我国首批安宁疗护试点城市安宁疗护护士职业认同的现状调查

Investigation on professional identity of hospice nurses

目的调查中国首批安宁疗护试点城市安宁疗护护士职业认同现状并分析其影响因素。方法采用便利抽样方法,运用护士职业认同评定量表、中文版职业生涯成功量表、中文版护士心理资本量表,对中国首批安宁疗护试点城市(北京市、长春市、上海市、洛阳市、德阳市)的8家单位共172名安宁疗护护士开展调查,并对职业认同的影响因素进行单因素与多元线性回归分析。结果安宁疗护护士职业认同得分为(87.76±8.70)分,处于中等水平,职业生涯成功得分为(33.26±5.19)分,心理资本得分为(72.13±14.77)分。相关性分析结果显示,安宁疗护护士职业认同总分与职业生涯成功总分、心理资本总分均呈正相关(P<0.001)。多元线性回归分析结果显示,是否主动从事本工作、每月薪资、单位类型、职业生涯成功是安宁疗护护士职业认同的主要影响因素。结论中国首批安宁疗护试点城市安宁疗护护士职业认同处于中等水平,有待提升。开展安宁疗护的机构应积极促进安宁疗护护士职业成功、引导其主动从事安宁疗护工作等,以提高其职业认同。

Objective To investigate the status of professional identity of hospice nurses and analyze its influencing factors. Methods Totally 172 hospice nurses from 5 cities(Beijing,Changchun,Shanghai,Luoyang,Deyang)were selected and surveyed by the Nurses’ Professional Identity Rating Scale,the Chinese version of the Career Success Scale and the Chinese version of the Nurses’ Psychological Capital Scale. Single-factor analysis and multiple linear regression analysis were adopted to explore the influencing factors of professional identity. Results The score of professional identity of hospice nurses was(87.76±8.70) at a moderate level. The score of career success was(33.26±5.19);the score of psychological capital was(72.13±14.77). Correlation analysis showed that the professional identity of hospice nurses was positively correlated with career success and psychological capital(P<0.001).Multiple linear regression analysis showed that the initiative to actively engage in this position,monthly salary,unit type and career success were influencing factors of professional identity. Conclusion The professional identity of hospice nurses is at a moderate level and needs to be improved. The hospice care institutions should actively promote the career success of hospice nurses and guide them to take the initiative to engage in hospice care in order to enhance their professional identity.