三级甲等医院ICU护士自我能力否定倾向现状及影响因素分析

doi:10.3761/j.issn.1672-9234.2026.05.015

摘要/Abstract

摘要：

目的调查三级甲等医院ICU护士自我能力否定倾向现状,并分析其影响因素。方法采用一般资料调查表、Clance自我能力否定倾向量表、负性行为问卷-修订版量表、护士长给予护士人文关怀行为量表对长沙市4所三级甲等医院640名ICU护士进行调查,采用单因素分析、相关分析和多元线性回归分析三级甲等医院ICU护士自我能力否定倾向的影响因素。结果三级甲等医院ICU护士自我能力否定倾向总分为(47.81±14.91)分,多元回归分析结果显示,年龄、护理工作风险感知、负性行为和护士长人文关怀行为是三级甲等医院ICU护士自我能力否定倾向的影响因素,可解释总变异的20.5%。结论三级甲等医院ICU护士的自我能力否定倾向水平需要得到重视,护理管理者应重点关注年龄低、自觉承受工作风险较高的ICU护士,提升人文关怀行为,防范工作场所负性行为的发生,舒缓其心理压力,以降低其自我能力否定倾向。

关键词: 重症监护病房, 护士, 自我能力否定倾向, 负性行为, 人文关怀

Abstract:

Objective To explore the status quo and influencing factors of imposter phenomenon among ICU nurses in tertiary A hospital,a cross-sectional survey was conducted. Methods Demographic questionnaire,Clance Impostor Phenomenon Scale,Negative Acts Questionnaire and Head Nurses’ Humanistic Care Behavior Scale were used to investigate 640 ICU nurses from 4 tertiary A hospitals in Changsha. The univariate analysis,correlation analysis and multiple linear regression were used to identify the influencing factors of impostor phenomenon among ICU nurses from tertiary A hospital. Results The total score of impostor phenomenon of ICU nurses in tertiary A hospitals was 47.81±14.91 points. The results of multiple regression analysis showed that age,risk perception,negative acts and head nurses’ humanistic care behavior were the influencing factors of impostor phenomenon among ICU nurses in tertiary A hospitals. Conclusion The impostor phenomenon among ICU nurses in tertiary A hospitals is relatively high. Nursing managers should prioritize targeted interventions for young nurses with a high level of nursing work risk perception,strengthen head nurses’ humanistic care practices,prevent the occurrence of negative acts,relieve their psychological pressure,thereby reducing the incidence of the impostor phenomenon.

Key words: Intensive Care Units, Nurses, Impostor Phenomenon, Negative Acts, Humanistic Care

柳梦, 董巧亮. 三级甲等医院ICU护士自我能力否定倾向现状及影响因素分析[J]. 中华护理教育, 2026, 23(5): 607-612.

LIU Meng, DONG Qiaoliang. Status quo and influencing factors of impostor phenomenon among intensive care unit nurses in tertiary A hospitals[J]. Chinese Journal of Nursing Education, 2026, 23(5): 607-612.

图/表 4

参考文献 21

[1]	Gottlieb M, Chung A, Battaglioli N, et al. Impostor syndrome among physicians and physicians in training:a scoping review[J]. Med Educ, 2020, 54(2):116-124. doi: 10.1111/medu.13956 pmid: 31692028
[2]	于潇, 毛旭, 马艳梅. 临床护士自我能力否定倾向与职业倦怠的相关性研究[J]. 军事护理, 2023, 40(9):18-21.
	Yu X, Mao X, Ma YM. Correlation between impostor pheno-menon and job burnout in clinical nurses[J]. Mil Nurs, 2023, 40(9):18-21.
[3]	张艳, 刘立芳, 李月娥, 等. 临床护士自我能力否定倾向现状及影响因素研究[J]. 中华护理杂志, 2024, 59(24):3025-3031. doi: 10.3761/j.issn.0254-1769.2024.24.012
	Zhang Y, Liu LF, Li YE, et al. Analysis of the current situation and influencing factors of impostor phenomenon of clinical nurses[J]. Chin J Nurs, 2024, 59(24):3025-3031. doi: 10.3761/j.issn.0254-1769.2024.24.012
[4]	Bandura A. Human agency in social cognitive theory[J]. Am Psychol, 1989, 44(9):1175-1184. doi: 10.1037/0003-066x.44.9.1175 pmid: 2782727
[5]	成萍萍, 任一飞, 郑晓萌, 等. 新疆护士工作场所欺凌与情绪智力的相关性分析[J]. 护理学杂志, 2021, 36(19):69-72.
	Cheng PP, Ren YF, Zheng XM, et al. Association between workplace bullying and emotional intelligence in nurses[J]. J Nurs Sci, 2021, 36(19):69-72.
[6]	Lang M, Jones L, Harvey C, et al. Workplace bullying,burnout and resilience amongst perioperative nurses in Australia:a descriptive correlational study[J]. J Nurs Manag, 2022, 30(6):1502-1513. doi: 10.1111/jonm.v30.6
[7]	Castronovo MA, Pullizzi A, Evans S. Nurse bullying:a review and a proposed solution[J]. Nurs Outlook, 2016, 64(3):208-214. doi: 10.1016/j.outlook.2015.11.008 pmid: 26732552
[8]	罗玉红, 凌文静, 貟蓓, 等. 护士长人文关怀行为与新入职护士转型冲击现状及相关性研究[J]. 军事护理, 2024, 41(3):27-30.
	Luo YH, Ling WJ, Yun B, et al. Research on humanistic care behaviour of head nurses and transition shock of new nurses and its correlation[J]. Mil Nurs, 2024, 41(3):27-30.
[9]	倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380.
	Ni P, Chen JL, Liu N. The sample size estimation quantitative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380.
[10]	Clance PR. The imposter phenomenon:overcoming the fear that haunts your success[M]. Atlanta: Peachtree Publishers, 1985.
[11]	蒋露苗, 徐玉林, 刘晓琴, 等. Clance自我能力否定倾向量表的汉化及在护士群体中的信效度检验[J]. 护理研究, 2022, 36(14):2486-2490.
	Jiang LM, Xu YL, Liu XQ, et al. The sinicization of Clance Impostor Phenomenon Scale and test of reliability and validity in nursing staff[J]. Chin Nurs Res, 2022, 36(14):2486-2490.
[12]	Einarsen S, Hoel H, Notelaers G. Measuring exposure to bullying and harassment at work:validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised[J]. Work Stress, 2009, 23(1):24-44. doi: 10.1080/02678370902815673
[13]	荀洪景, 刘化侠, 田芝丽. 负性行为问卷中文版信度、效度初步检验[J]. 中国护理管理, 2012, 12(6):21-24.
	Xun HJ, Liu HX, Tian ZL. A Preliminary reliability and vali-dity study of the Chinese version of the Negative Acts Ques-tionnaire revised[J]. Chin Nurs Manag, 2012, 12(6):21-24.
[14]	宋梦瑶. 护士长给予护士人文关怀行为的量表构建及应用[D]. 武汉: 武汉轻工大学, 2018.
	Song MY. A scale construction and application on the beha-vior of head nurses’ humanistic care for nurses[D]. Wuhan: Wuhan Polytechnic University, 2018.
[15]	高文娟, 刘艳, 张海蓉. 心内科护士自我能力否定倾向、心理资本和职业倦怠的相关性分析[J]. 职业与健康, 2024, 40(6):739-743.
	Gao WJ, Liu Y, Zhang HR. Correlative analysis of negative tendency of self-ability,psychological capital and job burnout of nurses in cardiology department[J]. Occup Health, 2024, 40(6):739-743.
[16]	Ni WW, Xia M, Jing MJ, et al. The relationship between pro-fessional quality of life and work environment among ICU nurses in Chinese:a cross-sectional study[J]. Front Public Health, 2023, 11:1104853. doi: 10.3389/fpubh.2023.1104853
[17]	Bruyneel A, Bouckaert N, Pirson M, et al. Unfinished nursing care in intensive care units and the mediating role of the association between nurse working environment,and quality of care and nurses’ wellbeing[J]. Intensive Crit Care Nurs, 2024, 81:103596. doi: 10.1016/j.iccn.2023.103596
[18]	彭淑超. 职场欺凌对员工职场孤独感的影响:社交焦虑和负面评价恐惧的链式中介作用[D]. 曲阜: 曲阜师范大学, 2020.
	Peng SC. The impact of workplace bullying on workplace loneliness:the chain mediating role of social anxiety and fear of negative evaluation[D]. Qufu: Qufu Normal University, 2020.
[19]	汤思萍, 陈彦林, 朱陈萍, 等. 关怀型领导在护理管理领域中的应用进展[J]. 中国护理管理, 2024, 24(11):1666-1670.
	Tang SP, Chen YL, Zhu CP, et al. Research progress on the application of caring leadership in nursing management[J]. Chin Nurs Manag, 2024, 24(11):1666-1670.
[20]	Ryan RM, Deci EL. Self-determination theory and the facilita-tion of intrinsic motivation,social development,and well-being[J]. Am Psychol, 2000, 55(1):68-78. doi: 10.1037//0003-066x.55.1.68 pmid: 11392867
[21]	夏雨, 杨莎, 安晓, 等. 本科护生自我能力否定倾向现状及影响因素分析[J]. 护理学杂志, 2023, 38(20):76-79.
	Xia Y, Yang S, An X, et al. Status quo and influencing factors of imposter phenomenon of undergraduate nursing students[J]. J Nurs Sci, 2023, 38(20):76-79.