目的 探究护理本科生择业效能感及专业认同对职业决策困难的影响。 方法 通过方便抽样法于2019年11月选取重庆市某2所高校的239名护理本科生作为研究对象。采用大学生职业决策问卷、大学生择业效能感量表和大学生专业认同问卷进行调查。 结果 护理本科生的职业决策困难总均分为（3.08±0.57）分,择业效能感总均分为（3.19±0.58）分,专业认同总均分为（3.43±0.57）分;职业决策困难与择业效能感（r=-0.224,P<0.001）和专业认同（r=-0.331,P<0.001）呈负相关,两者能独立解释职业决策困难10.8%的变异度。 结论 护理本科生职业决策困难处于中等水平,其与择业效能感和专业认同呈负相关。护理教育者可以通过建设完善的护理职业教育课程体系以增进学生对专业的认可及择业自信,从而降低护理本科生的职业决策困难。

Objective To explore the influence of career decision making self-efficacy and professional identification on their career decision-making difficulty. Methods There were 239 nursing undergraduates from two universities in Chongqing who were selected in November 2019. The Career Decision-making Difficulties Questionnaire of Universities,Career Decision Making Self-Efficacy and the Professional Identification Questionnare were used to investigate the nursing undergraduates’ career decision difficulty,career decision making self-efficacy and professional identification. Results The average score of career decision-making difficulty was（3.08±0.57）,career decision making self-efficacy was（3.19±0.58）and professional identification was（3.43±0.57）. Career decision-making difficulty was negatively correlated with career decision making self-efficacy（r=-0.224,P<0.001） and professional identification（r=-0.331,P<0.001）. The two independent variables could explain 10.8% of career decision-making difficulty. Conclusion The career decision-making difficulty of nursing undergraduates is in the middle level,which is negatively correlated with career selection efficacy and professional identity. Nursing educators can improve students’ professional recognition and career self-confidence by building a perfect curriculum system of nursing vocational education,so as to reduce the career decision-making difficulties of nursing undergraduates.