摘要
目的探讨烧伤科护士工作投入度与心理弹性、抗逆力的关系,以期为管理者稳定护理队伍建设提供思路和借鉴。方法通过便利抽样法抽取2024年1—4月上海、江苏等9个省市16所烧伤中心的159名护士作为调查对象。采用一般资料调查表、工作投入量表、心理弹性量表、医护人员抗逆力量表对其进行调查。结果护士工作投入度、心理弹性及抗逆力总分分别为(34.25±8.59)分、(67.77±12.70)分、(74.62±10.51)分。工作投入度总分及各维度得分与心理弹性、抗逆力均呈正相关(P<0.01)。单因素分析显示,工作年限、每月晚夜班数量及子女情况影响着护士的工作投入度水平(P<0.05)。最优尺度分析显示,每月晚夜班数量、心理弹性、抗逆力是护士工作投入度水平的主要影响因素(P<0.01)。结构方程模型分析显示,心理弹性、抗逆力均可直接正向预测工作投入度,其路径系数分别为0.372、0.387(均P<0.01);心理弹性可通过抗逆力间接作用于工作投入度,其间接效应为0.248,中介效应占总效应的30.8%。结论管理者可以通过优化人力资源配置和排班结构等,提高护士心理弹性及抗逆力水平,增加工作投入度,进一步稳定烧伤科护理队伍。
Objective To explore the relationships of job engagement with mental elasticity and resilience in the nurses of burn unit,so as to provide references for the construction of stable nursing team.Methods A total of 159 nurses who were selected from 16 burn centers in 9 provinces and cities such as Shanghai and Jiangsu by convenience sampling from January to April 2024 were enrolled in this study.General data questionnaire,work engagement scale,psychological resilience scales,and medical staff resilience scales were used.Results The total scores of job engagement,mental elasticity and resilience were 34.25±8.59,67.77±12.70,and 74.62±10.51,respectively.The total score and the scores of all dimensions of job engagement were positively correlated with mental elasticity and resilience(P<0.01).Univariate analysis showed that the working years,the number of late night shifts,and children affected the job engagement of the nurses(P<0.05).The optimal scale analysis showed that the number of late night shifts,mental elasticity and stress scores were the main factors affecting the job engagement(P<0.01).The structural equation model showed that both mental elasticity and resilience could directly predict the job engagement,and the path coefficient was 0.372 and 0.387(P<0.01).Mental elasticity indirectly acted on the job engagement through stress resistance,the indirect effect was 0.248,and the mediation effect accounted for 30.8%of the total effect.Conclusion The mental elasticity and resilience of nurses can be improved by optimizing the allocation of human resources and the scheduling structure,so as to increase the job engagement and further stabilize the burn care team.
作者
戴昕吭
余婷
王园
张嫒嫒
李雅鑫
冯苹
Dai Xinhang;Yu Ting;Wang Yuan;Zhang Aiai;Li Yaxin;Feng Ping(The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
出处
《海军医学杂志》
2025年第9期951-956,共6页
Journal of Navy Medicine
基金
海军军医大学护理系首批深蓝护理教学研究与改革项目(2022JXQ13)。
