Objective This study aims to explore the mediating role of medical students' professional identity between their perception of tension in doctor-patient relationships and their willingness to pursue a medical career, so as to inform better training of medical professionals and stabilizing the professional team. Methods From December 2022 to March 2023, a cluster sampling method was used to enroll undergraduate students from the second to fifth year of the five-year clinical medicine program at a medical university in Heilongjiang Province. The study investigated their professional identity, perception of tension in doctor-patient relationships, and willingness to pursue a medical career. Data analysis was conducted using one-way ANOVA, independent sample t-tests, and Pearson correlation analysis. The PROCESS plugin in SPSS 26.0 was utilized to verify the pathways among medical students' professional identity, perception of tension in doctor-patient relationships, and willingness to practice medicine. Results The final analysis included 971 medical students. The scores for professional identity were (3.44±0.50), perception of tension in doctor-patient relationships were (2.94±0.62), and willingness to practice medicine were (2.47±0.54). The perception of tension in doctor-patient relationships had a negative predictive effect on the willingness to practice medicine (β=-0.17, P<0.001), and professional identity played a partial mediating role between the perception of tension in doctor-patient relationships and willingness to practice medicine (β=-0.03, P<0.001). Conclusions The study reveals that medical students' professional identity is at a moderately high level with room for further improvement. There is a negative correlation between medical students' perception of tension in doctor-patient relationships and their willingness to practice medicine. Professional identity has a mediating effect between the perception of tension in doctor-patient relationships and the willingness to practice medicine.
Zhou Jin
,
Zhang Lin
,
Cao Yiyin
,
Zhang Xiaoshuai
,
Zhang Yuanhang
,
Gao Lei
. The mediating role of professional identity between medical students' perceived tension in the doctor-patient relationship and their willingness to practice medicine[J]. Chinese Journal of Medical Education, 2024
, 44(9)
: 658
-663
.
DOI: 10.3760/cma.j.cn115259-20230919-00268
[1] 张东园, 朱棣, 陈静宇, 等. 暴力伤医事件对应届毕业医学生思想认知及择业行径的影响调查[J].中国高等医学教育,2021(6):43-44. DOI: 10.3969/j.issn.1002-1701.2021.06.022.
[2] 常红娟, 袁坤, 史培培, 等. 新冠疫情对高中生从医意愿的影响研究[J].中国高等医学教育,2023(7):41-42. DOI: 10.3969/j.issn.1002-1701.2023.07.018.
[3] 郑致成, 陶磊, 王铭泽. 后疫情时代医学生职业认同与职业规划现状及影响因素研究[J].中国卫生事业管理,2022,39(12):941-945.
[4] 于晨, 吴红斌, 王维民, 等. 中国临床医学生职业认同现状分析[J].中国公共卫生,2023,39(4):437-441. DOI: 10.11847/zgggws1137607.
[5] 侯朝铭, 柏丁兮, 高静, 等. 认知重评对医学生职业认同影响:学业情绪和学习动机的多重链式中介效应[J].中国卫生事业管理,2023,40(2):142-147.
[6] 陈婷. 医学生之医患关系认知现状的分析与改善路径 [J]. 医学与法学, 2021, 13(2): 69-72. DOI: 10.3969/j.issn.1674-7526.2021.02.016.
[7] McGowen KR, Hart LE. Still different after all these years: gender differences in professional identity formation [J]. Professional Psychology: Research and Practice, 1990, 21(2): 118-123. DOI: 10.1037//0735-7028.21.2.118.
[8] 张志乔. 高职学生专业认同度与就业满意度关系探讨[J].中国高教研究,2012(6):98-101.
[9] 梁红霞, 王哲. 2011-2020年医学生职业认同变迁的横断历史研究[J].卫生职业教育,2023,41(24):148-152. DOI: 10.20037/j.issn.1671-1246.2023.24.43.
[10] 吕晔, 刘慧, 尹晓然, 等. 新冠肺炎流行期间医学生职业认同现状调查分析[J].中国医学伦理学,2020,33(8):954-958. DOI: 10.12026/j.issn.1001-8565.2020.08.12.
[11] 马璇璇, 吴红斌, 叶晓阳. 新冠疫情是否提高了医学生的职业认同？——来自全国临床医学本科生调查数据的发现 [J]. 复旦教育论坛, 2021, 19(6): 104-112.DOI: 10.13397/j.cnki.fef.2021.06.014.
[12] 蒋伟. 工匠精神培育与医学生职业认同教育研究[J].中国医学伦理学,2018,31(8):1073-1076. DOI: 10.12026/j.issn.1001-8565.2018.08.27.
[13] 张丽莉. 医学生职业认同现状及影响因素研究[D].上海:华东师范大学, 2010.
[14] 周浩, 龙立荣. 共同方法偏差的统计检验与控制方法[J].心理科学进展,2004,12(6):942-950. DOI: 10.3969/j.issn.1671-3710.2004.06.018.
[15] Chernick MR. Bootstrap methods:a guide for practitioners and researchers [M]. Hoboken: John Wiley & Sons Inc, 2007: 53-77.
[16] 王凤前, 曲乃强, 牛启超. 医学生职业认同现状调查[J]. 中国公共卫生, 2018, 34(9): 1248-1250.DOI: 10.11847/zgggws1116615.
[17] 何云涓, 卢曼曼, 陈贵梅, 等. 公立医院医务人员焦虑与社会支持、领悟社会支持及应对方式的相关性研究[J].中华疾病控制杂志,2019,23(3):328-331. DOI: 10.16462/j.cnki.zhjbkz.2019.03.017.
[18] 刘琼瑶, 王艳, 周小花, 等. 医患纠纷频发现象对医学生心理影响的调查分析——以长沙市三所医学院校为例[J].中国医学伦理学,2016,29(1):151-153.
[19] 朱可雯, 江申, 徐林燕, 等. 新冠肺炎疫情背景下医学生职业认同感及相关因素研究[J].卫生职业教育,2021,39(10):57-59.
[20] 刘琼瑶, 王艳, 周小花, 等. 医患纠纷现状对医学生心理的影响及对策研究[J].中国医学伦理学,2015,28(6):999-1001.
[21] 刘诗曼, 胡永建, 李涵, 等. 医患关系对医学生职业认同的影响[J].肿瘤基础与临床,2022,35(5):455-459. DOI: 10.3969/j.issn.1673-5412.2022.05.025.
[22] 王丽, 刘群英, 胡婉侠, 等. 疫情期间医学生与非医学生对医务人员职业认知的差异分析[J].南京医科大学学报(社会科学版),2022,22(2):164-168. DOI: 10.7655/NYDXBSS20220211.
[23] Holland JL, Johnston JA, Asama NF. The vocational identity scale: a diagnostic and treatment tool[J]. Journal of Career Assessment, 1993, 1(1): 1-12. DOI:10.1177/106907279300100102.
[24] Michal T, Denise J. Professional identity formation in contemporary higher education students [J]. Studies in Higher Education, 2021, 46(4): 885-900. DOI: 10.1080/03075079.2019.1659763.
[25] 汤国杰. 普通高校体育教师职业认同与工作满意度的关系研究[J].心理科学,2009,32(2):475-477,483.
