三甲医院护士心理资本及心理契约和工作投入水平的相关性分析  

The relationship among Psychological capital Psychological Contract and Work Engagement in Nurses

作　　者：郭兵妹 朱爱芳[1] 

机构地区：[1]山东大学齐鲁医院消化内科,济南250012

出　　处：《中华劳动卫生职业病杂志》2018年第8期614-617,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的调查三甲医院护士工作投入的现状以及影响因素。方法于2016年4～9月，以横断面调查的方法选取济南市3所三级甲等医院的320名护士，采用一般资料调查表、工作投入量表、心理资本问卷和心理契约问卷进行问卷调查和数据分析。结果工作投入均分为（3．79±0．91）分；心理契约均分为（3．66±0．72）分；心理资本均分为（4．39±0．63）分；人口学变量对护士工作投入的影响显示学历、科室、职称、性别对工作投入水平差异有统计学意义（P〈0．05）；相关分析显示，护士心理契约与工作投入呈正相关（r=0．369，P〈0．01）；心理契约与心理资本呈正相关（r=0．302，P〈0．01）；心理资本与工作投入呈正相关（r=0．575，P〈0．01）。多元回归分析，科室、职称、学历、性别、乐观、希望和团队责任是护士工作投入的显著影响因素，它们共解释总变异的42．8％。结论三甲医院护士工作投入处于中等水平，科室，职称，学历，性别，乐观，希望和团队责任是显著预测因素，护理管理者应采取合理措施，通过增强护士的心理契约和心理资本来提高其工作投入水平。Objective To investigate the situation of work engagement among nurses in tertiary level I st general hospitals and evaluated potential associations between psychological contract, psychological capital, and work Engagement. Methods A cross-sectional descriptive study design was used. 320 nurses from three tertiary level 1st general hospitals in Jinan was included. Data were gathered with Utrecht Work Engagement Scale （UWES-9）, Psychological Capital Questionnaire, and Psychological Contract Questionnaire. Possible predictors of work engagement were analyzed using ANOVA and multivariate linear regression models with SPSS 20.0. Results A total of 320 questionnaires were enrolled and 282 questionnaires were returned, with a response rate of 88.1%. The total mean （SD） score was 3.79 （0.91） for work engagement, 3.66 （0.72） for psychological contract and 4.39 （0.63） for psychological capital. One-way analysis of variance and post-hoe analysis showed that there was significant difference in work engagement among nurses of different gender （P〈 0.05）, education level （P〈O.05）, department （P〈0.01） and professional title （P〈O.05）. Pearson correlation analysis showed that psychological contract positively associated with work engagement （r=0.253, P〈0.01 ） and psychological capital （r=-0.198, P〈0.01 ）, and psychological capital positively associated with work engagement （r=0.575, P〈0.01 ）. Results of multiple hierarchical regression analysis showed that work department, gender, educational background, professional title, hope, optimism and team obligation predicted work engagement and they accounted for 42.8% of the variance in work engagement. Conclusion The work engagement of nurses is at a medium level .Work engagement of nurses is influenced by gender, professional title, educational level and department; Both psychological contract and psychological capital of nurses positively correlated with work engagement.

关 键 词：工作投入 心理契约 心理资本 护士 

分 类 号：R192.6[医药卫生—卫生事业管理]