Zhang Yuye, Wang Xiaokai, Li Qiufang, Zhang Ruixing, Guo Siyan, Zhao Yaning, Xiao Tianci, Luo Haoyue, Han Shuangrong, Yang Jiayin
School of Nursing and Health, Zhengzhou University, Henan 450001, China.
School of Nursing and Health, Zhengzhou University, Henan 450001, China.
Nurse Educ Today. 2025 Mar;146:106546. doi: 10.1016/j.nedt.2024.106546. Epub 2024 Dec 14.
The intensifying global aging population exacerbates the serious shortage of nurses, placing immense pressure on the healthcare system worldwide. Overwhelming workloads, limited career development opportunities, and high turnover rates among nurses compound these challenges. Career aspiration is closely related to individual active work behavior and career orientation, and is significant for stabilizing the nursing team. Identifying different subgroups of career aspiration among intern nursing students and analyzing the influencing factors can provide tailored support and interventions for their career development, contributing to addressing the global nursing shortage and shaping the future of the nursing profession.
To identify different subgroups of career aspiration among intern nursing students and to analyze the related factors of the different subgroups.
This secondary analysis relied upon a cross-sectional study conducted in China among 521 nursing students during clinical practice. Latent profile analysis was used to identify subgroups of career aspiration among intern nursing students, and multivariate logistic regression was used to analyze factors influencing their career aspiration. The Career Aspiration Scale, General Demographic Information Questionnaire, and the Nursing Students Clinical Practice Poor Adaptation Scale were utilized as measures.
There were four different subgroups of career aspiration, namely the "Moderate career aspiration type (33.7%)", "High leadership expectations-low effort type (11.6%)", "High professional development-low educational aspiration type (28.9%)", "High aspiration multidimensional leader-scholar type (25.8%)". School classification and clinical practice poor adaptation were significantly related factors for the four subgroups (all p < 0.05). Female significantly influenced the "high professional development-low educational aspiration type" (p < 0.001). Students' origin, grade point average, and student leadership experience significantly influenced the "high aspiration multidimensional leader-scholar type" (all p < 0.05).
This study has identified four distinct subgroups of career aspiration among Chinese intern nursing students and their influencing factors. These findings demonstrate the heterogeneity within the intern nursing student population, provide an effective supplement with a more in-depth analysis to the previous research and underscore the need for tailored educational approaches in clinical practice. By nurturing nursing students' career aspiration, a stable and competent nursing workforce will be cultivated to meet future healthcare demands and propel the advancement of the nursing profession.
全球老龄化人口加剧,导致护士严重短缺,给全球医疗系统带来巨大压力。护士工作量过大、职业发展机会有限以及高离职率使这些挑战更加复杂。职业抱负与个体积极的工作行为和职业取向密切相关,对稳定护理团队具有重要意义。识别实习护生职业抱负的不同亚组并分析影响因素,可为其职业发展提供针对性支持和干预,有助于解决全球护理短缺问题并塑造护理专业的未来。
识别实习护生职业抱负的不同亚组,并分析不同亚组的相关因素。
本二次分析基于在中国对521名实习护生进行临床实习期间开展的一项横断面研究。采用潜在剖面分析识别实习护生职业抱负的亚组,并使用多因素逻辑回归分析影响其职业抱负的因素。使用职业抱负量表、一般人口学信息问卷和护生临床实习适应不良量表作为测量工具。
职业抱负存在四个不同亚组,即“中等职业抱负型(33.7%)”、“高领导期望-低努力型(11.6%)”、“高专业发展-低教育期望型(28.9%)”、“高抱负多维领导者-学者型(25.8%)”。学校类别和临床实习适应不良是这四个亚组的显著相关因素(均p<0.05)。女性对“高专业发展-低教育期望型”有显著影响(p<0.001)。学生来源、平均绩点和学生领导经历对“高抱负多维领导者-学者型”有显著影响(均p<0.05)。
本研究识别了中国实习护生职业抱负的四个不同亚组及其影响因素。这些发现表明实习护生群体内部存在异质性,为先前研究提供了更深入分析的有效补充,并强调了临床实践中采用针对性教育方法的必要性。通过培养护生的职业抱负,将培育出一支稳定且称职的护理队伍,以满足未来医疗保健需求并推动护理专业的发展。