觉知压力在护理实习生自我导向学习能力与择业效能感间的中介作用

目的 评估护理实习生自我导向学习能力、觉知压力与择业效能感之间的关系。方法 采用择业效能感量表、自我导向学习能力量表和觉知压力量表,对河南省某三级甲等医院的923名护理实习生进行调查。结果 自我导向学习能力对择业效能感具有直接正向预测作用（r=0.503,P<0.01）,觉知压力是自我导向学习能力与择业效能感的中介变量,中介效应占总效应的21.60%。结论 临床护理教育者应重视护理实习生临床实习期自我导向学习能力的培养、压力的监测与干预,以增强其择业信心,提高择业效能感。

The mediating role of perceived stress between self-directed learning ability and career decision-making selfefficacy among nursing interns

Objective To investigate the relationship among self-directed learning ability,perceived stress,and career decision-making self-efficacy among nursing interns.Methods A total of 923 nursing interns from a tertiary hospital in Henan Province were investigated with Career Decision-making Self-efficacy Scale,Self-rating Scale of Self-directed Learning,Chinese Perceived Stress Scale in late stage of clinical practice.Results The scores of career decision-making self-efficacy was positively correlated with self-directed learning ability（r=0.503,P<0.01）,and perceived stress acted as a mediator in self-directed learning ability and career decision-making self-efficacy,the intermediary effect accounted for 21.60% of the total effect.Conclusion Clinical nursing educators should attach importance to the cultivation of self-directed learning ability,stress monitoring and intervention of nursing interns,in order to enhance their confidence in career selection and improve the sense of career decision-making self-efficacy.