Wang Zhangyi, Zhu Yue, Zhan Xiaoping, Wang Tingrui, Tang Xiaochun, Li Liping, Su Tao, Zhou Huifang, Liu Li, Chen Lamei, Pang Xiaoli, Peng Jiaofeng, Wang Yan, Yang Li
Nursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan Province, China.
Nursing Department, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.
PLoS One. 2024 Aug 8;19(8):e0308669. doi: 10.1371/journal.pone.0308669. eCollection 2024.
The significance of problem-solving ability has been confirmed in numerous studies worldwide, highlighting its role in enhancing the skills of nursing interns and reducing psychological pressure. However, existing research indicates that the problem-solving ability of nursing interns urgently needs to be further improved. Limited research has been conducted on the problem-solving ability of nursing interns, and the correlations among problem-solving ability, future time perspective, and future work self of Chinese nursing interns are unclear.
To investigate problem-solving ability, future time perspective, and future work self among the Chinese nursing interns, and to examine the relationships among these variables. Additionally, the study aims to explore the mediating role of future work self between problem-solving ability and future time perspective.
A cross-sectional and correlational design was employed, adhering to the quality reporting conformed to the STROBE Checklist. From May 8, 2023, to February 15, 2024, 1,251 nursing interns were recruited from 15 tertiary grade-A hospitals across six cities in China. The Demographic Characteristics Questionnaire, Social Problem-Solving Inventory, Future Time Perspective Inventory, and Future Work Self Scale were used. The data was analyzed using descriptive statistics, univariate, correlation, and process plug-in mediation effect analyses.
The total scores for problem-solving ability, future time perspective, and future work self were 64.39 ± 18.55, 45.08 ± 11.37, and 16.92 ± 5.28, respectively. Problem-solving ability was positively correlated with future time perspective (r = 0.638, p < 0.001) and future work self (r = 0.625, p < 0.001). Additionally, future work self partially mediated mediating role between problem-solving ability and future time perspective, accounting for 39.7% of the total effect.
The problem-solving ability, future time perspective, and future work self among the Chinese nursing interns were relatively moderate, indicating a need for improvement. It is suggested that nursing managers and educators should actively implement career management and planning programs. By enhancing the future time perspective and future work self of nursing interns, their problem-solving ability can be improved. This, in turn, will facilitate their adaptation to clinical work, enhance the quality of nursing care, and promote the development of their nursing profession.
解决问题能力的重要性已在全球众多研究中得到证实，凸显了其在提升护理实习生技能和减轻心理压力方面的作用。然而，现有研究表明，护理实习生的解决问题能力迫切需要进一步提高。关于护理实习生解决问题能力的研究有限，中国护理实习生的解决问题能力、未来时间观和未来工作自我之间的相关性尚不清楚。
调查中国护理实习生的解决问题能力、未来时间观和未来工作自我，并检验这些变量之间的关系。此外，本研究旨在探讨未来工作自我在解决问题能力和未来时间观之间的中介作用。
采用横断面相关设计，遵循符合STROBE清单的质量报告。2023年5月8日至2024年2月15日，从中国六个城市的15家三级甲等医院招募了1251名护理实习生。使用了人口统计学特征问卷、社会问题解决量表、未来时间观量表和未来工作自我量表。采用描述性统计、单因素分析、相关性分析和过程插件中介效应分析对数据进行分析。
解决问题能力、未来时间观和未来工作自我的总分分别为64.39±18.55、45.08±11.37和16.92±5.28。解决问题能力与未来时间观呈正相关（r=0.638，p<0.001），与未来工作自我呈正相关（r=0.625，p<0.001）。此外，未来工作自我在解决问题能力和未来时间观之间起部分中介作用，占总效应的39.7%。
中国护理实习生的解决问题能力、未来时间观和未来工作自我处于中等水平，表明有必要加以改进。建议护理管理人员和教育工作者应积极实施职业管理和规划项目。通过增强护理实习生的未来时间观和未来工作自我，可以提高他们的解决问题能力。这反过来将有助于他们适应临床工作，提高护理质量，并促进他们护理专业的发展。
