Hampton Debra, Melander Sheila, Rayens Mary Kay, Langley Tamra
Nurse Pract. 2025 Apr 1;50(4):22-30. doi: 10.1097/01.NPR.0000000000000298. Epub 2025 Mar 25.
NP work expectations have increased with the growth of the NP profession. Assessing the levels of resilience, self-efficacy, and job satisfaction of NPs and determining if years of experience as an NP and educational level were associated with those variables were the focuses of this study.
A descriptive, cross-sectional survey design was utilized. Participants included NP members of a state professional nursing organization and NPs employed in a large academic healthcare system. Multiple demographic variables, including personal and work-related variables, and resilience, self-efficacy, and job satisfaction were measured. Resilience was measured using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10) and the Predictive 6-Factor Resilience Scale (PR6). Self-efficacy was measured by the Generalized Self-Efficacy Scale (GSES). Job satisfaction was measured by a two-item, 5-point Likert scale created by the investigators.
Among the 128 NP participants, on the PR6, Doctor of Nursing (DNP)-educated NPs had significantly higher scores on the dimensions of vision, tenacity, and health and on overall mean score. Resilience as measured by the CD-RISC 10, self-efficacy, and job satisfaction were also higher for DNP-educated participants, but their scores did not differ significantly from those with a Master of Science in Nursing degree. Resilience and self-efficacy were positively correlated. Years of experience as an NP and age were not significantly associated with resilience, self-efficacy, or job satisfaction as measured by the PR6, CD-RISC 10, GSES, or job satisfaction scale.
Resilience and self-efficacy are strongly associated and may complement and strengthen each other. Providing NPs with tools to strengthen their ability to remain resilient during challenging times is critically important and may prevent NP turnover.
随着执业护士(NP)职业的发展,对NP的工作期望也有所增加。本研究的重点是评估NP的心理韧性、自我效能感和工作满意度水平,并确定NP的工作年限和教育水平是否与这些变量相关。
采用描述性横断面调查设计。参与者包括一个州专业护理组织的NP成员以及受雇于一个大型学术医疗系统的NP。测量了多个人口统计学变量,包括个人和工作相关变量,以及心理韧性、自我效能感和工作满意度。心理韧性使用10项Connor-Davidson心理韧性量表(CD-RISC 10)和预测性6因素心理韧性量表(PR6)进行测量。自我效能感通过一般自我效能感量表(GSES)进行测量。工作满意度通过研究者创建的一个包含两个项目的5点李克特量表进行测量。
在128名NP参与者中,在PR6量表上,拥有护理博士(DNP)学位的NP在视野、坚韧和健康维度以及总体平均分上得分显著更高。接受DNP教育的参与者在CD-RISC 10量表上测量的心理韧性、自我效能感和工作满意度也更高,但他们的得分与拥有护理学硕士学位的参与者没有显著差异。心理韧性和自我效能感呈正相关。NP的工作年限和年龄与PR6、CD-RISC 10、GSES或工作满意度量表测量的心理韧性、自我效能感或工作满意度没有显著关联。
心理韧性和自我效能感密切相关,可能相互补充和强化。为NP提供工具以增强他们在具有挑战性的时期保持心理韧性的能力至关重要,并且可能防止NP流失。