探討護理學生選擇進入護理職場之意向探討：社會認知生涯理論

Factors Affecting the Career Choices in Nursing Among Taiwanese Nursing Students: Social Cognitive Career Theory

10.6142/VGHN.33.3.238

梁亞文(Yia-Wun Liang)；陳文意(Wen-Yi Chen)；楊其璇(Asphodel Yang)；曾月霞(Yueh-Hsia Tseng)；張華蘋(Hua-Pin Chang)；林育秀(Yu-Hsiu Lin)

護理學生 ； 自我效能 ； 結果預期 ； 職業選擇 ； 社會認知生涯理論 ； nursing student ； self-efficacy ； outcome expectation ； career choice ； social cognitive career theory

榮總護理

33卷3期（2016 / 09 / 01）

238 - 248

繁體中文

護理人力不足是全球普遍的問題，人力流失不僅造成招募和訓練的浪費、護理教育的耗損，也影響護理品質。本研究以社會認知生涯理論探討護生進入職場意向之影響因素，期望改善護理教育端之困境。本研究採橫斷性研究，以結構式量表透過分層叢集隨機抽樣，調查護生自我效能、結果預期及目標選擇，再以多層邏輯斯迴歸進行分析。研究發現父親教育程度高者、父親職業與醫療服務業相關者、就讀護理系原因為個人興趣者、家人支持學生從事護理工作者的大一護生，畢業後選擇進入護理職場的意向較高；父親教育程度高者、母親職業與醫療服務業相關者、家人支持學生從事護理工作者、選修最後一哩或臨床就業相關課程者、實習滿意度高者、及結果預期高者的大四護生畢業後，選擇進入護理職場的意向較高。建議護理課室教學應包含批判性思考和反思實踐，護理產、學界應建立夥伴關係，銜接護理教育與臨床實務，增強護生進入職場的意向。

Nursing shortages exist worldwide. Such shortages lead to high costs in recruitment and retention and waste nursing education. The present study investigated factors affecting Taiwanese students' career choices in nursing based on social cognitive career theory. This was a cross-sectional prospective study that employed a self-administered questionnaire to collect data through stratified cluster random sampling. Multilevel logistic regression was used to explore factors affecting nursing students' career choices in nursing. Multilevel logistic regression showed that the father's education level, the father's occupation related to medical care services, the reasons for studying nursing, and family support were significantly associated with first-year nursing students' intention to choose nursing as a career. For fourth-year nursing students, the father's education level, the mother's occupation related to medical care services, family support, taking the＂ last mile＂ practicum course, satisfaction with nursing clinical practice, and outcome expectations were found to be significantly associated with fourth-year nursing students' intention to choose nursing as a career. Nursing educators should improve nursing education curricula according to facts, practical knowledge, and science. Nursing schools and industry should collaborate to bridge the gap between nursing education programs and clinical practice, for eventually promoting nursing students' satisfaction with clinical practice and intention to choose nursing as a career.

1. 呂桂雲、張永源、邱香蘭(2001)。專科畢業護理人員專業承諾改變之研究。護理研究，9(1)，28-38。
   連結：
2. 顏奕仁、周惠文、林裕勛(2010)。個人工作績效之探討─ 整合任務科技適配模式與社會認知理論。中原企管評論，8(1)，185-207。
   連結：
3. Aryee, A.,Chay, Y. W.,Chew, J.(1994).An investigation of the predictors and outcomes of career commitment in three career stages.Journal of Vocational Behavior,44(1),1-16.
4. Bandura, A.(1986).Social foundations of thought and action: A social cognitive theory.Englewood Cliffs:Prentice-Hall.
5. Bandura, A.(1997).Self-efficacy.Harvard Mental Health Letter,13(9),4-6.
6. Başkale, H.,Serçekuş, P.(2015).Nursing as career choice: Perceptions of Turkish nursing students.Contemporary Nurse,51(1),5-15.
7. Evans, C. D.,Diekman, A. B.(2009).Onmotivated role selection: Genderbeliefs, distant goals, and career interest.Psychology of Women Quarterly,33(2),235-249.
8. Holland, J. L.(1997).Making vocational choices: A theory of vocational personalities andwork environments.Odessa:Psychological assessment resources.
9. Jirwe, M.,Rudman, A.(2012).Why choose a career in nursing?.Journal of Advanced Nursing,68(7),1615-1623.
10. Kleinknecht, M. K.,Hefferin, E. A.(1986).Development of the nursing career preference inventory.Nursing Research,35(1),44-48.
11. Lai, H. L.,Lin, Y. P.,Chang, H. K.,Chen, C. J.,Peng, T. C.,Chang, F. M.(2008).Isnursing profession my first choice? A follow up survey in pre-registeration student nurses.Nurse Education Today,28(6),768-776.
12. Lent, R. W.,Brown, S. D.,Hackett, G.(1994).Toward a unifying social cognitive theory of career and academic interest, choice, and performance.Journal of Vocational Behavior,45(1),79-122.
13. Luzzo, D. A.(1996).Exploring the relationship between the perception of occupational barrier and career development.Journal of Career Development,22(4),218-248.
14. McCall , L.,Wray, N.,McKenna, L.(2007).Influence of clinical placement on undergraduate midwifery students' career intentions.Midwife,25(4),403-410.
15. McGregor, D.(2007).Miam,Florida international university.
16. Mooney, M.,Glacken, M.,O' Brien, F.(2008).Choosing nursing as a career: A qualilative study.Nurse Educarion Today,28(3),385-392.
17. Simon, J.,Osipow, S. H.(1996).Continuity of career: The vocational script incounseling older workers.The Career Development Quarterly,45(2),152-162.
18. Tawfiq Al Jarrah, I. A.(2013).Associate nursing students' perceptions toward nursing profession in Jordan.European Scientific Journal,9(6),147-166.
19. Waugaman, W. R.,Lohrer, D. J.(2000).From nurse to nurse: The influence of age and gender on professional socialization and careercommitment of advanced practice nurses.Journal of Professional Nursing,16(1),47-56.
20. Wintz, L.(1987).Career paths ofnurses: When is anurseno longer anurse?.The Journal of Nursing Administration,17(4),33-37.
21. Zimmerman, B. J.,Martinez-Pons, M.(1990).Student's differences in self-regulated learning: Relating grade, sex, and giftedness to self-effi cacy and strategy use.Journal of Education Psychology,82(1),51-59.
22. 于漱(1993)。不同性別護生的人格特質、對護理形象看法與護理能力之比較研究。護理研究，1(3)，205-217。
23. 呂桂雲、邱香蘭(1998)。護生專業承諾之研究。護理研究，6(2)，109-120。
24. 張麗春、顏婉娟、呂素英(2006)。員工充能模式於公共衛生護理之應用與省恩。護理雜誌，53(2)，11-17。
25. 陳妮婉、張彩秀、葉明珍(2012)。護生工作價值感受與專業承諾之關係探討。澄清醫護管理雜誌，8(1)，15-25。
26. 陳威麗(1992)。護理科系學生實習壓力與健康狀況之相關因素探討。護理雜誌，39(2)，79-88。
27. 陳淑琦(1999)。碩士論文(碩士論文)。高雄，國立高雄師範大學輔導研究所。
28. 黃珊、王秀紅(2006)。護理人員賦權感受及其相關因素之探討。志為護理，5(5)，93-104。
29. 黃璉華(2004)。從護生到護士─ 談新進護理人員的適應。護理雜誌，51(4)，33-36。
30. 盧美秀(2004)。我國護理教育的現況與展望。護理雜誌，51(4)，11-17。