Xu Di, Zhou Yaxu, Yan Yuru, Wang Yan, Le Ye, Ma Yuchun, Wang Chunming, Zhou Ying
Nursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Finance Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Front Public Health. 2025 Jul 17;13:1632053. doi: 10.3389/fpubh.2025.1632053. eCollection 2025.
Public health crises such as the COVID-19 pandemic place immense psychological and professional pressure on healthcare workers, particularly those early in their careers. While much research has focused on burnout and stress, fewer studies have examined the role of professional identity and its organizational determinants among actively employed young healthcare professionals.
This cross-sectional study surveyed 326 young healthcare workers (≤40 years old) across clinical, research, and administrative roles in a megahospital in Shanghai, China. A validated multidimensional scale was used to assess professional identity. Independent variables included job satisfaction, workload, exposure to high-risk duties, and perceived organizational support (including satisfaction with humanistic care and working conditions). Descriptive statistics, Mann-Whitney U and Kruskal-Wallis H tests, and multivariate linear regression were employed.
The majority of respondents (92.9%) reported a high level of professional identity (median score: 81, IQR: 13). Satisfaction with humanistic care ( = 3.431, = 0.009) and working conditions ( = 3.679, = 0.003) were strong predictors of higher professional identity scores. Significant differences in professional identity were observed based on gender, income satisfaction, and exposure to COVID-19 patients.
This study highlights the essential role of organizational resources-particularly perceived humanistic care and adequate working conditions-in sustaining professional identity among young healthcare professionals during public health emergencies. The findings underscore the need for system-level interventions that support resilience and workforce stability. These insights may inform global strategies for healthcare human resource management in high-pressure contexts.
诸如新冠疫情这样的公共卫生危机给医护人员带来了巨大的心理和职业压力，尤其是那些职业生涯早期的医护人员。虽然许多研究聚焦于职业倦怠和压力，但较少有研究考察职业认同的作用及其在在职年轻医护专业人员中的组织决定因素。
这项横断面研究对中国上海一家大型医院中从事临床、研究和行政工作的326名年轻医护人员（年龄≤40岁）进行了调查。使用一个经过验证的多维量表来评估职业认同。自变量包括工作满意度、工作量、接触高风险职责以及感知到的组织支持（包括对人文关怀和工作条件的满意度）。采用描述性统计、曼-惠特尼U检验和克鲁斯卡尔-沃利斯H检验以及多元线性回归。
大多数受访者（92.9%）报告职业认同水平较高（中位数得分：81，四分位距：13）。对人文关怀的满意度（β = 3.431，P = 0.009）和工作条件的满意度（β = 3.679，P = 0.003）是较高职业认同得分的有力预测因素。基于性别、收入满意度和接触新冠患者情况，职业认同存在显著差异。
本研究强调了组织资源——尤其是感知到的人文关怀和充足的工作条件——在公共卫生紧急事件期间维持年轻医护专业人员职业认同方面的重要作用。研究结果强调了需要进行系统层面的干预以支持恢复力和劳动力稳定性。这些见解可能为高压环境下的全球医疗人力资源管理策略提供参考。
