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 between self-differentiation and professional adaptability among undergraduate nursing students in China

Purpose:This study aimed to investigate the current status of self-differentiation and professional adaptability among undergraduate nursing students,to analyze the relationship between these two variables,and to provide recommendations for nursing educators.Methods:A total of 341 nursing undergraduate students at the University of South China were investigated using the Differentiation of Self Inventory and the Professional Adaptability Scale for college students.Results:The mean scores of self-differentiation and professional adaptability were 3.70±0.60 and 2.87±0.37,respectively,and the two variables were positively correlated(P<0.01).Conclusion:The level of self-differentiation of undergraduate nursing studentsaffects their professional adaptability.Nursing educators should consider the characteristics of self-differentiation of undergraduate nursing students in developing measures to improve their professional adaptability.

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.

Factors that Influence Professional Socialization in Nursing Students: A Multigroup Analysis

Background: Nursing professional socialization significantly influences the sustainable development of nursing students’ careers. This study aims to examine the factors that influence professional socialization in nursing students. Methods: This is a quantitative study of a sample of 108 nursing students (80 females and 28 males). The Simulation Learning Effectiveness Scale, Caring Assessment Report Evaluation Q-sort, Self-Reflection and Insight Scale, and Holistic Nursing Competence Scale were used to collect the data on the independent variables. The Team Skills Scale, Nursing Image as a Profession questionnaire, and Nursing Professional Commitment Scale were used to assess the level of students’ nursing professional socialization, which is an outcome construct variable. A multigroup analysis was used to examine the professional socialization research model. Results: The full model findings show that individual learning effectiveness had a significantly positive effect on nursing students’ caring behavior and on self-reflection and insight. In addition, caring behavior and self-reflection and insight had a significantly positive effect on nursing competence. Finally, nursing competence also had a significantly positive effect on nursing professional socialization. Overall, all independent variables were significant predictors of nursing professional socialization, explaining 36.7% of the variance in the integrated model of professional socialization. In addition, a permutation test revealed no differences in the two comparisons’ path coefficient estimates in the model (female vs. male). Conclusion: It is important to further strengthen nursing students’ self-learning effectiveness to promote their self-reflection and caring behavior. Increasing students’ nursing competence is a key factor in improving their professional socialization.

Professional values in nursing students in Jordan:baccalaureate nursing students’perception

Objective:Baccalaureate degree curricula consist of several professional values required for nursing students,which are taught in many ways.This study aimed to explore the perception of baccalaureate Jordanian nursing students regarding professional values and to assess the relationship between students’demographics and their perception of professional values.Methods:The study design was a descriptive,cross-sectional correlational design.A convenience sample of 182 Jordanian undergraduate nursing students enrolled at one of the most prominent universities in Jordan who completed and submitted a self-administered Nurses’Professional Values Scale(NPVS)was considered for this study.Results:The NPVS total score ranged from 37 to 130,with a relatively high total score mean(99.68 with a mean of 3.83 out of 5).The highest score domain in NPVS was“Justice”with a mean of 3.97,while the lowest ranked domain was“Activism”with a mean of 3.69.The correlation coefficient showed no statistically significant correlation between age nor accumulative students’average with a total score of Nurses Professional Values Scale-revised(NPVS-R)and its subdomains.The t test results showed that gender and type of students’enrollment(regular vs.upgrading)did not affect the means of NPVS-R and its subdomains.But differences were found to be statistically significant between the means of first year students and fourth year students in the total score of NPVS-R.Conclusions:Findings of the study alert nursing educators to pay more attention to the importance of promoting the values related to“activism”and“professionalism”among nursing students.Suggestions for enhancing the roles of peer supervision and providing peer review to colleagues would contribute to improving nursing students’performance and raising self-awareness because when nursing educators pay more attention to the items of these domains,better future nursing professionals,leaders,and researchers can be gained.Also,understanding nursing students’perceptions of the importance of professional values and the difficulties in its application would be vital to enlighten educators about the areas that need improvement.

Mediating effect of undergraduate nursing students’ professional commitment on positive psychological capital and learning burnout

Objective:The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital(PsyCap)and learning burnout.Materials and Methods:A cluster sampling method was used to survey 442 students of a bachelor’s degree in freshman to the junior in a medical college in Shaanxi Province.Results:Professional commitment was positively related to positive PsyCap(=0.487,P<0.01),while positive PsyCap and professional commitment were negatively related to learning burnout(r=−0.456,r=−0.411,P all<0.01).There are certain mediating effects of professional commitment in the relationship between positive PsyCap and learning burnout.The mediating effect value of professional commitment is−0.065,accounting for 16.08%of the total effect.Conclusion:Nursing educators in medical colleges and universities should focus on developing and training the positive PsyCap of undergraduate nursing students,thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.

Literature Review of Nursing Education Promoting Professional Socialization among Nursing Students

The aim of this review was to clarify the elements that promote socialization of nursing professionals from the findings of previous studies, with keywords related to socialization among undergraduate nursing students, and obtain indicators for promoting professional socialization in nursing students in the current nursing education. The literature review was conducted using a qualitative analysis of the promotion of professional socialization among nursing students. The results were reported according to the reporting checklist of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. The authors conducted a literature search using electronic databases in July 2021, such as CINAHL (EBSCOhost), MEDLINE (EBSCOhost) for English articles, and Ichushi for Japanese articles. Included studies were from 1985 to 2021. Previous studies were integrated to current studies. A total of 23 articles in English and 34 articles in Japanese were analyzed. The methods for promoting professional socialization in nursing students include self-learning, online media, extracurricular elements, and clinical practice. Socialization process differed for each school year;the first-year students tend to have ideological answers, while the fourth-year students tend to have practical answers as a result of education. The process needs supports from instructors and mentors. Nursing education promoting professional socialization in nursing students has developed diverse modeling, positive effects for improving social skills, and impact of self-efficacy and self-esteem and has fostered professional commitment and professional identity. However, loss of idealism of professional identity after graduation should be considered with supports from instructors and mentors. To establish nursing professional identity smoothly, nursing instructors supporting skills should be developed by understanding students’ stage of professional socialization.

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.

The effects of Professional Commitment and Patient Safety knowledge-attitude-practice on Undergraduate nursing students’ Humanistic Care Ability in clinical practice

Objective:To describe the status quo of humanistic care ability,the knowledge-attitude-practice of Patient Safety and professional commitment among Undergraduate Nursing Students in clinical practice,and to determine the effects of professional commitment and patient safety knowledge-attitude-practice on humanistic care ability.Methods:Two hundred and thirty-two undergraduate nursing students in clinical practice were investigated with the general questionnaire,Caring Ability Inventory(CAI),Patients Safety knowledge-attitude-practice(KAP)Questionnaire and the Nursing Professional Commitment Scale.Results:The score of humanistic care ability of nursing undergraduates was 185.19±20.95,patients safety KAP score was 106.94±11.62,professional commitment score was 74.93±10.44.Undergraduate nursing students’humanistic care ability were positively correlated with professional commitment and patients safety KAP(P<0.05).Multiple Linear regression analysis showed that professional commitment,patient safety KAP entered the humane care equation(F=24.051,P<0.001),and explained 39.1%of the total variation in humane care.Intermediate effect analysis shows that patient safety played a partial mediating role in professional commitment and humane care.Conclusion:The professional commitment and patient safety KAP of undergraduate nursing students were positively related to their humanistic care ability.Improving the professional commitment and knowledge and patients safety KAP of nursing students can strengthen their humanistic care ability to provide high-quality nursing for patients.

Current Situation Analysis of Nursing Students'Professional Attitudes and Employment Intentions during COVID-19 Pandemic

Objective:To understand the status of nursing students'professional attitudes,professional identity,and employment intention under the new coronary pneumonia pandemic,and to analyze the factors influencing nursing students'employment intention.Methods:A cross-sectional survey was conducted on 689 nursing students using a questionnaire,and the results were analyzed by multiple unordered and ordered regressions.Results:47.17%of the nursing students chose to work in clinical nursing in the future;95.5%of the nursing students preferred to work in Grade III class hospital hospitals;0.73%of the nursing students actively chose to work in the infectious disease unit in the background of COVID-19 pandemic.In the analysis of professional attitudes,female nursing students scored higher than male nursing students;Senior students and above scored significantly higher than junior nursing students;nursing students who had internship experience scored higher than those who had not;nursing students who had someone close to them who was involved in the rescue work of the COVID-19 pandemic scored higher in professional attitudes.Regression analysis showed that the higher the professional identity score,the more likely the nursing students were to choose a nursing-related job and expect a higher salary;nursing students who chose nursing because it was easy to find a job,followed the advice of others,or had a family income of less than 3000 yuan per capita also expected a higher salary.In the context of the pandemic,nursing students with high career attitude scores were less likely to choose clinical nursing jobs;students without nursing practitioners at home were less likely to choose hospitals and health management organizations;nursing students with high career identity were more likely to choose Grade III class hospitals.Conclusion:The outbreak of COVID-19 has influenced the employment intention of nursing students,in the background of pandemic,about half of them still choose to engage in clinical nursing work;most of them recognize the outstanding contribution and professional value of nurses in the fight against epidemic.Meanwhile,through this research,it is believed that nursing students at school have insufficient awareness of infectious diseases and other public health emergencies.It is recommended that relevant colleges and universities strengthen knowledge and related courses on the prevention and control of infectious diseases and public health emergency events.

Clinical Supervision and Non-Technical Professional Development Skills in the Context of Patient Safety—The Views of Nurse Specialist Students

The aim of the study was to evaluate nurse specialist students’ views of clinical supervision (CS) and its influence on their professional competence development. An additional aim was to interpret the results and link them to non-technical skills and Patient Safety (PS) topics. The research question was: What are the benefits of clinical supervision focusing on non-technical skills in the area of PS? A cross-sectional study of 46 nurse specialist students was conducted by means of questionnaires and exploratory factor analysis. Factors that influenced the nurse specialist students’ competencies were: interpersonal, professional and communication skills in addition to awareness of ethical skills, the importance of teamwork and the benefit of involving patients and their family members in safe care. The results were linked to non-technical skills and PS competencies. Clinical supervision is crucial for the development of non-technical skills and PS competencies among nurse specialist students. However, finding time to reflect and learn from the supervision was reported to be a problem. Over half of the students stated they did not have enough time for supervision. Thus, there is a potential for quality improvement. We recommend that universities should provide formal educational programmes for supervisors focusing on the professional development of students, especially in the area of non-technical skills. In conclusion, CS should be prioritised by management and clinical leaders as it enhances PS.

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.

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。

“双元育人”模式下护生自主学习能力在职业认同感与岗位胜任力间的中介作用

目的:分析自主学习能力、职业认同和岗位胜任力之间的关系,探讨“双元育人”模式下护生自主学习能力在职业认同感与岗位胜任力之间的中介作用。方法:采用便利抽样方法选取全国11个省份17所高职院校护理专业采用“双元育人”模式的护生1111名作为研究对象,采用一般资料问卷、职业认同感问卷、护理学生自主学习能力量表及临床护士胜任力自评问卷进行调查,应用分层多元回归分析职业认同和自主学习能力对临床护士岗位胜任力的影响,采用Bootstrap法检验自主学习能力在职业认同感与岗位胜任力之间的中介作用。结果:“双元育人”模式下护生岗位胜任力与职业认同感和自主学习能力均呈明显正相关关系(r=0.433、0.619,P<0.01)。多元回归分析显示,职业认同或自主学习能力对岗位胜任力有积极影响(P<0.01)。自主学习能力在职业认同与岗位胜任力的关系中起中介作用,通过自主学习能力创造职业认同的间接效应占总效应的68.4%。结论:自主学习能力在一定程度上调节了职业认同与岗位胜任力的关系,应重视学生的职业认同和自主学习能力,以提高护生的岗位胜任力。

护理学专业学生职业认同量表的编制与信效度检验

目的构建一个信效度良好的护理学专业学生职业认同量表。方法以认同理论为理论框架,通过文献分析、质性访谈结果构建量表条目池,使用德尔菲法筛选和优化构建量表初稿,通过预调查、条目筛选和量表信效度评价形成量表终稿。结果构建的护理学专业学生职业认同量表包括3个维度28个条目。量表总Cronbach’sα系数为0.971,折半信度为0.946,重测信度是0.832。探索性因子分析提取3个公因子,累积贡献率为64.23%;验证性因子分析显示,结构模型整体拟合度良好。结论护理学专业学生职业认同量表研制过程严谨、科学,量表结构合理,具有良好的信效度,可用于测评护理学专业学生的职业认同水平。

情绪智力对护生人文关怀能力的影响:职业自我效能的中介作用

采用护理专业大学生人文关怀能力量表、护生职业自我效能问卷、情绪智力量表对331名本科护生进行问卷调查。结果表明,本科护生的人文关怀能力(121.60±17.11)分、职业自我效能(90.53±9.14)分和情绪智力(63.36±13.30)分,均呈现中等偏上水平;人文关怀能力、职业自我效能和情绪智力之间存在显著正相关(r=0.367~0.449,P<0.001);职业自我效能在情绪智力对人文关怀能力的影响中起部分中介作用。在本科护生的教育中,应重视情绪智力和职业自我效能的培养,从而有效提高本科护生的人文关怀能力。

课程思政在PICC专业技术培训中的应用

目的探究课程思政在经外周静脉穿刺中心静脉置管(PICC)专业技术培训中的应用效果。方法以2022年初级PICC国际认证培训班两期的80位学员为研究对象,其中第1期5-8月学员应用传统教学模式;第2期9-12月学员应用课程思政教学模式,在传统教学模式的基础上,将收集到的课程思政素材融入各个教学环节中,培训结束后进行教学评价。结果观察组考核成绩得分(86.58±2.61)分、自我导向学习能力得分(223.83±6.74)分、教学效果评价和满意度均优于对照组,差异有统计学意义(P<0.05)。结论在PICC专业技术培训中,课程思政教学模式优于传统教学模式,课程思政提高了PICC专科护士的学习效率、职业素养及学习满意度,促进了知识传授与价值引领的有机统一。

新冠疫情期间护生职业认同感的调查研究

目的:调查新冠疫情期间本科护生职业认同感与其相关影响因素及疫情相关因素对护生职业认同感的影响.方法:方便抽样调查重庆某大学432名在校本科护理学生,采用问卷星调查其职业认同感与其相关性影响因素的调查研究.结果:(1)重庆某大学在校护生的职业认同感处于中等偏上水平.不同年级的本科护生职业认同分数统计学有显著性差异(P<0.05),其中四年级护生分数最高,二年级护生分数最低;(2)影响本科护生职业认同的因素主要有家庭居住地、父亲文化程度、母亲文化程度;(3)发生公共卫生事件时,护生的自我从业决心及媒体的正负面都会影响护生的职业认同,媒体的负面报道影响度更甚于正面报道.结论:疫情期间媒体的正确报道和公众对医护人员认知的提高都可以提高护生的职业认同,提高护生的职业认同应该从小学教育开始.

临床护理教师教学行为与护生职业获益感的相关性研究

目的了解临床护理教师教学行为与护生职业获益感现状,分析两者之间的相关性。方法采用临床护理教师有效教学行为问卷和护士职业获益感量表对140名毕业前护生进行问卷调查。结果护生职业获益感量表得分为(93.18±16.43)分,临床护理教师有效教学行为问卷总均分为(5.65±1.24)分。临床护理教师教学行为及个性特征、临床胜任力、教学能力、对护生评价、人际关系维度均与职业获益感呈正相关关系,个性特征是职业获益感的独立影响因素。结论护生职业获益感水平中等,临床护理教师教学行为总体处于中等偏上水平,两者呈正相关关系。要关注延长学制护生群体,多措并举改善临床护理教师的教学行为,带教过程中融入人文关怀,提升护生职业获益感,稳定准护理人才队伍。