目的 了解护理实习生自我同一性现状和存在问题。方法 使用护理实习生自我同一性量表对湖南省某医院490名护理实习生进行问卷调查。结果 490名实习护生在临床实习初期,现在的自我投入维度得分为20(18,23)分,将来自我投入的愿望维度得分为20(18,23)分,过去的危机维度得分为16(14,19)分。护理实习生同一性形成地位44名(9.0%),同一性形成—权威接纳中间地位195名(39.8%),权威接纳地位48名(9.8%),积极的延缓地位62名(12.7%),同一性扩散—积极的延缓中间地位5名(1.0%),同一性扩散地位136名(27.8%)。结论 大多数护理实习生未达到同一性形成地位,临床护理教育者应该帮助其进行职业探索,提高其对护理专业的认识,建立正确的职业观、价值观。

Objective To understand the status and problems of self-identity of nursing interns.Methods A questionnaire survey was conducted on 490 nursing interns in a hospital in Hunan Province using the ego-identity scale.Results At the beginning of clinical practice,the current self-investment dimension score was 20(18,23),the future self-investment dimension score was 20(18,23),and the past crisis dimension score was 16(14,19). There were 44(9.0%) students with identity achiever status,195(39.8%) with identity achiever—foreclosure status,48(9.8%)with foreclosure status,62(12.7%) with moratorium status,5(1.0%) with moratorium—identity diffusion status,and 136(27.8%)with identity diffusion status.Conclusion Most of the nursing interns have not reached the status of identity formation. Clinical nursing educators should help them carry out professional exploration,improve their understanding of nursing specialty,and establish correct professional outlook and values.