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转型冲击在三甲医院新入职护士组织支持感与职业认同间的中介作用
引用本文:林程程,汪淑敏,黄小燕,上官王宁,金倩倩.转型冲击在三甲医院新入职护士组织支持感与职业认同间的中介作用[J].中华全科医学,2020,18(12):2128-2131.
作者姓名:林程程  汪淑敏  黄小燕  上官王宁  金倩倩
作者单位:1. 温州医科大学附属第二医院麻醉科, 浙江 温州 325027;
基金项目:浙江省医药卫生科技计划项目(2020KY186)
摘    要:目的 探讨三甲医院新护士的转型冲击、组织支持感和职业认同感的关系,以期为帮助新护士顺利渡过转型期提供一定参考依据。 方法 使用方便抽样,于2019年1—6月选取符合纳入排除标准的421例浙江省三甲医院新护士作为研究对象。使用新护士转型冲击评价量表、护士职业认同量表和护士组织支持感量表进行问卷调查。使用SPSS 22.0统计学软件进行数据分析。使用Amos 17.0进行检验中介效应检验。 结果 新护士转型冲击得分为(100.57±13.64)分,得分率为74.50%,得分率从高到低依次为身体方面、知识/技能方面、社会文化与发展方面、心理方面。职业认同得分为(2.81±0.61)分,各维度从高到低为职业自我概念、职业获益感和职业动力感。组织支持感得分(3.19±0.53)分,各维度从高到低为情感性支持和工具性支持。新护士转型冲击、职业认同与组织支持感之间两两均呈显著相关性(均P<0.01)。转型冲击在新护士组织支持感与职业认同间起部分中介作用,中介效应大小为0.20,占总效应的百分比为43.3%。 结论 护理管理者应结合实际情况,加大对新护士的支持力度,增强其组织支持感,并采取针对性措施帮助其顺利渡过转型期,以加强其职业认同感,稳定临床护理队伍。 

关 键 词:三甲医院    新护士    转型冲击    组织支持感    职业认同
收稿时间:2020-07-03

Relationship between perceived organizational support and professional identification of new nurses in tertiary hospital:the mediating effect of transition shock
Affiliation:Department of Anesthesiology and Perioperative Medicine, Second Affiliated Hospital of Wenzhou Medical University and Yuying Children's Hospital, Wenzhouy Zhejiang 325027, China
Abstract:Objective To explore the relationship among transition shock, perceived organizational support and professional identification of new nurses in tertiary hospital, and provide some reference for helping the new nurses to pass through the transition period smoothly. Methods A total of 421 qualified new nurses were recruited from tertiary hospitals of Zhejiang province between January and June, 2019 by convenience sampling method. The Transition Shock of Newly Graduated Nurses Scale, Professional Identification Scale for Nurses and Perceived Organizational Support Scale for Nurses were used in the investigation. The SPSS 22.0 was used for data analysis, and the Amos 17.0 was used for mediating effects test. Results The score of transition shock was 100.57±13.64, with the scoring rate of 74.5%, and the subscale scoring rates from high to low were physical aspect, knowledge/skills aspect, sociocultural and development aspect, psychological aspect. The score of professional identification was 2.81±0.61, with the subscale scores from high to low were career self-concept, sense of career gain and sense of career motivation. The score of perceived organizational support was 3.19±0.53, with the subscale scores from high to low were emotional support and instrumental support. A significant correlation was found between the transition shock, professional identification and perceived organizational support(all P<0.01). Mediating effect analyses revealed that transition shock exerted a partial mediating effect between perceived organizational support and professional identification, with the mediating effect of 43.3%. Conclusion Nursing managers should strengthen their support to new nurses according to the hospital reality, improve their perceived organizational support, take targeted measures to help them through the transition period in order to strengthen their professional identification and stabilize the clinical nursing team. 
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