背景:属于临床环境和表演者的职业价值观在形成职业身份中起作用。因此,有必要了解这些概念之间的联系程度。
目的:本研究旨在探讨职业价值观在护士临床环境归属感和职业认同之间的中介作用。
方法:在本研究中,使用描述性横截面多中心设计.
方法:从法尔斯省的三家医院招募的635名护士的方便样本,伊朗南部,从2023年9月到2024年1月。护士专业价值观量表修订,临床环境归属感量表,和专业身份量表用于收集数据。使用SPSSv27和ProcessMacro4.0对中介模型进行了分析。
方法:本研究方案得到法萨医科大学研究伦理委员会的批准,并获得所有护士的知情同意.该研究符合《赫尔辛基宣言》中概述的原则。
结果:根据回归分析的结果,临床环境归属感对职业认同(β=0.366,p<0.001)和职业价值(β=0.676,p<0.001)均有显著的正向影响。专业价值显著预测专业认同(β=0.170,p<0.001)。临床环境归属感通过专业价值观对专业认同的间接影响具有统计学意义(β=0.115,SE=0.024,95%CI=[0.068,0.162]),这种效应是直接(β=0.336,SE=0.034,95%CI=[0.297,0.434])显著的。
结论:本研究开发的护士新理论框架有助于专业发展。进一步建议,职业价值和临床环境归属感的提升可以有效增强护理人员的职业认同感,如结果所示。
BACKGROUND: Belonging to the clinical environment and the professional values of the performers play a role in forming a professional identity. Therefore, it is necessary to understand the degree of connection among these concepts.
OBJECTIVE: This study aimed to examine the mediating effects of professional values on the relationship between nurses\' clinical environment belongingness and professional identity.
METHODS: In the present study, a descriptive cross-sectional multicenter design was used.
METHODS: A convenient sample of 635 nurses recruited from three hospitals in Fars Province, Southern Iran, from September 2023 to January 2024. Nurses Professional Values Scale-Revised, Clinical Environment Belongingness Scale, and Professional Identity Scale were used to collect the data. The mediation model was analyzed using SPSS v27 and the Process Macro 4.0.
METHODS: The protocol of this study was approved by the Research Ethics Committee of Fasa University of Medical Sciences, and informed consent was obtained from all nurses. The study conforms to the principles outlined in the Declaration of Helsinki.
RESULTS: Based on the results of regression analysis, clinical environment belongingness had a positive and significant impact on professional identity (β = 0.366, p < 0.001) and professional value (β = 0.676, p < 0.001). Professional value significantly predicted professional identity (β = 0.170, p < 0.001). The indirect effect of clinical environment belongingness on professional identity via professional values was statistically significant (β = 0.115, SE = 0.024, 95% CI = [0.068, 0.162]), and this effect was directly (β = 0.336, SE = 0.034, 95% CI = [0.297, 0.434]) significant.
CONCLUSIONS: The new theoretical framework for nurses developed in this study can contribute to professional development. It is further recommended that the promotion of professional value and clinical environment belongingness may be effective in enhancing the professional identity of the nursing staff, as indicated by the results.