毕业护士转型冲击与工作准备之间的中介变量。在新毕业护士的转型期,临床护理管理者和教师应注重培养新毕业护士的核心竞争力,以提高其工作准备水平。

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