收稿日期: 2025-04-13
网络出版日期: 2025-08-14
Concept analysis of impostor phenomenon among nursing professionals
目的 全面解析护理专业人员自我能力否定倾向的概念，以促进护理专业人员内化成就，从而充分发挥其潜力。 方法 系统检索PubMed、Web of Science、CINAHL、PsycINFO、Proquest、中国知网、万方数据知识服务平台、维普数据库和中国生物医学文献数据库中自我能力否定倾向相关文献，并采用Rodgers概念演化方法进行分析。 结果 共纳入32篇文章，确定了护理专业人员自我能力否定倾向的概念具有3个属性：无法将成功内化和低估成就、恐惧感、智力欺诈感和自我怀疑感。前因包括个体因素、人际因素和环境因素；后果包括心理和情感相关的后果，以及与工作相关的后果。结论 自我能力否定倾向是影响心理健康和职业发展的心理现象。未来应尽早识别护理专业人员自我能力否定倾向，针对产生原因开展干预，促进其心理健康，为提高医疗质量奠定基础。
才智 , 唐国华 . 护理专业人员自我能力否定倾向的演变与特征分析[J]. 中华护理教育, 2025 , 22(8) : 999 -1005 . DOI: 10.3761/j.issn.1672-9234.2025.08.017
Objective To clarify the concept of impostor phenomenon among nursing professionals and to assist them in internalizing their accomplishments and realizing their full potential. Methods Systematic search was conducted in PubMed，Web of Science，CINAHL，PsycINFO，Proquest，CNKI，Wanfang，VIP Database and SinoMed for relevant literature on impostor phenomenon，and the Rodgers’ evolutionary concept was adopted for analysis. Results A total of 32 articles were included，and the concept of impostor phenomenon were identified as three attributes： inability to internalize successes and discount achievement，a sense of fear，and feelings of intellectual fraudulence and self-doubt. The antecedents included individual factors，interpersonal factors and environmental factors. Conclusion Impostor phenomenon is a psychological phenomenon that affects mental health and career development. The impostor phenomenon of nursing professionals should be identified as early as possible，so that targeted intervention can be carried out for them to promote their mental health and lay the foundation for improving the quality of medical care.
Key words： Impostor phenomenon; Nursing professionals; Concept analysis
| [1] | Clance PR, Imes SA. The imposter phenomenon in high achieving women:dynamics and therapeutic intervention[J]. Psychother Theory Res Pract, 1978, 15(3):241-247. |
| [2] | Bravata DM, Watts SA, Keefer AL, et al. Prevalence,predictors,and treatment of impostor syndrome:a systematic review[J]. J Gen Intern Med, 2020, 35(4):1252-1275. |
| [3] | Edwards-Maddox S. Burnout and impostor phenomenon in nurs-ing and newly licensed registered nurses:a scoping review[J]. J Clin Nurs, 2023, 32(5/6):653-665. |
| [4] | El-Ashry AM, Taha SM, Elhay ESA, et al. Prevalence of impo-ster syndrome and its association with depression,stress,and anxiety among nursing students:a multi-center cross-sectional study[J]. BMC Nurs, 2024, 23(1):862. |
| [5] | Ares TL. Role transition after clinical nurse specialist education[J]. Clin Nurse Spec, 2018, 32(2):71-80. |
| [6] | Chodoff A, Conyers L, Wright S, et al. “I never should have been a doctor”:a qualitative study of imposter phenomenon among internal medicine residents[J]. BMC Med Educ, 2023, 23(1):57. |
| [7] | Haney TS, Birkholz L, Rutledge C. A workshop for addressing the impact of the imposter syndrome on clinical nurse specialists[J]. Clin Nurse Spec, 2018, 32(4):189-194. |
| [8] | Lindsay J, Cropley S, Ramirez E. Prevalence of impostor phenomenon among final-semester baccalaureate nursing students[J]. Dimens Crit Care Nurs, 2024, 43(5):272-276. |
| [9] | Joan CH, Katz C. If I’m so successful,why do I feel like a fake?The impostor phenomenon[M]. New York: St. Martin’s Press, 1985. |
| [10] | Feenstra S, Begeny CT, Ryan MK, et al. Contextualizing the impostor “syndrome”[J]. Front Psychol, 2020, 11:575024. |
| [11] | Gullifor DP, Gardner WL, Karam EP, et al. The impostor phenomenon at work:a systematic evidence-based review,conceptual development,and agenda for future research[J]. J Organ Behav, 2024, 45(2):234-251. |
| [12] | Adiguzel A. Navigating the impostor phenomenon:the lived experience of nurse leaders[D]. Columbia: Teachers College,Columbia University, 2021. |
| [13] | Türkel NN, Ba?aran AS, Gazey H, et al. The imposter phenome-non in psychiatrists:relationships among compassion fatigue,burnout,and maladaptive perfectionism[J]. BMC Psychiatry, 2025, 25(1):30. |
| [14] | Suh D, Jang SJ. Personality traits,impostor phenomenon,and workplace bullying:a cross-sectional study on hospital nurses[J]. J Nurs Res, 2025, 33(3):e394. |
| [15] | Clance PR. The impostor phenomenon:overcoming the fear that haunts your success[M]. Chattahoochee Avenue Atlanta: Peachtree Pub Ltd, 1985. |
| [16] | Ord T, Metcalfe D, Greaves J, et al. Unmasking impostor phenomenon:a study of nurses in specialist roles[J]. Br J Nurs, 2024, 33(3):139-143. |
| [17] | 吴婷, 焦丽娜, 邓中艳, 等. 本科实习护生自我能力否定倾向潜在剖面分析及影响因素的研究[J]. 中华医学教育探索杂志, 2025,24:559-565. |
| [18] | 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. | |
| [19] | 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. |
| 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. | |
| [20] | Judge TA, Kammeyer-Mueller JD. General and specific measures in organizational behavior research:considerations,examples,and recommendations for researchers[J]. J Organ Behav, 2012, 33(2):161-174. |
| [21] | Batur A, Arslan V, Turan S. Analysis of the relationship between medical achievement self-efficacy perception and impostor phenomenon in the postgraduate education process:a cross-sectional study[J]. BMC Med Educ, 2024, 24(1):1536. |
| [22] | 彭娟, 陶红艳, 文芳丽, 等. 临床护士自尊与自我能力否定倾向的相关性分析[J]. 中国实用护理杂志, 2023, 39(36):2848-2853. |
| [23] | Thompson T, Foreman P, Martin F. Impostor fears and perfectionistic concern over mistakes[J]. Pers Individ Differ, 2000, 29(4):629-647. |
| [24] | Henning K, Ey S, Shaw D. Perfectionism,the imposter pheno-menon and psychological adjustment in medical,dental,nursing and pharmacy students[J]. Med Educ, 1998, 32(5):456-464. |
| [25] | 夏雨. 新入职护士自我能力否定倾向的潜在剖面分析及其与转型冲击、职场适应度的关系[D]. 济南: 山东中医药大学, 2024. |
| Xia Y. A potential profile analysis of self-denial tendency of new nurses and its relationship with transition shock and workplace adaptability[D]. Jinan: Shandong University of Traditional Chinese Medicine, 2024. | |
| [26] | Christensen M, Aubeeluck A, Fergusson D, et al. Do student nurses experience Imposter Phenomenon? An international comparison of final year undergraduate nursing students readiness for registration[J]. J Adv Nurs, 2016, 72(11):2784-2793. |
| [27] | Dao A, Pegg S, Okland S, et al. Longitudinal associations between sense of belonging,imposter syndrome,and first-year college students’ mental health[J]. J Am Coll Health,2024:1-10. |
| [28] | Wrench A, Padilla M, O’Malley C, et al. Impostor phenome-non:prevalence among 1st year medical students and strategies for mitigation[J]. Heliyon, 2024, 10(8):e29478. |
| [29] | Gibson C, Lockwood P. Impostor phenomenon traits in radiography students: findings from a UK pilot survey[J]. Radiography, 2024, 30(1):61-65. |
| [30] | Aird RE. From impostership to mastersness:experiences of a postgraduate student’s transition to higher education reflected through poetry[J]. J Res Nurs, 2017, 22(6/7):522-532. |
| [31] | Levant B, Villwock JA, Manzardo AM. Impostorism in American medical students during early clinical training:gender differences and intercorrelating factors[J]. Int J Med Educ, 2020, 11:90-96. |
| [32] | 虞优娜, 邵铃玲. 实习护生冒名顶替现象影响因素分析及干预策略建议[J]. 护士进修杂志, 2025, 40(2):118-122. |
| Yu YN, Shao LL. Analysis of factors influencing impostor phenomenon of intern nursing students and suggestion of intervention strategies[J]. J Nurses Train, 2025, 40(2):118-122. | |
| [33] | Troy AS, Willroth EC, Shallcross AJ, et al. Psychological resilience:an affect-regulation framework[J]. Annu Rev Psychol, 2023, 74:547-576. |
| [34] | He MN, Li Y, Hu H, et al. The relationship between impostor phenomenon and career decision-making difficulties among nursing interns:the mediating role of psychological resilience[J]. Front Psychol, 2024, 15:1484708. |
| [35] | 彭莹, 涂惠, 李冬英, 等. 重症专科护士自我能力否定倾向与角色压力的相关性研究[J]. 中华护理教育, 2025, 22(2):219-223. |
| Peng Y, Tu H, Li DY, et al. The correlation between impostor phenomenon and role stress among intensive care specialty nurses[J]. Chin J Nurs Educ, 2025, 22(2):219-223. | |
| [36] | 张俊冷, 陆爱红, 李国娟, 等. 情绪调节在急诊科护士自我能力否定倾向和职业倦怠间的中介作用研究[J/OL]. 职业与健康,1-5[2025-06-24]. https://doi.org/10.13329/j.cnki.zyyjk.202504-27.001. |
| [37] | 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 phenomenon and job burnout in clinical nurses[J]. Mil Nurs, 2023, 40(9):18-21. | |
| [38] | Meredith LS, Bouskill K, Chang J, et al. Predictors of burnout among US healthcare providers:a systematic review[J]. BMJ Open, 2022, 12(8):e054243. |
| [39] | 彭莹. Clance冒名顶替现象量表的汉化及在医院护理管理者中的初步应用[D]. 南昌: 南昌大学, 2023. |
| Peng Y. The sinicization of clance impersonation scale and its preliminary application in hospital nursing managers[D]. Nanchang: Nanchang University, 2023. | |
| [40] | Kolligian J Jr, Sternberg RJ. Perceived fraudulence in young adults:is there an “imposter syndrome”?[J]. J Pers Assess, 1991, 56(2):308-326. |
| [41] | Robinson D, Suhr J, Buelow M. Academic self-handicapping as a mediator of the relation between imposterism and academic goal orientation:testing invariance by gender and underrepresented status[J]. J Am Coll Health, 2024:1-8. |
| [42] | El-Setouhy M, Makeen AM, Alqassim AY, et al. Prevalence and correlates of imposter syndrome and self-esteem among medical students at Jazan University,Saudi Arabia:a cross-sectional study[J]. PLoS One, 2024, 19(5):e0303445. |
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