School of Nursing and Midwifery, Edith Cowan University, Western Australia, 270 Joondalup Dr, Joondalup, WA 6027, Australia.
School of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, 208 Kent St, Bentley, WA 6102, Australia.
Nurse Educ Today. 2024 Jul;138:106196. doi: 10.1016/j.nedt.2024.106196. Epub 2024 Apr 6.
One in four newly graduated registered nurses leave their employment positions within the first year. To reduce this attrition, nursing stakeholders could focus on the final year of nursing education because students at this stage make professional career plans, including their practice destination for the graduate year and their commitment to the profession. Previous studies provide evidence of nursing students' career preferences and specialty choices. However, there is a dearth of data that focuses on the students' career decision-making process.
This study examined the self-efficacy or confidence of final-year nursing students in making career decisions and the factors that influence their career decision-making process.
Final year pre-registration nursing students (N = 222) at two public universities in Western Australia.
An online survey was used to collect cross-sectional data. The Career Decision Self-Efficacy Scale - Short Form was used to investigate nursing students' confidence in making career decisions. Career decision-making self-efficacy refers to the confidence to successfully complete career decision-making tasks. Descriptive statistics were used to describe the participants' characteristics. The chi-square test was used to assess the significance of the difference between categorical data, and binary logistic regression was used to determine the odds of the factors that predict career decision self-efficacy.
Forty-seven percent of participants who answered all Career Decision Self-Efficacy Scale - Short Form questions had good confidence in making career decisions. Factors such as the setting of the final clinical placement, the intention to be employed in the specialisation or organisation of their final placement and the students' assessment of their clinical experience were associated with career decision-making confidence.
Most participants had low confidence in making career decisions. This study provides ideas for nursing stakeholders to implement measures to improve students' confidence to make informed career decisions.
每四名新毕业的注册护士中就有一人在入职后的第一年离职。为了减少这种人员流失，护理利益相关者可以关注护理教育的最后一年，因为在这个阶段，学生们制定专业的职业规划，包括他们毕业年级的实习地点和对职业的承诺。先前的研究提供了护理学生职业偏好和专业选择的证据。然而，目前缺乏关注学生职业决策过程的数据。
本研究调查了最后一年护理专业学生在做出职业决策时的自我效能感或信心，以及影响他们职业决策过程的因素。
西澳大利亚州两所公立大学的 222 名最后一年预注册护理专业学生。
采用在线调查收集横断面数据。使用职业决策自我效能量表-短式版调查护理学生对职业决策的信心。职业决策自我效能是指成功完成职业决策任务的信心。采用描述性统计描述参与者的特征。采用卡方检验评估分类数据的显著性，采用二项逻辑回归确定预测职业决策自我效能的因素的优势比。
回答了职业决策自我效能量表-短式版所有问题的 47%的参与者对做出职业决策有较好的信心。一些因素与职业决策信心相关，如最后临床实习地点的设置、最终实习地点或组织中就业的意向以及学生对临床经验的评估。
大多数参与者对做出职业决策的信心较低。本研究为护理利益相关者提供了思路，以实施措施提高学生做出明智职业决策的信心。
