护理本科生的专业承诺及其影响因素：潜在剖面分析

Professional commitment and related factors among nursing undergraduates: A latent profile analysis.

机构信息

The First Affiliated Hospital of Soochow University, Suzhou 215006, China; School of Nursing, Soochow University, Suzhou 215006, China.

The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

出版信息

Nurse Educ Today. 2023 Dec;131:105958. doi: 10.1016/j.nedt.2023.105958. Epub 2023 Sep 4.

DOI:10.1016/j.nedt.2023.105958

PMID:37690440

Abstract

OBJECTIVE

To identify different subgroups of nursing professional commitment among nursing undergraduates and to analyze the related factors of the different subgroups.

METHODS

A cross-sectional study using the professional commitment scale with 430 nursing undergraduates was conducted. Latent profile analysis was used to explore the nursing students' professional commitment subgroups and using multivariate logistic regression to analyze the related factors of nursing professional commitment.

RESULTS

The overall mean score for professional commitment in nursing was (75.07 ± 14.715). There were three different subgroups of professional commitment characteristics, namely the "high professional commitment group" (20.465 %), the "medium professional commitment group" (66.279 %), and the "low professional commitment group" (13.256 %). Dissatisfaction with clinical placement (OR = 3.556, p = 0.008) and self-enrollment (OR = 0.186, p = 0.002) were significantly related factors for low-level and medium-level nursing commitment groups. Students' origin in western China (OR = 1.869, p = 0.042) significantly influenced the medium-level specialty commitment group.

CONCLUSIONS

Most nursing undergraduates have been categorized in the "medium professional commitment group". Students who were dissatisfied with their clinical experience and chose the nursing profession involuntarily were the main factors for low-level and medium-level nursing professional commitment. The clinical practice environment should be further improved to enhance the clinical experience satisfaction of nursing undergraduates; at the same time, the professional value cultivation of students whose choice of nursing profession was not made by themselves should be strengthened to improve the level of professional commitment of nursing undergraduates.

摘要

目的

确定护理本科生专业承诺的不同亚组，并分析不同亚组的相关因素。

方法

采用专业承诺量表对 430 名护理本科生进行横断面研究。采用潜在剖面分析探索护理学生的专业承诺亚组，并采用多变量逻辑回归分析护理专业承诺的相关因素。

结果

护理专业承诺的总体平均得分为（75.07±14.715）。专业承诺存在三种不同的亚组特征，即“高专业承诺组”（20.465%）、“中专业承诺组”（66.279%）和“低专业承诺组”（13.256%）。对临床实习的不满（OR=3.556，p=0.008）和自主招生（OR=0.186，p=0.002）是低水平和中水平护理承诺组的显著相关因素。学生的原籍在西部地区（OR=1.869，p=0.042）显著影响中水平专业承诺组。