School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong, China.
Department of Nuclear Medicine, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Biotechnol Genet Eng Rev. 2024 Oct;40(2):726-738. doi: 10.1080/02648725.2023.2190943. Epub 2023 Mar 26.
To explore the mediating role of resilience in the relationship between general self-efficacy and professional identity of nurses during the COVID-19 pandemic. A cross-sectional design was employed. A total of 982 nurses from four Grade III, class A hospitals in Shandong Province were investigated using general information questionnaire, nurses' professional identity rating scale, general self-efficacy scale (GSES), and Connor-Davidson flexibility scale (CD-RISC). SPSS22.0 and Amos21.0 were used for data analysis and structural equation modeling. % counseling The nurses had a score of （27.038±5.933） for general self-efficacy score, 38.290±6.234 for psychological resilience, and （114.99±16.209） for professional identity. A positive correlation between general self-efficacy, professional identity, and psychological resilience (<0.01) was found. The SEM analysis shows that psychological resilience plays a mediating role between general self-efficacy and professional identity. The ratio of the effect is 75.155. During the COVID-19 pandemic, the levels of general self-efficacy and professional identity of nurses was medium, while psychological resilience was high. Nurses' general self-efficacy can affect their professional identity through psychological resilience. During the pandemic, the psychological status of nurses should not be ignored. Nursing managers should fully utilize of group and cognitive therapy based on mindfulness to improve nurses' psychological resilience and general self-efficacy, and to promote nurses' professional identity, so as to ensure the lower turnover rate.
探讨新冠疫情期间护士一般自我效能感与职业认同间的关系中韧性的中介作用。采用横断面设计。选取山东省 4 所三级甲等医院的 982 名护士，采用一般资料问卷、护士职业认同评定量表、一般自我效能量表（GSES）和 Connor-Davidson 柔韧性量表（CD-RISC）进行调查。采用 SPSS22.0 和 Amos21.0 进行数据分析和结构方程建模。 %咨询护士一般自我效能感得分（27.038±5.933），心理韧性得分 38.290±6.234，职业认同得分（114.99±16.209）。一般自我效能感、职业认同和心理韧性呈正相关（<0.01）。结构方程模型分析显示，心理韧性在一般自我效能感与职业认同间起中介作用，效应比为 75.155。新冠疫情期间，护士一般自我效能感和职业认同处于中等水平，心理韧性处于较高水平。护士的一般自我效能感可以通过心理韧性影响其职业认同。疫情期间，不应忽视护士的心理状态。护理管理者应充分利用基于正念的团体和认知疗法，提高护士的心理韧性和一般自我效能感，促进护士的职业认同，从而确保较低的离职率。
