Mediating Role of Professional Self-Concept in Professional Identification and Career Resilience Among Clinical Nurse Specialists

Abstract：Objective To explore the influence of professional self-concept on professional identification and career resilience of clinical nurse specialists,in order to provide basis for management of clinical nurse specialist.Methods Totally 277 clinical nurse specialists were investigated with the Professional Identification Scale,and Professional Self-Concept of Nurses Instrument and Career Resilience Scale.SPSS 13.0 was used to do related Regression Analysis.Results The older the age,the longer the working life;health status and the establishment,the higher score of clinical nurse specialist career resilience and,professional self-concept (P＜0.05).The higher health assessment,the higher education level,the preparation and in the Department of Hematology,operation room and other departments,the higher the level of professional identification(P＜0.05).The career resilience score was positively correlated with the scores of professional identification and professional self-concept(r=0.383,0.584,P＜0.01).Intermediate effect analysis showed that professional self-concept (Dimensions of leadership and flexibility) had significant mediating effect on professional identification and career resilience.(P＜0.05).The total mediating effect was 0.192,and the effect was 50.1％.Conclusion The career resilience of clinical nurse specialist was closely related with the concept of professional identification and professional self-concept,and the professional identification could indirectly improve the level of their career resilience through professional self-concept.