Research on the correlations of structural empowerment, psychological empowerment and professional identity of clinical nurses

The Journal of practical nursing Pub Date : 2020-03-11 DOI:10.3760/CMA.J.ISSN.1672-7088.2020.08.015

Xiaoting Zhao, Mengfei Shen, Xinyue Zhang, Hongfang Ye

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Abstract

Objective To investigate the status of clinical nurses′ professional identity, structural empowerment and psychological empowerment, analyze the correlation between professional identity and structural empowerment and psychological empowerment, and establish a multiple stepwise regression model to discuss the dependence between professional identity and structural empowerment and psychological empowerment in clinical nurses. Methods A total of 1 008 clinical nurses from Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School of Nanjing University were selected as the subject by using the convenience sampling method. The General Information Questionnaire, Professional Identity Scale, Conditions of Work Effectiveness Scale, and Psychological Empowerment Scale were used to questionnaire. Results The professional identity of nurses was at medium level (104.49±19.54), the total scores of structural and psychological empowerment of nurses were 60.09±13.49 and 42.59±7.31. Correlation analysis showed that the total score of professional identity of clinical nurses was positively correlated with the total score of structural empowerment, psychological empowerment and theirs dimensions (r values were 0.436-0.715, P<0.01). Multivariate stepwise regression results showed that the nurse working years, health status self-assessment, formal empowerment, informal empowerment, work meaning, self-efficacy, work influence was the main influencing factors of nurses professional identity, which explained 60.5% of the total variation. Conclusions Nursing managers should focus on the professional identity of clinical nurses, by optimizing the management organizational structure and pay attention to the perception of empowerment behavior to improve the comprehensive empowerment level, so as to enhance the professional identity of nurses. Key words: Nurses; Professional identity; Structural empowerment; Psychological empowerment

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临床护士结构授权、心理授权与职业认同的相关性研究

目的调查临床护士职业认同、结构授权和心理授权的现状，分析职业认同与结构授权和心理授权的相关性，建立多元逐步回归模型，探讨临床护士职业认同与结构授权和心理授权之间的依赖关系。方法采用方便抽样法，选取南京大学医学院附属医院南京鼓楼医院的1 008名临床护士作为调查对象。采用一般信息问卷、职业认同量表、工作效能条件量表和心理授权量表进行问卷调查。结果护士的职业认同处于中等水平(104.49±19.54)，护士的结构赋能和心理赋能总分分别为60.09±13.49和42.59±7.31。相关分析显示，临床护士职业认同总分与结构授权、心理授权及其维度总分呈正相关(r值为0.436 ~ 0.715,P<0.01)。多元逐步回归结果显示，护士工作年数、健康状况自我评价、正式授权、非正式授权、工作意义、自我效能感、工作影响力是护士职业认同的主要影响因素，解释了总变异的60.5%。结论护理管理者应关注临床护士的职业认同，通过优化管理组织结构，重视对授权行为的感知，提高综合授权水平，从而提升护士的职业认同。关键词:护士;职业身份;结构性权力;心理授权

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The Journal of practical nursing

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