首页|临床护士心理韧性在结构性授权与工作投入间的中介效应

临床护士心理韧性在结构性授权与工作投入间的中介效应

Mediating effect of psychological resilience of clinical nurses between structural empowerment and work engagement

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目的 探讨临床护士心理韧性在结构性授权与工作投入间的中介效应。 方法 本研究为横断面研究。采用便利抽样法,于2023年3—5月选取河南省3所三级甲等医院的1 723名护士为研究对象。采用一般资料调查表、工作效能条件量表、护士心理韧性量表、工作投入量表对其进行调查。采用Pearson相关性分析探讨结构性授权、心理韧性与工作投入间的相关性;采用AMOS 24.0软件建立结构方程模型并分析中介效应。 结果 本研究共发放问卷1 723份,回收有效问卷1 590份,问卷有效回收率为92.28%。1 590名临床护士的结构性授权、心理韧性、工作投入总分分别为(70.42±15.61)、(96.84±13.15)、(62.24±11.02)分。Pearson相关性分析结果显示,工作投入与结构性授权、心理韧性呈正相关(r值分别为0.637、0.670,P<0.01)。结构方程模型结果显示,心理韧性在结构性授权与工作投入间起部分中介效应,中介效应值为0.321,占总效应的48.86%。 结论 本研究中临床护士结构性授权、心理韧性、工作投入均处于中等偏上水平,心理韧性在结构性授权与工作投入间起部分中介作用,护理管理者应从组织层面充分授权,采取针对性措施提高护士心理韧性,增强其工作投入水平。 Objective To explore the mediating effect of psychological resilience between structural empowerment and work engagement of clinical nurses. Methods This study was a cross-sectional study. Using the convenient sampling method, a total of 1 723 nurses from three Class Ⅲ Grade A hospitals in Henan Province were selected as the research objects from March to May 2023. The survey was conducted using general information questionnaire, Conditions of Work Effectiveness Questionnaire-Ⅱ (CWEQ-Ⅱ), Nurses Psychological Resilience Scale and Utrecht Work Engagement Scale (UWES). Pearson correlation analysis was used to explore the correlation between structural empowerment, psychological resilience and job engagement. AMOS 24.0 software was used to establish the structural equation model and analyze the mediating effect. Results A total of 1 723 questionnaires were sent out in this study, and 1 590 were effectively collected, with an effective recovery rate of 92.28%. The total scores of structural empowerment, psychological resilience and job engagement of 1 590 clinical nurses were (70.42±15.61), (96.84±13.15) and (62.24±11.02), respectively. Pearson correlation analysis showed that job engagement was positively correlated with structural empowerment and psychological resilience (r=0.637, 0.670, P<0.01). The results of structural equation model showed that psychological resilience had a partial mediating effect between structural empowerment and job engagement. The mediating effect value was 0.321, accounting for 48.86% of the total effect. Conclusions In this study, the structural empowerment, psychological resilience and job engagement of clinical nurses are above the medium level, and psychological resilience has a partial mediating effect between structural empowerment and job engagement. Nursing managers should fully empower nurses at the organizational level, take targeted measures to improve their psychological resilience and enhance their level of work engagement.
Objective To explore the mediating effect of psychological resilience between structural empowerment and work engagement of clinical nurses. Methods This study was a cross-sectional study. Using the convenient sampling method, a total of 1 723 nurses from three Class Ⅲ Grade A hospitals in Henan Province were selected as the research objects from March to May 2023. The survey was conducted using general information questionnaire, Conditions of Work Effectiveness Questionnaire-Ⅱ (CWEQ-Ⅱ), Nurses Psychological Resilience Scale and Utrecht Work Engagement Scale (UWES). Pearson correlation analysis was used to explore the correlation between structural empowerment, psychological resilience and job engagement. AMOS 24.0 software was used to establish the structural equation model and analyze the mediating effect. Results A total of 1 723 questionnaires were sent out in this study, and 1 590 were effectively collected, with an effective recovery rate of 92.28%. The total scores of structural empowerment, psychological resilience and job engagement of 1 590 clinical nurses were (70.42±15.61), (96.84±13.15) and (62.24±11.02), respectively. Pearson correlation analysis showed that job engagement was positively correlated with structural empowerment and psychological resilience (r=0.637, 0.670, P<0.01). The results of structural equation model showed that psychological resilience had a partial mediating effect between structural empowerment and job engagement. The mediating effect value was 0.321, accounting for 48.86% of the total effect. Conclusions In this study, the structural empowerment, psychological resilience and job engagement of clinical nurses are above the medium level, and psychological resilience has a partial mediating effect between structural empowerment and job engagement. Nursing managers should fully empower nurses at the organizational level, take targeted measures to improve their psychological resilience and enhance their level of work engagement.

NursesPsychological resilienceStructural empowermentWork engagementMediating effect

刘智慧、朱玉花、李雪、张全英、杜迎杰、何月

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新乡医学院第一附属医院护理部,新乡 453100

护士 心理韧性 结构授权 工作投入 中介效应

河南省医学教育研究项目

Wjlx2022094

2024

中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
年,卷(期):2024.30(7)
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