Xie Jianfei, Luo Xiaofei, Zhou Yi, Zhang Chun, Li Lijun, Xiao Panpan, Duan Yinglong, Cheng Qinqin, Liu Xiangyu, Cheng Andy Sk
Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xiangya Nursing School, Central South University, Changsha, Hunan, China.
BMC Nurs. 2023 Apr 27;22(1):140. doi: 10.1186/s12912-023-01287-9.
Many factors are related to oncology nurses' professional values. However, the evidence on the relevance of professional values among oncology nurses in China remains sparse. This study aims to investigate the relationship between depression, self-efficacy, and professional values among Chinese oncology nurses and analyze the mediating effect of self-efficacy on this association.
It was a multicenter cross-sectional study designed with the STROBE guidelines. An anonymous online questionnaire recruited 2530 oncology nurses from 55 hospitals in six provinces of China between March and June 2021. Measures included self-designed sociodemographic and fully validated instruments. Pearson correlation analysis was employed to explore the associations between depression, self-efficacy, and professional values. Bootstrapping analysis by the PROCESS macro was used to examine the mediating effect of self-efficacy.
The total scores of depression, self-efficacy, and professional values of Chinese oncology nurses were 52.75 ± 12.62, 28.39 ± 6.33, and 101.55 ± 20.43, respectively. About 55.2% of Chinese oncology nurses were depressed. Chinese oncology nurses' professional values were generally intermediate. Their professional values were negatively related to depression and positively correlated with self-efficacy, while depression was negatively related to self-efficacy. Moreover, self-efficacy partially mediated the relationship between depression and professional values, accounting for 24.8% of the total effect.
Depression negatively predicts self-efficacy and professional values, and self-efficacy positively predicts professional values. Meanwhile, depression in Chinese oncology nurses has an indirect effect on their professional values through self-efficacy. Nursing managers and oncology nurses themselves should develop strategies aimed at relieving depression and improving self-efficacy to strengthen their positive professional values.
许多因素与肿瘤护理人员的职业价值观相关。然而，中国肿瘤护理人员职业价值观相关性的证据仍然稀少。本研究旨在探讨中国肿瘤护理人员抑郁、自我效能感与职业价值观之间的关系，并分析自我效能感在此关联中的中介作用。
这是一项按照STROBE指南设计的多中心横断面研究。2021年3月至6月，通过匿名在线问卷从中国六个省份55家医院招募了2530名肿瘤护理人员。测量指标包括自行设计的社会人口学信息和经过充分验证的工具。采用Pearson相关分析探讨抑郁、自我效能感与职业价值观之间的关联。使用PROCESS宏进行的Bootstrapping分析来检验自我效能感的中介作用。
中国肿瘤护理人员抑郁、自我效能感和职业价值观的总分分别为52.75±12.62、28.39±6.33和101.55±20.43。约55.2%的中国肿瘤护理人员存在抑郁情绪。中国肿瘤护理人员的职业价值观总体处于中等水平。他们的职业价值观与抑郁呈负相关，与自我效能感呈正相关，而抑郁与自我效能感呈负相关。此外，自我效能感部分中介了抑郁与职业价值观之间的关系，占总效应的24.8%。
抑郁对自我效能感和职业价值观具有负向预测作用，自我效能感对职业价值观具有正向预测作用。同时，中国肿瘤护理人员的抑郁通过自我效能感对其职业价值观产生间接影响。护理管理者和肿瘤护理人员自身应制定旨在缓解抑郁和提高自我效能感的策略，以强化其积极的职业价值观。
