A Study Of Investigation And Intervention Of Personal Career Planning Of College Nursing Students

Objectives:1. To obtain a questionnaire of good reliability and validity for personal career planning of college nursing student.2. To study the status quo of the personal career planning of college nursing students and its related factors.3. To evaluate the application of group counseling which is used in education of the personal career planning of college nursing students.Subjects and Methods:The first part, On the basis of related literature studying, interviewing and questionnaire survey, the questionnaire concerning the personal career planning of college nursing students was devised, whose reliability and validity were confirmed. With the application of the questionnaire and a cross-sectional study using epidemiological methods,a survey with a total of 365 college nursing students in the various grades in three medical college in Guangzhou was made on their personal career planning and then an analysis was conducted. Self-designed college nursing student personal career planning questionnaire by three parts. the first part: the general information of college nursing student: gender, grade, home location, parents occupation, parental education level, whether or not he(she)is the one-child, whether he(she) is a class cadre or not, whether he(she) is a society members or not, the original intention of selecting the nursing profession, whether he(she) participated in studying of career planning knowledge or not. The second part :contents of college nursing students' personal career planning: to divid into 5 dimensions: self congnition, occupation congnition, employment confidence, career direction detection ,self planning, consisting a total of 27 items. scoring points by Likert5 (According with completely, According with comparatively, Neutrality, Do not according with ,complete inconformity), positive-type items by scoring 5,4,3,2,1, negative items according to the type 1,2,3,4,5 points, the highest score of questionnaire is 135 (the best condition of personal career planning), the minimum is 27 minutes (the worst condition of personal career planning). To defined the questionnaire scores:≥108 points is divided into personal career planning well, 81-107 points is divided into personal career planning generally, being lower than 81 points is divided into personal career planning bad. The third part : the satisfaction with the profession of nursing, the willing of whether to be engaged in the nursing work after the graduation.The software SPSS for Windows, release 13.0 for personal computers was used for statistical activity. Statistical methods included descriptive analysis, correlation analysis, factor analysis, reliability analysis, the analysis of variance, Independent-Samples T Test, Linear Regression. The standard test isα= 0.05 level.The second part , based on the investigation result, group counseling was used in the college nursing students up to the standard of the study to explore the effects of group counseling for the condition of the college nursing students' personal career planning. In this study, the targets of being more interesting or puzzled in their own personal career planning of being freshmen or sophomore in a medical college in Guangzhou, The study by the inclusion and exclusion criteria selected again after recruitment, using stratified random sampling technique as 80 subjects, randomly divided into two groups. The intervention group and the control group of 40. The control group of normal life, the intervention group received a six-week, eight of group conselling, these first two weeks targeted intervention accept the intervention twice weekly, four weeks after a weekly intervention, each intervention duration of 120 minutes. Before and after the intervention of two time points used the personal career planning of college nursing student questionnaire to compare the group conselling effects. In the group conselling process, the study personnels carefully recorded the responses for students, in-depth analysis of the interview, and combined the results of quantitative research with qualitative research to analysis the study results.The software SPSS for Windows, release 13.0 for personal computers was used for statistical activity. Statistical methods included descriptive analysis, the chi-square test, T Test, the analysis of variance, standard test isα= 0.05 level.Results:1. The test-retest reliability of total items was 0.797(P=0.000),the internal consistency reliability was 0.869(Cronbach's a),the factor analysis confirmed the construct validity of the personal career planning of college nursing stude nt questionnaire.2. The status quo of the personal career planning of college nursing stude nts In this investigation, the personal career planning well of college nursing s tudents (questionnaire score≥108 points) 47, account for the investigation obje ct total number 12.88%, the personal career planning generally well of college nursing students (questionnaire scores 81-107 points) 271. account for 74.24%, the personal ca reer planning bad of college nursing students (questionnaire scores lower than 81 points) 47, account for 12.88%. Mean score of five dimensions of the colle ge nursing students" personal career planning are 2.97—4.04 points.3. The analysis of the related factors of personal career planning of college nursing students. To carry out the linear regression analysis, the total score for personal career planning of college nursing students as Dependent, the 14 factors of the first part and the third part of questionnaire as Independent.5 factors of "the satisfaction with the profession of nursing", "grade", "whether he(she) participated in studying of career planning knowledge or not", "the willing of whether to be engaged in the nursing work after the graduation", "whether he(she) is a class cadre or not" entered regression equation.(1) The more satisfied with the nursing profession, the higher total scores of personal career planning (F = 13.633 P = 0.000). To be very satisfied and relatively satisfied with the nursing profession accounting for 1.37%and 39.73 %, less than half of the students in this survey.(2) The total scores of personal planning career in different grades were significant difference (F = 2.879 P = 0.036), the first and second grade were below the third and fourth grade in the scores of dimension of occupation congnition , the frist grade were less than the second and foruth grade in the scores of dimension self planning , the first and second grade were less than the fourth grade in the total scores.(3) The students who have participated in lernning of career planning-related knowledge had more scores than the students who have not participated in learnning of career planning-related knowledge(t = 4.485 P = 0.000). (4) The students who should will to engage in nursing had more scores than students who should not will and be uncertainty to engage in nursing after graduation (F = 12.190 P = 0.000).(5)The students who were class cadres had more scores than students who were not class cadres in total scores of personal planning career(t = 2.788 P = 0.006).4. Group conselling intervention, the intervention group compared with personal career planning scores before intervention has rised. by T-test, the rising of scores in 4 dimensions of "the self congnition", "occupation congnition",'career direction detection","self planning"and total scores were statistically significant.5. The intervention group which attened group conselling after six weeks and control group of normal life (not to accept group conselling) in this six weeks, the scores in 5 dimensions and total scores of personal career planning of the intervention group was higher than the control group, and the differences were statistically significant by covariance analysisConclusions:1. The questionnaire concerning the personal career planning of college nursing students, it has good reliability and validity, and is feasibale to make a view to the status quo of the personal career planning of college nursing students in our country .2. The satisfaction with the status quo of college nursing students' personal career planning is at the medium level, the importance should be attached to the education of career planning of college nursing students.3. 5 factors of "the satisfaction with the profession of nursing", "grade", "whether or not he(she) participated in studying of career planning knowledge", "the willing of whether to be engaged in the nursing work after the graduation", "whether or not he(she) is a class cadre" were most important related factors to the personal career planning of college nursing students. Nursing educators should value and actively carry out personal career guidance and education , and strive to improve their professional satisfaction. In accordance with the actual situation, such as different grades to give the appropriate guidance and education, to give the first grade and second grade more education of occupation congnition, as to students as soon as possible plan their learning and life.4. The group counseling can improve the situation of the personal career planning of college nursing students. The group counseling of individual career planning is good and effective.5. The group counseling is economical, practical, with the high efficiency, infection strong, to accept easily for students , suited to higher nursing education to promote the implementation.