首页|心理弹性在临床护士情绪劳动与职业成功感间的中介效应

心理弹性在临床护士情绪劳动与职业成功感间的中介效应

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目的 调查临床护士的情绪劳动、职业成功感及心理弹性现状,探讨心理弹性对情绪劳动和职业成功感的中介效应,为提高护士职业成功感提供参考依据.方法 采用便利抽样法,于 2021 年 6 月—7 月选取湖北省 15 家二级甲等以上综合医院 922 名临床护士作为研究对象,采用一般资料调查量表、情绪劳动量表、职业成功感量表及心理弹性量表进行调查.采用Pearson 相关分析情绪劳动得分、职业成功感得分及心理弹性得分之间的相关性,采用Amos软件构建结构方程模型分析中介效应.结果 本研究共有 842 名临床护士完成研究.临床护士的职业成功感和心理弹性总分分别为(73.56±15.55)分、(62.50±17.12)分,在情绪劳动中,表层扮演维度得分为(20.46±5.92)分,深层扮演维度得分为(11.05±2.62)分,真实情感表达维度得分为(11.95±3.48)分;职业成功感与心理弹性呈正相关(r=0.593,P<0.001),与表层扮演呈负相关(r=-0.507,P<0.001),与真实情感表达呈正相关(r=0.481,P<0.001),与深层扮演呈正相关(r=0.462,P<0.001).心理弹性与表层扮演呈负相关(r=-0.452,P<0.001),与真实情感表达呈正相关(r=0.402,P<0.001),与深层扮演呈正相关(r=0.392,P<0.001);心理弹性在情绪劳动各维度(表层扮演、真实情感表达、深层扮演)与职业成功感之间均起部分中介作用,中介效应为-0.146、0.108 及 0.112,分别占总效应的 38.02%、32.05%、37.21%.结论 临床护士的情绪劳动各维度处于中等水平,职业成功感处于中等偏上水平,而心理弹性处于偏低水平;情绪劳动中表层扮演可直接负向作用于临床护士的职业成功感,真实情感表达、深层扮演可直接正向作用于临床护士的职业成功感,也可通过心理弹性的中介效应间接影响临床护士的职业成功感;护理管理者应重视护士情绪劳动的管理,提高心理弹性水平,进而增加其职业成功感.
Effect of emotional labour on career success in nurses:the mediating role of psychological resilience
Objective To investigate current situations of emotional labour,career success and psychological resilience among the nurses and to explore the mediating role of psychological resilience between emotional labour and career success,hence to provide a reference in improvement of the sense of career success among the nurses.Methods Convenience sampling was used to select 922 clinical nurses from 15 Gade ⅡA hospitals in Hubei Province between June and July 2021.A general information questionnaire,the emotional labour scale,career success scale,and psychological resilience scale were used in the investigation.Pearson correlation was employed to analyse the correlations between emotional labour,career success and psychological resilience scores.Amos software was used to construct structural equation model to analyse the mediating effect.Results A total of 842 clinical nurses completed the survey.The total scores of career success and mental resilience of clinical nurses were(73.56±15.55)scores and(62.50±17.12)scores,respectively.In emotional labor,the surface acting dimension score was(20.46±5.92)scores.The score of deep acting dimension was(11.05±2.62),and the score of true emotion expression dimension was(11.95±3.48).Perceived career success was positively correlated with psychological resilience(r=0.593,P<0.001)Career success was negatively correlated with surface acting(r=-0.507,P<0.001).Career success was positively correlated with true emotional expression(r=0.481,P<0.001),and was positively correlated with deep acting(r=0.462,P<0.001).Psychological resilience was negatively correlated with surface acting(r=-0.452,P<0.001),positively correlated with true emotion expression(r=0.402,P<0.001),and positively correlated with deep acting(r=0.392,P<0.001).Psychological resilience plays a partial mediating role between the dimensions of emotional labor(surface acting,true emotional expression,deep acting)and career success,and the mediating effect is-0.146,0.108 and 0.112,accounting for 38.02%,32.05%and 37.21%of the total effect,respectively.Conclusion The three mensions of the emotional labor are at middle level and career success of clinical nurses is above the average level,but the psychological resilience is at a low level.In emotional labor,surface acting can directly negatively affect the ca reer success of clinical nurses,real emotion expression and deep acting can directly positively affect the career success of clinical nurses,and indirectly affect the career success of clinical nurses through the mediating effect of psychological resilience.Nursing managers should pay attention to the management of nurses'emotional labor,improve the level of psychological resilience,and then increase their sense of career success.

emotional labourpsychological resiliencecareer successclinical nursesmediating role

凡颖、周玉梅、高淑平

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湖北医药学院附属襄阳市第一人民医院,湖北襄阳,441000

情绪劳动 心理弹性 职业成功感 临床护士 中介效应

护理创新扶持工程护理科研课题

HLCXT-20230704

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(6)
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