School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Nurse Educ Pract. 2023 Nov;73:103840. doi: 10.1016/j.nepr.2023.103840. Epub 2023 Nov 10.
AIM: This study aimed to identify the latent profiles of professional identity among nursing students and explore the factors associated with different profiles. BACKGROUND: Nursing students' professional identity is easily influenced by various factors. However, current studies mainly focused on the overall level of professional identity and its related factors, ignoring the population heterogeneity of nursing students' professional identity. DESIGN: A cross-sectional study. METHODS: A convenient sampling was used to collect data from 384 nursing students who were undergoing their clinical practicum in the affiliated hospitals of a medical university in China between January and April 2021. Data were collected using the demographic questionnaire, the nursing student internship stress scale, the simplified coping style questionnaire, and the professional identity scale for nursing students. A latent profile analysis was used to identify the latent profiles of professional identity. Kruskal-Wallis H test, analysis of variance and ordinal logistic regression were used to determine factors that were associated with different profiles of professional identity. RESULT: Nursing students' professional identity could be classified into four profiles: low professional identity, relatively low professional identity, relatively high professional identity and high professional identity. These four profiles showed unique relationships with choosing nursing voluntarily, willing to be a clinical nursing staff, stress in conflict between study and work, and positive coping styles. CONCLUSION: The majority of the nursing students were classified into profile 1 (low professional identity) and 2 ( relatively low professional identity). Nursing students' lower professional identity need to be further enhanced by improving social recognition of nurses to increase the willingness of high school graduates to choose nursing voluntarily, allocating nursing workforce rationally to increase the willingness of nursing student to be a clinical nursing staff, reducing nursing students' stress in conflict between study and work and encouraging them to adopt positive coping styles.
目的:本研究旨在识别护理专业学生的专业认同潜在类型,并探讨与不同类型相关的因素。
背景:护理专业学生的专业认同很容易受到各种因素的影响。然而,目前的研究主要集中在护理专业学生整体认同水平及其相关因素上,忽视了护理专业学生专业认同的人群异质性。
设计:横断面研究。
方法:便利选取 2021 年 1 月至 4 月在中国某医科大学附属医院实习的 384 名护理专业学生进行横断面调查,采用一般资料问卷、护理学生实习压力量表、简易应对方式问卷和护理专业学生专业认同量表收集资料。采用潜在剖面分析识别专业认同的潜在类型。采用 Kruskal-Wallis H 检验、方差分析和有序逻辑回归分析确定与不同专业认同类型相关的因素。
结果:护理专业学生的专业认同可以分为四种类型:专业认同度低、相对专业认同度低、相对专业认同度高和专业认同度高。这四种类型与自愿选择护理专业、愿意成为临床护理人员、学习与工作冲突带来的压力以及积极的应对方式之间存在独特的关系。
结论:大多数护理专业学生被分为第 1 种(专业认同度低)和第 2 种(相对专业认同度低)类型。需要通过提高社会对护士的认可,增强护理专业学生的专业认同感,以增加高中毕业生选择护理专业的意愿,合理配置护理人力,增加护理专业学生成为临床护理人员的意愿,减少护理专业学生学习与工作冲突带来的压力,鼓励他们采取积极的应对方式。
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