DOI QR코드

DOI QR Code

The Influence of Family Function on Occupational Attitude of Chinese Nursing Students in the Probation Period: The Moderation Effect of Social Support

  • Li, Rui (Health Management Centre, The 3rd Affiliated Hospital of Changchun University of Chinese Medicine) ;
  • Tang, Ruizhi (College of Integrated Chinese and Western Medicine, Changchun University of Chinese Medicine) ;
  • Li, Zijia (College of Integrated Chinese and Western Medicine, Changchun University of Chinese Medicine) ;
  • Jiang, Hongbo (Rehabilitation College, Changchun University of Chinese Medicine) ;
  • Liu, Xin (College of Chinese medicine, Changchun University of Chinese Medicine) ;
  • Wang, Wei (Innovation Practice Center, Changchun University of Chinese Medicine)
  • 투고 : 2021.06.14
  • 심사 : 2021.10.13
  • 발행 : 2021.12.31

초록

Purpose: The purpose of this study was to explore the factors influencing the occupational attitudes of nursing students in the probation period. Methods: Nursing students in the probation period from five hospitals completed an anonymous survey. The instruments included the nursing occupational attitude scale, family adaptability, partnership, growth, affection, and resolve index, and perceived social support scale. The study examined the moderation model between family function, perceived social support, and occupational attitudes using PROCESS 3.2. Results: For nursing students, when social support was low, family function had a significant positive impact on occupational attitudes and intentions, and the effect was much higher than that of perceived social support. Conclusion: Family function has a significant positive explanatory effect on attitude and intention (β = .13, p < .001 and β = .12, p < .001); the interaction term between family function and perceived social support are significant (β = .01, p < .001 and β = .01, p < .001). Perceived social support has a significant moderating effect on the relationship between family function and occupational attitudes of nursing students in the probation period. Family function has a significant difference in the occupational attitudes and intentions of nursing students with low perceived social support. Nursing students perceive social support in the probation period has a significant moderation effect in the relationship between their family function and occupational attitudes. Interns with low family function should be given more social support to improve their occupational attitudes.

키워드

과제정보

This study was supported by the National College Students Innovation and Entrepreneurship Training Program in 2020 fund in Ministry of Education of the People's Republic of China (NO.202010199004), and Research Project on Teaching Reform of Vocational Education and Adult Education in Jilin Province fund in Jilin Provincial Department of Education (NO. 2020ZCY344).

참고문헌

  1. Spurlock D Jr. The nursing shortage and the future of nursing education is in our hands. Journal of Nursing Education. 2020;59(6):303-304. https://doi.org/10.3928/01484834-20200520-01
  2. Juraschek SP, Zhang X, Ranganathan V, Lin VW. United States registered nurse workforce report card and shortage forecast. American Journal of Medical Quality. 2019;34(5):473-481. https://doi.org/10.1177/1062860619873217
  3. Satoh M, Watanabe I, Asakura K. Determinants strengthening Japanese nurses' intention to stay at their current hospital. The Tohoku Journal of Experimental Medicine. 2018;246(3): 175-182. https://doi.org/10.1620/tjem.246.175
  4. Yu M, Kang KJ. Factors affecting turnover intention for new graduate nurses in three transition periods for job and work environment satisfaction. Journal of Continuing Education in Nursing. 2016;47(3):120-131. https://doi.org/10.3928/00220124-20160218-08
  5. Shi R, Liu Y, Zhang Z. The turnover status of nurses in tertiary hospitals of Guangdong province. Chinese Nursing Management. 2016;16(11):1503-1506. Chinese.
  6. World Health Organization (WHO). State of the world's nursing 2020: Investing in education, jobs and leadership. Geneva: World Health Organization; 2020. p. 37-43.
  7. Turale S, Nantsupawat A. Clinician mental health, nursing shortages and the COVID-19 pandemic: Crises within crises. International Nursing Review. 2021;68(1):12-14. https://doi.org/10.1111/inr.12674
  8. Kerzman H, Van Dijk D, Siman-Tov M, Friedman S, Goldberg S. Professional characteristics and work attitudes of hospital nurses who leave compared with those who stay. Journal of Nursing Management. 2020;28(6):1364-1371. https://doi.org/10.1111/jonm.13090
  9. Huijts PM, de Bruijn E, Schaap H. Revealing personal professional theories. Quality & Quantity. 2011;45(4):783-800. https://doi.org/10.1007/s11135-010-9322-z
  10. Rossiter JC, Foong A, Chan PT. Attitudes of Hong Kong high school students towards the nursing profession. Nurse Education Today. 1999;19(6):464-471. https://doi.org/10.1054/nedt.1999.0331
  11. Tong C. Empirical study on the relationship between occupational stress, turnover tendency and working attitude of grassroots health workers in Liaoning province. Medicine and Society. 2021;34(2):113-117. Chinese. https://doi.org/10.13723/j.yxysh.2021.02.023
  12. Bahcecioglu Turan G, Ozer Z, Ciftci B. Analysis of anxiety levels and attitudes of nursing students toward the nursing profession during the COVID-19 pandemic. Perspectives in Psychiatric Care. 2021;57(4):1913-1921. https://doi.org/10.1111/ppc.12766
  13. Butterworth K, Rajupadhya R, Gongal R, Manca T, Ross S, Nichols D. A clinical nursing rotation transforms medical students' interprofessional attitudes. PloS One. 2018;13(5): e0197161. https://doi.org/10.1371/journal.pone.0197161
  14. Midilli TS, Kirmizioglu T, Kalkim A. Affecting factors and relationship between patients' attitudes towards the nursing profession and perceptions of nursing care in a university hospital. Journal of the Pakistan Medical Association. 2017;67(7):1059-1064.
  15. Yeom HE, Park E, Jung M. Impact of family function on the relationship between self-perception of aging and stress in midlife. Innovation in Aging. 2019;3(Suppl 1):S459. https://doi.org/10.1093/geroni/igz038.1718
  16. Olson DH. Circumplex Model of marital and family systems. Journal of Family Therapy. 2000;22(2):144-167. https://doi.org/10.1111/1467-6427.00144
  17. Beavers R, Hampson RB. The Beavers Systems Model of Family Functioning. Journal of Family Therapy. 2002;22(2):128-143. https://doi.org/10.1111/1467-6427.00143
  18. Kovar A, Carmichael H, Harms B, Nehler M, Tevis S. Over worked and under paid: How resident finances impact perceived stress, career choices, and family life. Journal of Surgical Research. 2021;258:82-87. https://doi.org/10.1016/j.jss.2020.07.084
  19. Zernov DV, Iudin AA, Ovsyannikov AA. Social well-being of the Soviet and Post-Soviet students. Narodonaselenie. 2015;2015(1):50-68.
  20. Kim S, Ahn T, Fouad N. Family influence on Korean students' career decisions: A social cognitive perspective. Journal of Career Assessment. 2016;24(3):513-526. https://doi.org/10.1177/1069072715599403
  21. Goodarzi N, Azma K, Tavakolian E, Peyvand P. Association of nurses' self-reported empathy and mu suppression with patients' satisfaction. Journal of Caring Sciences. 2015;4(3):197-205. https://doi.org/10.15171/jcs.2015.020
  22. Tian M, Shi Y, Li H, Wang J. Qualitative study on emotional experience associated with compassion fatigue and its coping strategy in clinical nurses. Chinese Journal of Modern Nursing. 2017;23(4):476-481. Chinese.
  23. Cao J. Education of children in an ethic of care perspective. Nanjing: Nanjing Normal University; 2019. p. 25-27.
  24. Almeida LY, Carrer MO, Souza J, Pillon SC. Evaluation of social support and stress in nursing students. Revista da Escola de Enfermagem da U S P. 2018;52:e03405. https://doi.org/10.1590/S1980-220X2017045703405
  25. Mrayyan MT, Al-Rawashdeh S, Al-Omari H. Nurses' job stressors and social support behaviors: Comparing public, teaching, and private hospitals. Nursing Forum. 2021;56(1):74-82. https://doi.org/10.1111/nuf.12527
  26. Odoardi I, Furia D, Cascioli P. Can social support compensate for missing family support? An examination of dropout rates in Italy. Regional Science Policy & Practice. 2021;13(1):121-139. https://doi.org/10.1111/rsp3.12358
  27. Leung KK, Chen CY, Lue BH, Hsu ST. Social support and family functioning on psychological symptoms in elderly Chinese. Archives of Gerontology and Geriatrics. 2007;44(2):203-213. https://doi.org/10.1016/j.archger.2006.05.001
  28. Mo Q, Zhou L, He Q, Jia C, Ma Z. Validating the Life Events Scale for the Elderly with proxy-based data: A case-control psychological autopsy study in rural China. Geriatrics & Gerontology International. 2019;19(6):547-551. https://doi.org/10.1111/ggi.13658
  29. Lent RW, Brown SD, Hackett G. Contextual supports and barriers to career choice: A social cognitive analysis. Journal of Counseling Psychology. 2000;47(1):36-49. https://doi.org/10.1037/0022-0167.47.1.36
  30. Lent RW, Brown SD. Social cognitive approach to career development: An overview. The Career Development Quarterly. 1996;44(4):310-321. https://doi.org/10.1002/j.2161-0045.1996.tb00448.x
  31. Herrero J, Uruena A, Torres A, Hidalgo A. Smartphone addiction: Psychosocial correlates, risky attitudes, and smartphone harm. Journal of Risk Research. 2019;22(1):81-92. https://doi.org/10.1080/13669877.2017.1351472
  32. Kendall MG. Multivariate analysis. New York (NY): Hafner Press; 1975. p. 40-41.
  33. Smilkstein G. The family APGAR: A proposal for a family function test and its use by physicians. The Journal of family practice. 1978;6(6):1231-1239.
  34. Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1990;55(3-4):610-617. https://doi.org/10.1080/00223891.1990.9674095
  35. Bolin JH. Andrew F. Hayes (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: The Guilford Press. Journal of Educational Measurement. 2014;51(3):335-337. https://doi.org/10.1111/jedm.12050
  36. Rainone N, Chiodi A, Lanzillo R, Magri V, Napolitano A, Morra VB, et al. Affective disorders and Health-Related Quality of Life (HRQoL) in adolescents and young adults with Multiple Sclerosis (MS): The moderating role of resilience. Quality of Life Research. 2017;26(3):727-736. https://doi.org/10.1007/s11136-016-1466-4
  37. Wen Z, Hau KT, Chang L. A comparison of moderator and mediator and their applications. Acta Psychologica Sinica. 2005;37(2):268-274. Chinese.
  38. Zhu K, Tang B, Xu L, Zhao L, Lan X. The professional attitude and psychological status of nursing undergraduates during Covid-19 pandemic containment: An investigation from mixed research perspective conducted at a University in Lishui. Journal of Lishui University. 2021;43(2):36-43. Chinese.
  39. Luo Y, Xiong Q. Comparative analysis on professional attitude of nursing students in school and nursing students in practice. Journal of Jianghan University (Natural Science Edition). 2020;48(3):50-56. Chinese. https://doi.org/10.16389/j.cnki.cn42-1737/n.2020.03.008
  40. Mousa AA, Menssey RFM, Kamel NMF. Relationship between perceived stress, emotional intelligence and hope among intern nursing students. IOSR Journal of Nursing and Health Science. 2017;6(3 Ver. II):75-83. https://doi.org/10.9790/1959-0603027583
  41. Mersin S, Ibrahimoglu O, Caglar M, Akyol E. Compassionate love, burnout and professional commitment in nurses. Journal of Nursing Management. 2020;28(1):72-81. https://doi.org/10.1111/jonm.12892
  42. de Janasz S, Forret M, Haack D, Jonsen K. Family status and work attitudes: An investigation in a professional services firm. British Journal of Management. 2013;24(2):191-210. https://doi.org/10.1111/j.1467-8551.2011.00797.x
  43. de Boer J, van Rikxoort S, Bakker AB, Smit BJ. Critical incidents among intensive care unit nurses and their need for support: Explorative interviews. Nursing in Critical Care. 2014;19(4):166-174. https://doi.org/10.1111/nicc.12020
  44. Tei-Tominaga M. Factors related to the intention to leave and the decision to resign among newly graduated nurses: A complete survey in a selected prefecture in Japan. Environmental Health & Preventive Medicine. 2013;18(4):293-305. https://doi.org/10.1007/s12199-012-0320-8
  45. Chung M, Jeon A. Social exchange approach, job satisfaction, and turnover intention in the airline industry. Service Business. 2020;14(2):241-261. https://doi.org/10.1007/s11628-020-00416-7
  46. Gellerstedt L, Moquist A, Roos A, Karin B, Craftman AG. Newly graduated nurses' experiences of a trainee programme regarding the introduction process and leadership in a hospital setting-a qualitative interview study. Journal of Clinical Nursing. 2019;28(9-10):1685-1694. https://doi.org/10.1111/jocn.14733
  47. Wu Y, Xue R, Wang X. Problems and the corresponding countermeasures in clinical nursing teaching. Clinical Research and Practice. 2019;4(1):187-188. Chinese. https://doi.org/10.19347/j.cnki.2096-1413.201901086
  48. Carmeli A, Peng AC, Schaubroeck JM, Amir I. Social support as a source of vitality among college students: The moderating role of social self-efficacy. Psychology in the Schools. 2021;58(2):351-363. https://doi.org/10.1002/pits.22450
  49. Steverink N, Lindenberg S, Spiegel T, Nieboer AP. The associations of different social needs with psychological strengths and subjective well-being: An empirical investigation based on Social Production Function theory. Journal of Happiness Studies. 2020;21(3):799-824. https://doi.org/10.1007/s10902-019-00107-9
  50. Lee DS, Jiang T, Canevello A, Crocker J. Motivational underpinnings of successful support giving: Compassionate goals promote matching support provision. Personal Relationships. 2021;28(2):276-296. https://doi.org/10.1111/pere.12363