A Survey of Correlation between Professional Identity and Clinical Competency of Psychiatric Nurses

Introduction: Clinical competency and knowledge of the effective factors are of critical importance in nursing. Competency, self-esteem, and self-knowledge are achievable through professional identity. Employees’ participation in and attachment to their professional role is contingent considerably upon their professional identity. In light of this, the present study is aimed at determining correlation between professional identity and clinical competence of the nurses working in psychiatric wards of the hospitals affiliated with Tehran-based medical sciences universities. Methodology: This correlative study was conducted on 125 nurses working in psychiatric wards of Tehran-based hospitals affiliated with medical sciences universities. Data gathering tool of the study was a researcher-designed questionnaire to collect demographic, clinical competency, and professional identity data of the participants. For data analyzing, Statistical Package for the Social Sciences (SPSS) version 18 was used. Findings: The results showed 91.2% of the participants evaluated their professional identity at good (47.2%) and very good (44%) levels;and 78.2% evaluated their clinical competency at very good level. The results also indicated positive and significant relationship between professional identity and clinical competency(r = 0.32, p = 0.001). In addition, none of the demographical variables were related to professional identity and clinical competency. Conclusion: There is positive relationship between clinical competency and professional identity, which means that development of positive attitudes regarding the psychiatric nursing can lead to higher clinical competency of the participants. The findings of the study highlighted the weight and role of positive attitude regarding the professional identity. It could result in increase of clinical competency and deserved attention of hospital’s managers.

Factors that affect the process of professional identity formation in public health nurses

Objective: The aim of this study was to elucidate the process of professional identity formation and the factors that affect the process in public health nurses (PHNs). Methods: We performed an inductive qualitative analysis based on semi-structured interviews and focus group interviews of 65 PHNs. Results: At years 1 - 5, PHNs did not have a professional self-identity. Therefore, it was important for them to recognize the significance of their own work. At years 6 - 10, PHNs acquired self-assurance as a practitioner through feedback from residents. It was important for them to have a better understanding, broader viewpoints and more affection for their own community. At years 11 - 20, PHNs felt ambivalent toward the challenges and heavy responsibilities based on the objective assessment of their jobs and roles. PHNs felt embarrassed by role changes when they became a manager or an expert. It was important for them to become aware of their new role through managerial education and training. However, some PHNs who were unable to establish a clear PHN identity experienced setbacks at each developmental stage. Conclusions: Our data suggest that a differential approach dependent on the stage and level of confidence in an individual’s PHN identity is required for the formation of PHN identity.

Professional identity, wellness, and future hope among nurse interns in Egypt

Objective:Since nursing is a performance-based profession,clinical learning environments play an important role in the acquisition of professional abilities and train nursing students to enter the nursing profession and become a registered nurse.The study aimed to investigate the relations among professional identity,wellness,and future hope in nurse interns.Methods:A cross-sectional,analytic,descriptive,correlational study design was used to test these relations in the study where 210 nurse interns’students were selected using a convenience sampling from Zagazig University hospitals and Suez Canal University hospitals in Egypt.The questionnaires consisted of 4 parts,namely demographic characteristics,Professional Identity Scale for Nursing Students(PISNS),Holistic Health and Wellness Survey,and Hope scale.Results:Less than half of the study sample had chosen nursing specialty by own will(43.8%),while slightly more than half of them had a"very good"graduation level,and had no nursing role model.The lowest mean professional identity score was for independence in career choice while the highest was for social modeling.The repor ted physical wellness mean-score was the least,while social wellness was the highest.Professional identity,wellness,and future hope scores differed significantly based on nurse interns’personal characteristics.There were statistically significant,positive,weak-to-moderate correlations among the scores of professional identity,wellness,and future hope;however,the"choice of nursing study by own will"was a statistically significant independent positive predictor of the scores of professional identity,wellness,and future hope.Conclusions:Nurse interns’professional identity,wellness,and future hope were positively inter-correlated.However,nurse interns’wellness was the lowest,and it should be fostered as it was the main predictor for future hope.The internship programs should be modulated to improve nurse interns’professional identity,par ticularly regarding independence,and should foster their well-being in the clinical environment.

Structure of Professional Identity of Public Health Nurses Working for Governmental Agencies

Background: Public health nurses in Japan are nationally licensed professionals who act as members of local governments and provide services to local community residents. Public health nurses must establish their professional identity early on in order to deliver high quality public health services. However, the structure of their professional identity is not fully understood. Objectives: Our purpose was to investigate structures of professional identity of public health nurses working for governmental agencies, and to clarify characteristics of their professional identity. Methods: Questionnaire surveys were conducted on 670 PHNs working for local governmental agencies. The investigation items included measurement indices for professional identity of PHNs, basic attributes, and scales which reflect aspects of self-respect. After analyzing the investigated items, we conducted exploratory factor analysis. Also we named extracted factors, and investigated reliability and appropriateness. Relationships with the attributes or self-respect aspects were also analyzed. Results: Of 350 respondents (52.2%), 309 effective answers (effective answer ratio: 88.2%) were analyzed. Item and factor analyses identified 12 items, which were categorized into 3 factors: “intention to develop professionally”, “confidence in own abilities”, and “occupational affinity”. Scales of self-respect aspects and the index for professional identity showed positive correlation. The coefficient for all 12 items was 0.89. Significant difference with the attributes were noted for “age”, “years of experience as PHNs”, and “number of PHN in the workplace”. Conclusion: Professional identify of PHNs is found to be consisted of 3 factors.

Associated factors of professional identity among nursing undergraduates during COVID-19:A cross-sectional study

Objectives Professional identity plays an important role in the long-term development of nurses,and it will change when public health emergency occurs.The objective of this study is to investigate the factors associated with the professional identity of nursing undergraduates in the epidemic of COVID-19.Methods A cross-sectional survey design with convenience sampling was used.A total of 3,875 nursing undergraduates were recruited from seven universities across China from March to April 2020.A general information questionnaire was used to collect students’information,and the Professional Identity Questionnaire for Nurse Students was used to survey their professional identity during the early and later stages of the first wave of the COVID-19 epidemic.Results The score of professional identity in the later stage(59.49±12.41)was higher than that in the early stage(56.96±12.61).The stepwise regression indicated that several factors were associated with professional identity,including gender,residential area,major,impact of the epidemic on intention to work after graduation,reasons for choosing nursing major and students’scores of professional identity in early stage.Conclusions Nursing educators can utilize the positive impact of responding to public health emergencies to increase the professional identity of students.Meanwhile,educators should give those students with lower professional identity more targeted education to cultivate their professional identity after the occurrence of public health emergencies.

Measurement of professional identity in Chinese nursing students

Objectives:Chinese nurses continue to display low professional identity.It is becoming an emergent issue in China how to help nurse students develop their positive professional identity.This paper is to develop the Professional Identity Scale for Nursing Students(PISNS).Methods:Literature review,and interviews with students and experts were adopted to develop initial item.Reliability and validity of the scale were respectively examined by computing internal consistency coefficient alpha and split-half Spearman Brown for equal length,and Exploratory Principle Component Factor Analysis.Results:Five factors with 17-item were obtained explaining 58.9%of the total variance.Cronbach’s alpha,and split-half reliability was 0.83 and 0.84 respectively.Conclusions:Given its high reliability and validity,PISNS could be used as a measurement tool for educators to evaluate the developing level of professional identity in nursing students and assess the effectiveness of corresponding interventions and strategies.

Correlation among academic self-efficacy,professional identity,and professional attitude of higher vocational nursing students

Objective:To analyze the influence of professional identity and academic efficacy on the professional attitude of higher vocational nursing students.Methods:A total of 656 higher vocational nursing students were investigated with general information questionnaire,academic self-efficacy scale,professional identity scale,and professional attitude scale of nursing students.Results:The score of professional attitude of higher vocational nursing students was(106.34±9.86),which is found to be in the upper middle level.The professional attitude of higher vocational nursing students is positively correlated with academic self-efficacy(P<0.05),and with learning ability self-efficacy(P<0.01).Professional cognition,professional will,and professional values have a positive predictive effect on the professional attitude of higher vocational nursing students(P<0.05).Conclusions:Academic self-efficacy and professional identity are important predictors of professional attitude.Learning behavior self-efficacy,professional cognition,professional will,and professional values have a significant impact on the establishment of positive professional attitude.

A study on the correlation between function motivation and professional identity among nursing volunteers

Objective:The objective of this study is to understand the status quo of function motivation and professional identity among nursing volunteers and explore the correlation between the two.Materials and Methods:A total of 3375 nursing volunteers from Nightingale Volunteer Service Group in Shanxi Province were investigated by using Occupational Identity Scale and Volunteer Functional Motivation Scale.Results:A total of 3375 questionnaires were issued and 3330 were recovered,among which 3324 were valid,with an effective recovery rate of 99.82%(3324/3330).The overall score of professional identity of nurses was 110.31±18.71,and the score of each dimension was 32.17±6.62 for professional cognitive evaluation dimension,22.77±3.74 for professional social support,21.31±4.09 for professional social skills,22.78±3.79 for professional frustration coping,and 11.32±2.03 for professional self-reflection.The total score of function motivation was 157.12±29.92.The above five dimensions of nurse’s professional identity scale were positively correlated with the total score of function motivation of nursing volunteers(r=0.044,0.035,0.034,0.035,and 0.042,respectively,all P<0.05).Conclusion:The functional motivation and professional identity of nursing volunteers in Shanxi Province are in the middle level in China.Therefore,it is necessary for the hospital to stimulate nursing staff’s enthusiasm about participation by carrying out multi-channel and multi-form volunteer service projects,enhance their professional identity,and make them better give back nursing professional skills to the society.

Research progress on professional identity assessment tools for nursing students in China

This paper introduced the concept of nursing students’ professional identity and described the development process.At the same time this paper introduced the assessment content, applicable population and scoring methods.Reliability and validity of the scales and the application status of commonly used assessment tools of professionalidentity of nursing students were introduced. This study aims to provide guidance for clinical staff and nursingeducators to select targeted professional identity assessment tools for nursing students.

Analysis of ideological education status of male undergraduate nursing students

This article through the analysis of male nursing students after graduation employment status quo and the cause of low professional identity,to explore the status quo and countermeasures of male nursing student’s professional ideological education,to provide basis for male nursing students personalized training,to meet the needs of society and patient nursing diversification.

本科实习护生人格的聚类分析及其对职业认同的影响研究

目的通过聚类分析识别本科实习护生的人格类型,并分析其对职业认同的影响。方法2021年10月至12月采用便利抽样法对山东省3所医院的293名本科实习护生进行职业认同问卷和大五人格量表调查。结果聚类分析显示,本科实习护生共存在3种人格类型,弹性型(17.06%)、困扰型(45.05%)及开放型(37.88%)。回归分析显示,与开放型相比,弹性型是本科实习护生职业认同感的保护因素(P<0.01),而困扰型是其危险因素(P<0.01)。结论本科实习护生的人格类型存在弹性型、困扰型及开放型3种,困扰型表现出较低的职业认同感,值得护理管理者关注。

本科实习护生职业认同轨迹质性研究

目的探索本科实习护生的职业认同轨迹,旨在为提高护生职业认同、减少护理人才流失提供参考依据。方法对12名本科实习护生进行深度访谈,采用扎根理论方法分析资料。结果析出1个核心类属(职业认同轨迹)、5个类属(专业选择原因、固有职业认知、系统学习改观、实践体验变化、职业选择倾向)。结论固有职业认知可能贯穿护生职业认同轨迹的各个阶段,系统学习和临床实践会使护生职业认同发生变化,职业认同不再是决定护生职业选择的充分必要条件。护理教育者和护理管理者应了解护生职业认同轨迹,提高护生职业认同度,减少护理人才流失,促进护士队伍稳定。

临床护士死亡应对能力与死亡态度、职业认同的相关性

目的:探讨临床护士死亡应对能力与死亡态度、职业认同的关系。方法:2022年10月—2022年12月,采用便利抽样法抽取河北省13所医院的953名临床护士作为研究对象,采用一般资料调查表、中文版死亡应对量表(CDS)、死亡态度描绘量表(DAP-R)、护士职业认同评定量表(PISN)进行调查。结果:953名临床护士CDS得分为(115.30±31.22)分,DAP-R得分为(95.59±16.41)分,PISN得分为(107.55±23.44)分。护士死亡应对水平与正向死亡态度、职业认同水平呈正相关(P<0.05),与负向死亡态度呈负相关(P<0.05)。回归分析结果显示,年龄、学历、近3个月护理过死亡病人的数量、死亡教育培训及DAP-R、PISN得分为护士死亡应对能力的影响因素(P<0.05)。结论:临床护士死亡应对能力处于中等偏低水平,与死亡态度及职业认同相关。护理管理者可通过培养护士正向死亡态度,加强其对护理职业的认同感,进而提升其死亡应对能力。

护理本科实习生自我效能和职业认同在转型冲击与职业决策困难间的链式中介效应

目的 探讨护理本科实习生自我效能和职业认同在转型冲击与职业决策困难间的中介作用。方法 2022年12月—2023年3月采用方便抽样法,采用护理本科实习生转型冲击评价量表、一般自我效能感量表、护生职业认同问卷、职业决策困难问卷对来自北京市、山东省、河南省13所高校的365名护理本科实习生进行问卷调查。结果 护理本科实习生的职业决策困难得分为(37.85±9.37)分。自我效能、职业认同在转型冲击与职业决策困难之间起中介作用,包括自我效能的独立中介效应(效应值0.145)、职业认同的独立中介效应(效应值0.171)、自我效能—职业认同的链式中介效应(效应值0.048)。结论 护理本科实习生转型冲击通过自我效能和职业认同间接对职业决策困难发挥作用。护理教育者可通过降低护理本科实习生的转型冲击,提高其自我效能和职业认同,从而减轻实习生的职业决策困难。

长沙市三甲医院第三方人事代理护士留职意愿现状及影响因素分析

目的调查长沙市三甲医院第三方人事代理护士的留职意愿,并分析其影响因素。方法选取长沙市4所三甲医院206名第三方人事代理护士为研究对象,采用一般资料调查表、中文版护士留职意愿问卷、心理资本问卷以及护士职业认同评定量表对其进行调查。结果第三方人事代理护士留职意愿量表总分为(17.28±4.61)分,条目均分为(2.88±0.57)分。多元线性回归分析结果显示,月工资收入、家人支持度、心理资本以及职业认同水平为第三方人事代理护士留职意愿的独立影响因素(R 2=0.755,调整后R 2=0.725;F=15.137,P<0.001),解释总变异的72.5%。结论长沙市三甲医院第三方人事代理护士留职意愿偏低,护理管理者应着重关注月工资收入、家人支持度、心理资本水平以及职业认同水平低的第三方人事代理护士,改善其工资待遇,加强其组织心理支持,提升其职业认同,进而提升其留职意愿。

突发公共卫生事件背景下实习护生共情疲劳现状及影响因素研究

为探究突发公共卫生事件背景下实习护生共情疲劳现状及影响因素,选取2022年6月至2023年1月成都市某“三甲”医院的260名实习护生为研究对象,采用一般资料调查问卷、中文版共情疲劳量表、护士职业认同评定量表进行评价。研究显示,在突发公共卫生事件背景下,实习护生处于中度共情疲劳水平。非自愿选择护理专业、不能胜任目前实习、职业认同度低、就业时不选择护理职业的实习护生更容易发生共情疲劳。医学院校及医疗机构管理者应关注此类实习护生,并制定相应的预防措施,保障护理队伍的健康发展。

CDIO教学模式对手术室新入职护士培训考核成绩及职业认同感的影响

目的:探究基于构思—设计—实现—运作(CDIO)的教学模式对手术室新入职护士培训考核成绩与职业认同感的影响程度。方法:选取2019年10月—2022年2月德阳市人民医院手术室新入职的54名护士作为研究对象,随机分为常规组与研究组,每组各27名。常规组护士给予常规教学模式进行规范化岗位培训,研究组护士给予CDIO教学模式,比较两组护士培训考核成绩(理论成绩与操作成绩)、职业认同感。结果:培训后,与常规组理论成绩相比较,研究组理论成绩偏高,差异有统计学意义(t=5.685,P<0.05);培训后,与常规组理论成绩相比较,研究组操作考核成绩偏高,差异有统计学意义(t=4.987,P<0.05);培训后,与常规组新护士职业认同感总分相比较,研究组职业认同感总分偏高,差异有统计学意义(t=11.499,P<0.05)。结论:CDIO教学模式有利于提高手术室新护士的理论知识、操作水平,同时也可以增强其分析问题和解决问题的能力,基于构思—设计—实现—运作的教学模式,对手术室新护士的职业认同感起到十分积极的影响,该教学模可为后续新入职手术室护士培养提供理论依据式。

护理硕士专业学位研究生高级健康评估的进阶式课程设计和多梯度仿真模拟教学实践

高级健康评估是护理硕士专业学位研究生的核心专业基础课程之一。中山大学护理学院教学团队以临床思维能力培养和全程思政教育为导向,基于学习环理论构建了“夯实基础、整合应用、专科拓展”三个层次相结合的进阶式课程框架,并开展了多梯度的仿真模拟教学实践。文章介绍了该课程的建设框架、教学目标、课程设计、多梯度仿真模拟教学实践要点、课程思政建设、课程考核及实施情况,旨在为高校护理硕士专业学位研究生高级健康评估课程建设与优化提供参考。

实习护生临床沟通能力现状及提升路径探究——以宁夏医科大学为例

目的了解实习护生临床沟通能力现状,并对其影响因素进行分析,为提高临床沟通能力提供科学依据。方法采用整群随机抽样法,选取宁夏医科大学护理学院248名高职实习护生作为研究对象,利用一般资料调查表、护生临床沟通能力测评量表等进行调研。结果实习护生临床沟通能力测评量表平均得分为(78.05±11.16)分,主要受居住地、学校临床沟通培训次数、自我感觉沟通能力、平时与病人及其家属的关系、临床带教教师的能力等因素的影响。结论实习护生临床沟通能力处于中等水平,学校和教师要加强专业认同感和专业自信教育,提高护生的临床沟通能力。

外科责任护士出院计划能力的潜在剖面分析及影响因素研究

目的探讨外科责任护士出院计划能力现状,分析其类别及人群特征。方法便利选取3所三级甲等医院的516名外科责任护士作为调查对象,采用一般资料调查表、责任护士出院计划能力量表、自我效能量表及职业认同感量表进行调查,对其出院计划能力进行潜在剖面分析,并通过单因素分析和logistic回归分析识别各类别的影响因素。结果外科责任护士出院计划能力分为3个类别:低能力组(24.23%)、中等能力组(49.22%)和高能力-达成共识组(26.55%)。logistic回归分析结果显示,外科责任护士年龄、工作年限、学历、是否参加过出院计划培训、自我效能感及职业认同感是出院计划能力潜在剖面类别的影响因素(均P<0.05)。结论外科责任护士出院计划能力存在异质性。护理管理者可根据不同类别的影响因素对外科责任护士进行个体化干预,以提高其整体出院计划能力。