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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2023年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 111 ·
Journal
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Nurse Educ Pract，2018，32：90-96 （本文编辑：接雅俐）
The spiral of identity: a study on the formation mechanism of clinical
professional identity among undergraduate nursing students
HUANG Shan，YUAN Juan，YAN Guiming，ZHU Yu，WANG Lili
School of Nursing，Anhui University of Chinese Medicine，Hefei 230012，China
Abstract：This study proposes a Professional Identity Cycle Model based on the Process Role Theory to
explore the formation mechanism of clinical professional identity of undergraduate nursing students in three
stages: role expectation，role apperception，and role practice. The present study also aims to explore the
obstacles and facilitators in the process of professional identity formation and its outcome. The results indicate
that occupational solidification，low occupational value and insufficient occupational support are the hindering
factors for the formation of the professional identity of nursing students. Facilitators include self⁃expectation，
nursing role models and clinical adaptability，eventually forming two kinds of professional identity results:
participants’and bystanders’professional identity. The formation process of undergraduate nursing professional
identity reflects the transformation process of nursing professionals toward modernization and the conflict
between traditional social structure and modern individual consciousness among undergraduate nursing students.
Although they have a professional identity dilemma in the role expectation and role understanding，most
undergraduate nursing students still show a positive role practice attitude，which forms a spiral pattern of
professional identity.
Key words：undergraduate nursing students；professional identity；role theory
