个人和组织因素对护士职业成长影响的研究  

The study of influence about personal factors and organizational factors on nurses＇ career growth

作　　者：杨洋[1] 张洪福[1] 刘璟莹[1] 刘彦慧[1] 

机构地区：[1]天津中医药大学护理学院,300193

出　　处：《中国实用护理杂志》2015年第17期1260-1264,共5页Chinese Journal of Practical Nursing

基　　金：教育部人文社会科学研究项目/青年基金（11YJCZH112）

摘　　要：目的探讨工作一家庭支持、一般自我效能感和心理安全气氛对护士职业成长的影响，并建立四者之间的关系模型。方法采用工作一家庭支持量表、一般自我效能感量表、心理安全气氛量表和职业成长量表对天津市4所三级甲等医院382名在职护士开展调查。结果工作一家庭支持对护士职业成长总效应为0．562，95％可信区间为0．502～0．641；间接效应为0．121，95％可信区间为0．065。0．207，效应均具有统计学意义，P〈0．05。其中工作-家庭支持-心理安全气氛——般自我效能感-职业成长途径占总间接效应的45．1％，95％可信区间为0．197～0．201；工作-家庭支持-一般自我效能感-职业成长途径占总间接效应的54．9％，95％可信区间为0．066-0．068，中介效应均成立。结论本研究建立了工作一家庭支持、一般自我效能感和心理安全气氛及职业成长间的结构方程模型并阐明了各变量问内在联系。护理管理者应以提高心理安全气氛和护士一般自我效能感为切入点为护士提供支持，促进护士职业成长。Objective To investigate the influence of work-family support, self-efficacy and psychological safety climate on nurses＇ career growth, and to establish a model of this influence. Methods Totally 382 registered nurses were recruited from four third level and grade A hospitals in Tianjin. They were investigated with Career Growth Scale （CGS）, Work-Family Support Scale （WFSS）, General Self-Efficacy Scale （GSES） and Psychological Safety Climate （PSC）. Results The total effect of work-family support on nurses career growth was 0.562 with the 95% confidence interval at 0.502-0.641; Indirect effect was 0.121 with the 95% confidence interval at 0.065-0.207, both of the effects were statistically significant. The effect of work-family support-psychological security atmosphere - self-efficacy and career growth path accounted for 45.1% of the total indirect effect with 95% confidence interval at 0.197-0.201; the effect of work-family support-self-efficacy and career growth path accounted for 54.9% of the total indirect effect with 95% confidence interval at 0.066-0.068, the intermediary effect were established. Conclusions This study established a structural equation model connecting work-family support, self-efficacy, psychological security atmosphere, career growth and enucleate their internal connection. The administrators of nurses should provide nurses with support on both work and life, and help nurse with their eareer growth through increases of self-efficacy and psychological safety climate.

关 键 词：护士 工作-家庭支持 一般自我效能感 心理安全气氛 职业成长 

分 类 号：R47[医药卫生—护理学]