锦州市三级甲等医院实习护生职业决断力在欺凌行为与职业探索间的中介效应

Mediating effect of career decision making on bullying behavior and career exploration among nursing students in grade-A tertiary hospitals

目的了解锦州市三级甲等医院实习护生欺凌行为、职业决断力与职业探索的相关性,探讨职业决断力在欺凌行为与职业探索间的中介效应,为护理教育者和管理者采取针对性策略,提高护生职业探索水平提供依据。方法采用便利抽样法,选取2022年6月—2023年3月在锦州市2所三级甲等医院实习的318名护生为研究对象,以中文版护生遭受欺凌行为量表、职业探索问卷和职业决断力问卷对实习护生进行调查,并对数据进行分析。结果三甲医院实习护生欺凌行为总分[M(P_(25),P_(75))]为16.00(10.00,22.25)分,职业决断力总分为(32.50±6.57)分,职业探索总分为(57.98±11.10)分。职业探索与职业决断力呈显著正相关(P<0.01),与欺凌行为呈显著负相关(P<0.01);Bootstrap检验结果显示,职业决断力在三甲医院实习护生欺凌行为和职业探索间的中介效应为-0.152(95%CI:-0.208~-0.099),占总效应的59.6%。结论锦州市2所三级甲等医院实习护生欺凌行为、职业决断力与职业探索间两两相关,职业决断力在三甲医院实习护生欺凌行为和职业探索间起部分负向中介作用。护理教育者和管理者应重视护生的实习环境,采取有效措施减少欺凌行为的发生,提升其职业决断力,从而促进职业探索频率的增加。

Objective To investigate the correlation between bullying behavior,career decision making and career exploration among nursing interns in grade-A tertiary hospitals in Jinzhou City,and to explore the mediating effect of career decision making between bullying behavior and career exploration,so as to provide a basis for nursing educators and managers to adopt targeted strategies and improve the career exploration level of nursing students.Methods A total of 318 nursing students who interned at 2 grade-A tertiary hospitals in Jinzhou City from June 2022 to March 2023 were selected by convenience sampling method.The Chinese version bullying behavior scale,career exploration questionnaire and career decision questionnaire were used to investigate the nursing students,and the data were analyzed.Results The total score of bullying behavior[M(P_(25),P_(75))]was 16.00(10.00,22.25)points,the total score of career decision making was(32.50±6.57)points,and the total score of career exploration was(57.98±11.10)points.Career exploration was positively correlated with career decision making(P<0.01),and negatively correlated with bullying(P<0.01).The Bootstrap test results showed that the mediating effect of career decision makingbetween bullying behavior and career exploration among intern nursing students in grade-A tertiary hospitals was-0.152(95%Cl=-0.208--0.099),accounting for 59.6%of the total effect.Conclusion There is a pairwise correlation between bullying behavior,career decision making and career exploration in two grade-A tertiary hospitals in Jinzhou City,and career decision making plays a negative mediating role between bullying behavior and career exploration.Nursing educators and managers should pay attention to the practice environment of nursing students,take effective measures to reduce the occurrence of bullying behavior,improve their career determination,and promote an increase of the frequency of career exploration.