逆境商在规范化培训护士组织支持与职业认同感间的中介效应 [中文引用][英文引用]

目的  探讨逆境商在规范化培训护士组织支持与职业认同感的中介效应，为制定提升职业认同感策略提供理论依据。方法  采用便利抽样法，选取江苏省 12 所三级综合医院 1 031 名规范化培训护士作为研究对象，使用护士逆境商自我评价量表、护士组织支持感量表和护士职业认同评定量表进行调查。通过结构方程模型分析逆境商在规范化培训护士组织支持与职业认同感的中介效应。结果  930 名规范化培训护士完成调查。其逆境商总分为（132.44±29.78）分，组织支持总分为（45.51±9.60）分，职业认同总分为（100.88±19.52）分。组织支持得分与职业认同感得分呈正相关（r=0.753，P<0.01），分与逆境商得分呈负相关（r=-0.720，P<0.01），逆境商得分与职业认同感得分呈负相关（r=-0.772，P<0.01）。结构方程模型结果显示，逆境商在组织支持与职业认同感起部分中介作用（效应值 0.392，占总效应的 49.20%）。结论  规范化培训护士职业认同感处于中等水平，逆境商是组织支持与职业认同感的中介变量，提示可通过增加组织支持与提升规培护士自身逆境商，以增强其职业认同感。

Objective To explore the mediating effect of adversity quotient（AQ）in the relationship between organizationalsupport and professional identity among nurses undergoing standard nursing training and to provide theoretical guidance for enhancingprofessional identity. Methods A total of 1，031 nurses receiving standardized training from 12 tertiary general hospitals in JiangsuProvince，were recruited using a convenience sampling. Data were collected using the self-rating scale for nurses’adversity，nurses’organizational support perception scale，and nurse professional identity assessment scale. Pearson correlation analysis was performed toexamine associations among organizational support，AQ，and professional identity. Structural equation modeling（SEM）was used to testthe mediating role of AQ. Results A total of 930 nurses undergoing standardized training completed the survey. The total scores forAQ，organizational support，and professional identity were 132.44±29.78，45.51±9.60，and 100.88±19.52，respectively. Organizational support was positively correlated with professional identity（r=0.753，P<0.01），but negatively with AQ（r=-0.720，P<0.01）. AQwas also negatively associated with professional identity（r=-0.772，P<0.01）. SEM analysis revealed that AQ partially mediated therelationship between organizational support and professional identity，accounting for 49.20% of the total effect（effect size=0.392）.Conclusion Nurses undergoing standardized nursing training exhibit moderate professional identity. AQ serves as a key mediatorbetween organizational support and professional identity. It indicates that improving organizational support and adversity quotient canstrengthen their professional identity.