临床实习带教过程对男护生职业角色认同感的影响

目的：探讨临床实习带教过程对男护生职业角色认同感的影响。方法采用自制量表对58名男护生职业角色认同感进行调查，参与临床实习带教过程前后职业角色认同感的结果作自身对照进行比较。结果临床实习带教前，男护生的职业角色认同感较差，有41名（70．7％）男护生表示将来毕业后不会选择从事护理工作，主要影响因素是家人不支持、护士地位低、没有成就感、患者及家属对男护士的接受率低、人际关系交往时较为尴尬等。通过8个月的临床实习，男护生们对职业认同感的认识有所改变。37．9％的调查对象表示会从事护理工作，32．8％明确表示不会从事护理工作，低于临床实习前。临床实习后，男护生愿意从事护理工作的比例增加，与实习前比较差异有统计学意义（χ2＝16．76， P＜0．05）。81％的调查者对护理工作有了更全面的认识，意识到护理工作是一项技术性和专业性很强的行业。实习过程中自我成就感较高、某些特定科室男护生更受欢迎与实习所在科室的护理团队气氛融洽是增加男护生职业角色认同感的前3个主要因素。结论实习过程中，带教老师应积极引导和帮助男护生，且管理优秀、气氛融洽的护理团队能够提升男护生职业角色认同感。

Effect of clinical practice teaching on professional role-identity in male nursing interns

Objective To explore the effects of clinical practice teaching on professional role-identity in male nursing students .Methods The professional role-identity of fifty eight male nursing students were investigated by questionnaire , and the differences of professional role-identity degree before and after clinical practice teaching were compared .Results Prior to internship , the professional role-identity of male nursing students was low, in which 41 cases （70.7%） respondents would not engage in nursing care after graduate , and the major factors were discouraged by family , low accepted rate of patients , low social status and awkward social interpersonal interaction .After eight months internship , the professional role-identity of male nursing students increased.37.9%of participates wanted to be a nurse while 32.8%of them would not, which was lower than the number of survey before clinical practice teaching .After clinical survey , the rate of male interns , who had willness to be a nurse, increased and had statistical significance with that before internship （χ2 =16.76,P〈0.05）.After clinical practice teaching , 81%of participates knew nursing job more comprehensive and realized that nurse was a job required technology and professional knowledge .During clinical practice , male nursing interns gained a high self-achievement , felt more popular in certain department and a harmonious atmosphere of nursing team. All these factors were top three reasons to improve self-identity of male nurse role . Conclusions During the clinical practice , the positive guidance and help from teachers and a harmonious nursing team with excellent management can improve the professional role-identity of male nursing students , which may promote the development of nursing care .