护士角色清晰度的研究进展及启示

doi:10.3761/j.issn.1672-9234.2026.08.017

中华护理教育 ›› 2026, Vol. 23 ›› Issue (8): 1014-1019.doi: 10.3761/j.issn.1672-9234.2026.08.017

护士角色清晰度的研究进展及启示

马雅敏¹(), 沈亮¹, 韩帅¹, 王千米², 俞新燕³^,^*()

¹ 浙江省肿瘤医院肿瘤内科杭州市 310022
² 浙江大学医学院附属第二医院专科护理门诊杭州市 310009
³ 浙江省肿瘤医院护理部杭州市 310022

收稿日期:2025-11-17 出版日期:2026-08-15 发布日期:2026-08-14
通讯作者: *俞新燕，E-mail：yuxinyansafe@163.com
作者简介:马雅敏：女，硕士，主管护师，E-mail：706340690@qq.com
第一联系人：作者贡献声明
马雅敏、韩帅负责论文构思、文献整理、论文撰写、论文修改；俞新燕负责论文构思、论文审校；沈亮、王千米负责文献检索。
基金资助:
浙江省医药卫生科技计划项目(2025KY683)

Research progress on the role clarity of nurses

MA Yamin¹(), SHEN Liang¹, HAN Shuai¹, WANG Qianmi², YU Xinyan³^,^*()

¹ Department of Medical Oncology， Zhejiang Provincial Cancer Hospital， Hangzhou 310022， China
² Specialized Nursing Clinic， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
³ Department of Nursing， Zhejiang Provincial Cancer Hospital， Hangzhou 310022， China

Received:2025-11-17 Online:2026-08-15 Published:2026-08-14
Contact: *YU Xinyan，E-mail：yuxinyansafe@163.com
Supported by:
Zhejiang Provincial Medical and Health Science and Technology Plan Project(2025KY683)

摘要/Abstract

摘要：

系统梳理国内外关于护士角色清晰度的研究进展，从概念内涵、测评工具、影响因素、研究局限及未来研究方向等方面进行综述。角色清晰度是影响护士工作适应、心理健康与护理质量的核心变量，受组织结构、领导支持、个人特质与工作环境等多层面因素的共同影响。其中，明确的岗位职责、积极的反馈寻求行为及良好的团队协作是提升角色清晰度的关键机制；而工作负荷过重、科室特性复杂及组织支持不足则会削弱护士的角色清晰度。未来研究应加强纵向研究设计与跨文化比较，并关注数字化转型对护士角色认知的影响。

关键词: 护士, 角色清晰度, 角色模糊, 影响因素, 护理管理

Abstract:

This paper systematically reviews the research progress on the role clarity of nurses both domestically and internationally，summarizes aspects such as conceptual connotations，assessment tools，influencing factors，and future research directions. Role clarity is a core variable affecting nurses’ work adaptation，mental health，and nursing quality，jointly influenced by factors across multiple dimensions including organizational structure，leadership support，personal traits，and work environment. Among these，clear job responsibilities，active feedbackseeking behavior，and effective teamwork are key mechanisms for enhancing role clarity，while excessive workload，complex departmental characteristics，and insufficient organizational support significantly weaken role clarity among nurses. Future research should strengthen longitudinal designs and cross-cultural comparisons，and pay attention to the impact of digital transformation on nurses’ role cognition.

Key words: Nurses, Role Clarity, Role Ambiguity, Influencing Factors, Nursing Management

马雅敏, 沈亮, 韩帅, 王千米, 俞新燕. 护士角色清晰度的研究进展及启示[J]. 中华护理教育, 2026, 23(8): 1014-1019.

MA Yamin, SHEN Liang, HAN Shuai, WANG Qianmi, YU Xinyan. Research progress on the role clarity of nurses[J]. Chinese Journal of Nursing Education, 2026, 23(8): 1014-1019.

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护士角色清晰度的研究进展及启示

Research progress on the role clarity of nurses

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