护理实习生心理健康风险在心理弹性与职业认同感间的中介作用

Mediating role of psychological health risks between psychological resilience and occupational identity among nursing interns

目的分析护理实习生心理健康风险、心理弹性及职业认同感三者间的关系,探讨心理健康风险在心理弹性及职业认同感间的中介效应。方法采用方便抽样法于2022年2—4月选取上海市和苏州市4所三级综合医院的232名护理实习生为研究对象,调查其一般人口学资料、心理健康风险、心理弹性和职业认同感评分。结果护理实习生职业认同感得分为(63.96±11.22)分,心理弹性得分为(67.53±16.89)分,心理健康风险得分为(66.09±16.75)分。Pearson相关分析结果显示,心理健康风险与职业认同感及其各个维度呈负相关(P<0.05),心理弹性与心理健康风险及各个维度呈负相关(P<0.05),心理弹性与职业认同感及其各个维度呈正相关(P<0.05)。心理健康风险在心理弹性与职业认同感之间起完全中介作用。结论在护理实习生实习过程中,要通过提高护理实习生的心理弹性来对个人心理健康风险进一步明确认识,进而提高护理实习生的职业认同感,稳定护理队伍。

Objective To analyze the relationship between psychological health risk,psychological resilience,and occupational identity among nursing interns,and explore the mediating effect of psychological health risk between psychological resilience and occupational identity.Methods A convenience sampling method was used to select 232 nursing interns from four tertiary comprehensive hospitals in Shanghai and Suzhou from February to April 2022 as the research subjects,and their general demographic data,mental health risks,psychological resilience,and occupational identity scores were investigated.Results The professional identity score of nursing interns was(63.96±11.22)points,the psychological resilience score was(67.53±16.89)points,and the psychological health risk score was(66.09±16.75)points.The Pearson correlation analysis results showed that mental health risk was negatively correlated with occupational identity and its various dimensions(P<0.05),psychological resilience was negatively correlated with mental health risk and its various dimensions(P<0.05),and psychological resilience was positively correlated with occupational identity and its various dimensions(P<0.05).The mental health risk played a complete mediating role between psychological resilience and occupational identity.Conclusion During the internship process of nursing interns,it is necessary to enhance their psychological resilience to further understand personal mental health risks,thereby enhancing their professional identity and stabilizing the nursing team.