Zhang Xiaobin, Yu Lili, Chen Yuying, Fu Zongmei, Zhang Fangfang, Li Zhongcheng, Wu Qibiao
Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, 999078, China.
School of Basic Medical Sciences, Putian University, Putian, 351100, China.
Heliyon. 2024 Jul 14;10(15):e34578. doi: 10.1016/j.heliyon.2024.e34578. eCollection 2024 Aug 15.
Over the past decade, the attrition rate of Chinese medical graduates has remained high, and the COVID-19 pandemic has exacerbated this situation. Medicine specialty students are the main force of the future healthcare industry. The career choices and career confidence of those entering the healthcare industry will have a huge influence on the quality of future healthcare provision. Considering the possible emergence of public health emergencies such as COVID-19 in the future, helping students develop good career adaptability will contribute to their future career development. However, the relationship between career adaptability, career coping styles and career decision-making self-efficacy remains unclear during the COVID-19. This study aims to examine the interconnections amongst career coping styles, career adaptability and career decision-making self-efficacy among Chinese medicine specialty students and the mediating role of career decision-making self-efficacy. Questionnaire survey was conducted on 747 medicine specialty students from China. The results showed that positive coping style has a significant positive correlation with career decision-making self-efficacy, career adaptability, and their sub-dimensions. There was a partial mediating effect of career decision self-efficacy between the predictor variable positive coping style and the outcome variable career adaptability. By promoting the level of positive coping style or career decision-making self-efficacy among medicine specialty students, the career adaptability can be directly or indirectly enhanced. This survey will help to guide future medical education decisions during a similar pandemic to prevent further loss of healthcare professionals in the medical service.
在过去十年中，中国医学毕业生的流失率一直居高不下，而新冠疫情使这种情况更加恶化。医学专业学生是未来医疗行业的主力军。那些进入医疗行业的人的职业选择和职业信心将对未来医疗服务的质量产生巨大影响。考虑到未来可能出现像新冠疫情这样的突发公共卫生事件，帮助学生培养良好的职业适应能力将有助于他们未来的职业发展。然而，在新冠疫情期间，职业适应能力、职业应对方式和职业决策自我效能之间的关系仍不明确。本研究旨在探讨中国医学专业学生的职业应对方式、职业适应能力和职业决策自我效能之间的相互联系以及职业决策自我效能的中介作用。对来自中国的747名医学生进行了问卷调查。结果表明，积极应对方式与职业决策自我效能、职业适应能力及其子维度之间存在显著正相关。在预测变量积极应对方式和结果变量职业适应能力之间，职业决策自我效能存在部分中介作用。通过提高医学生的积极应对方式水平或职业决策自我效能，可以直接或间接地提高职业适应能力。这项调查将有助于指导未来在类似疫情期间的医学教育决策，以防止医疗服务领域进一步出现医护人员流失的情况。
