西安市2所中医医院护理实习生积极应对在社会支持和离职意愿间的中介作用

Mediating role of active coping between social support and turnover intention among nursing studentsat two traditional Chinese medicine hospitals of Xi'an City

目的 采用结构方程模型探讨积极应对在护理实习生社会支持与离职意愿间的中介作用。方法 2022年2—3月使用一般资料调查问卷、离职意愿量表、社会支持评定量表和简易应对方式问卷对西安市2所三级甲等中医医院的203名护理实习生进行问卷调查,并对数据进行分析。结果 中医医院护理实习生离职意愿得分为(14.79±2.10)分,社会支持得分为(33.42±6.24)分,积极应对得分为(20.57±6.16)分。社会支持、积极应对与离职意愿均呈负相关,社会支持与积极应对呈正相关(均P<0.01)。积极应对在社会支持与离职意愿间具有部分中介作用。结论 护理管理者和教育者应采取有效的措施改善护理专业学生在实习阶段面对临床问题时的应对方式,提高他们的社会支持水平,以降低其离职意愿,稳定护理队伍,培养高素质的储备人才。

Objective To explore the mediating effect of positive coping styles between social support and turnover intentions of nursing students using structural equation modeling.Methods From February to March 2022,a questionnaire survey was conducted among 203 nursing students at two traditional Chinese medicine hospitals of Xi'an City by the general information questionnaire,the turnover intention questionnaire,the social support rating scale,and the simple coping style questionnaire,and the data were analyzed.Results The score of turnover intention,social support and active coping among nursing students in traditional Chinese medicine hospitals was(14.79±2.10),(33.42±6.24)and(20.57±6.16)points,respectively.The social support and active coping were negatively correlated with turnover intention,and the social support was positively correlated with positive coping(all P<0.01).The positive coping partially mediated the relationship between social support and turnover intention.Conclusion The nursing managers and educators should take effective measures to improve nursing students'coping style when facing clinical problems in the studentship stage,improve their social support level,and reduce their turnover intention,so as to stabilize the nursing team and cultivate high-quality reserve talents.