实习护生临床归属感潜在剖面分析及其与留职意愿的关系研究与对策 [中文引用][英文引用]

目的 探讨实习护生临床归属感潜在剖面分析及其与留职意愿的关系，为临床护理教学工作提供参考。方法 采用便利抽样法，选取青岛市某三级甲等综合医院 190 名实习护生（以下简称护生）为研究对象，采用一般资料调查问卷、中文版护生临床归属感量表、中文版护士留职意愿问卷进行调查。采用 Muplus8.3 软件对护生临床归属感进行潜在剖面分析，采用方差分析比较不同临床归属感潜在剖面护生留职意愿。结果 190 名护生完成研究。护生的临床归属感得分（108.26±13.59）分，处于高水平，可以分为 3 种潜在类别，分别是低水平临床归属感组 18.42%（35/190）、中水平临床归属感组46.32%（88/190）、高水平临床归属感组 35.26%（67/190）。护生是否热爱本职业在临床归属感潜在剖面分布的比较，差异具有统计学意义（P<0.05）。不同临床归属感潜在类别护生留职意愿总分比较，差异具有计学意义（P<0.05）。结论 护生的临床归属感存在 3 种潜在类别，护生临床归属感的高低可影响其留职意愿。

Objective To identify the potent profiles of the sense of clinical belonging and analyse the relation between it and willingness to stay in nursing practice among nursing interns，hence to provide a reference for clinical nursing teaching. Methods A questionnaire-based consecutive survey was conducted among 190 nursing interns in 2 Tier-IIIA hospitals in Qingdao using a general information questionnaire，the nursing student clinical belongingness scale（Chinese Version），and nurse resignation intention questionnaire（Chinese Version）. Latent profile analysis was performed with Mplus 8.3. Differences in intention-to-stay scores across profiles were tested with one-way ANOVA. Results All 190 interns completed the survey. It was found that the sense of clinical belonging among nursing interns was high，scored（108.26±13.59）. Three latent profiles were identified from the study：low belongingness （35/190，18.42%），medium belongingness（88/190，46.32%）and high belongingness（67/190，35.26%）. There was a statistically significant association between the self-reported passion for nursing practice latent profile membership and among the nursing interns （P<0.05）. Total scores in willingness to stay differed significantly across all of three belonging profiles（P<0.05）. Conclusion Three latent profiles of clinical belonging emerge among the nursing interns and the clinical belonging significantly influences the willingness to stay in nursing practice among the nursing interns.