实习护生的职业理想之路：模糊集定性比较分析。

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2024-10-02 DOI:10.1016/j.nepr.2024.104155

Yuye Zhang, Qiufang Li, Xiaokai Wang, Yan Zhang, Hongfeng Li, Ruixing Zhang

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引用次数: 0

摘要

目的：本研究旨在探讨导致实习护生高职业理想的不同条件变量的组合：背景：全国护士严重短缺，护士职业理想低导致护士流失率高，阻碍了护理事业的高质量发展。正在进行临床实习的护生将成为未来护理人员的中坚力量。提高他们的职业理想对发展护理职业教育、稳定护理队伍至关重要：本研究为横断面研究。设计：本研究为横断面研究，采用整群抽样法，选取 2023 年 12 月至 2024 年 1 月来自河南和安徽的 521 名实习护生作为研究对象：本研究采用模糊集定性比较分析法（fsQCA）探讨实习护生实现高职业理想的路径配置。研究采用一般信息问卷、职业理想量表、临床实践不适应量表、自我反思与洞察力量表作为测量指标：结果表明，学生的出身、职业态度、平均学分绩点、自我反省和洞察力、与实习医生的关系和临床实践不适应对职业理想有综合影响。本研究发现，八个配置组合成的四个模型可以解释 75.9 % 的高层次职业理想（解一致性 = 0.786；解覆盖率 = 0.759）：实习护生的职业理想水平是不同条件变量组合的结果。结论：实习护生的职业理想水平是不同条件变量组合的结果，采用配置视角对不同特征的护生进行干预，有望提高实习护生的职业理想水平。

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The paths of career aspiration for intern nursing students: A fuzzy-set qualitative comparative analysis

Aim

This study was conducted to explore the combination of different conditional variables that led to high career aspiration of intern nursing students.

Background

A severe shortage of nurses exists nationwide, and nurses’ low career aspiration contribute to high turnover rates and hinder the high-quality development of the nursing field. Nursing students undergoing clinical practice will become the backbone of future nursing staff. Enhancing their career aspiration is crucial for developing nursing career education and stabilizing the nursing team.

Design

This was a cross-sectional study. Using the cluster sampling method, 521 intern nursing students from Henan and Anhui in China were selected as participants from December 2023 to January 2024.

Methods

This study employed the fuzzy-set qualitative comparative analysis (fsQCA) to explore the configuration for paths of leading to high career aspiration among intern nursing students. General information questionnaires, career aspiration scale, clinical practice maladjustment scale, self-reflection and insight scale were used as measures in this study.

Results

The results showed that students’ origin, professional attitude, GPA, self-reflection and insight, relationship with preceptors and clinical practice maladjustment have a combined effect on career aspiration. This study found that eight configuration combined into four models could explain 75.9 % of high-level career aspiration (solution consistency = 0.786; solution coverage = 0.759).

Conclusion

The level of career aspiration among intern nursing students is the result of the combination of different conditional variables. Using a configurational perspective to intervene in nursing students with various characteristics is expected to enhance the career aspiration of intern nursing students.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.