王焱　吴文红　张宁宁

[摘要]目的：了解三级甲等整形外科专科医院护士职业认同现状与工作投入的相关性，为临床护理管理工作提供依据。方法：2020年1-2月整群抽取北京某三级甲等整形外科专科医院的临床护士192名，采用一般资料调查问卷、护士职业认同评定量表、Utrecht工作投入量表进行调查。结果：192名整形外科护士职业认同总分为（111.03±19.88）分，工作投入总分为（65.46±19.30）分，均处于中等水平。职业认同总分及各维度评分均与工作投入评分呈正相关（P<0.05），职业认知评价是影响护士工作投入的主要因素（P<0.05）。结论：整形外科护士的职业认同及工作投入现状均处于中等水平，职业认同与工作投入呈显著正相关。临床护理管理者应重视整形外科护士的职业认同现状，采取有效措施提升护士职业认同感，提高护士工作投入度，保证临床护理服务质量。

[关键词]整形外科;护士;职业认同;工作投入;问卷调查

[中图分类号]R47    [文献标志码]B    [文章编号]1008-6455（2021）09-0178-04

Correlation Between Professional Identity and Work Engagement of

Plastic Surgery Nurses

WANG Yan，WU Wen-hong，ZHANG Ning-ning

（Nursing Department，Plastic Surgery Hospital，Chinese Academy of Medical

Sciences and Peking Union Medical College，Beijing 100144，China）

Abstract： Objective  To understand the correlation between the professional identity and work engagement among nurses in a Class Ⅲ Grade A plastic surgery hospital so as to provide guidance for clinical nursing management. Methods  From January to February in 2020，192 nurses of a Class Ⅲ Grade A plastic surgery hospital in Beijing were investigated using the Professional identification scale（PIS） and Utrecht work engagement scale（UWES）. Results  The total score of PIS was （111.03±19.88） points in 192 plastic surgery nurses， and the score of UWES was （65.46±19.30） points， both were at a medium level. The total score of nurses' professional identity and the scores of all dimensions were positively correlated with the scores of UWES （P<0.05）. Multiple linear regression analysis showed， the dimension of professional cognitive evaluation was the main influencing factors of their work engagement （P<0.05）. Conclusion  The overall professional identity and work engagement of 192 plastic surgery nurses  are at moderate-to-high level. There is a significant positive correlation between professional identity and work engagement. It is suggested that clinical nursing managers should take measures to improve nurses professional identity so as to improve their working engagement level and ensure the quality of clinical nursing service.

Key words： plastic surgery; nurse; professional identity; work engagement; questionnaire investigation

職业认同是一个心理学概念，是个体认为职业的重要性，是否具有吸引力，是否具有价值以及与其他职业的融洽，由认知、情感和行为倾向3个成分构成[1]。工作投入是指充满着持续、积极的情绪与动机的完美状态，以活力、奉献、专注为主要特征，表现为积极、满足的工作状态[2-3]。工作投入对降低员工的离职意愿、提升工作满意度、提升服务质量和工作绩效有促进作用[4]。目前，关于护士工作投入和职业认同的调查较多，但对整形外科护士职业认同与工作投入的相关性研究较少。本研究旨在了解整形外科护士职业认同对工作投入的影响，为临床护理管理者提高整形外科临床护理服务质量，稳定护士队伍提供科学的理论依据。

1  资料和方法

1.1 研究对象：采用整群抽样方法，2020年1-2月，对北京市某三级甲等整形外科专科医院的临床护士进行问卷调查。……