规范化培训护士职业紧张与心理弹性对适应性绩效的影响  

The impact of job strain and resilience on adaptive performance among standardized training nurses

作　　者：魏雪梅[1] 何剑[2] 周晓艳[2] WEI Xue - mei1, HE Jian2, ZHOU Xiao - yan2(1.Department of Nursing, The Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000, China; 2. Department of Science and Technology, The Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000, China)

机构地区：[1]川北医学院附属医院护理部,四川南充637000 [2]川北医学院附属医院科技部,四川南充637000

出　　处：《卫生软科学》2018年第10期69-73,共5页Soft Science of Health

基　　金：南充市市级应用技术研究与开发资金项目:临床护士心理弹性与职业倦怠;离职意愿;社会支持的关系研究(14A0036);南充市科技局市校合作课题(NSMC20170480);南充市社科研究"十三五"规划项目(NC2017B025)

摘　　要：[目的]分析规范化培训护士职业紧张与心理弹性对适应性绩效的影响,为规范化培训护士职业健康管理提供参考。[方法]以川东北地区的10所三级医院600名规范化培训护士为对象,采用职业紧张、心理弹性量表以及适应性绩效问卷进行问卷调查,采用多水平线性模型分析职业紧张与心理弹性对适应性绩效的影响,以及二者对适应性绩效的交互作用。[结果]单独分析职业紧张、心理弹性对适应性绩效的结果显示:低职业紧张者适应性绩效得分比高职业紧张者得分高(β=0. 86,95%CI:0. 46～1. 32);高心理弹性者适应性绩效得分比低心理弹性者得分高(β=0. 98,95%CI:0. 66～1. 30);交互作用分析结果显示:低职业紧张与高心理弹性者适应性绩效得分比高职业紧张与低心理弹性组高1. 04 (95%CI:0. 76～1. 46);高职业紧张与高心理弹性组适应性绩效比参考组高0. 64 (95%CI:0. 42～1. 20);低职业紧张与低心理弹性组的适应性绩效比参考组高0. 28 (95%CI:-0. 14～0. 64)。[结论]职业紧张与心理弹性对规范化培训护士的适应性绩效有影响,而且心理弹性可以减少职业紧张对适应性绩效的影响。医院管理者应采取措施提高规范化培训护士的心理弹性,从而提高其适应性绩效水平。Objective To analyze the impact of job strain and resilience on adaptive performance among standardized training nurses in order to provide reference for occupational health management. Methods Totally 600 standardized training nurses from 10 tertiary hospitals in northeast Sichuan, questionnaire survey was conducted by job strain, resilience scale. Analyzed the impact of job strain and resilience on adaptive per- formance and interaction of both of them on adaptive performance. Results The result of independently analysis of job strain and resilience on a- daptive performance showed that training nurses with low job strain had higher adaptive performance （AP） than nurses with high job strain （fi =0. 86, 95% CI： 0.46- 1.32）. Nurses with high resilience had higher AP than nurses with low resilience （β= 0. 98, 95% CI： 0.66 - 1.30）. Interaction analysis indicated that compared with nurses with high job strain and low resilience, nurses with low job strain and high re- silience （β= 1.04, 95% CI： 0.76 - 1.46）, nurses with high job strain and high resilience 0. 64 （95% CI： 0.42 - 1.20）, nurses with low job strain and low resilience 0. 28 （95% CI： -0. 14 -0. 64） had higher AP. Conclusions Both job strain and resilience on adaptive performante have impact to standardized training nurses. Meanwhile, resilience can mediate the relationship between job strain and AP. It suggests that hospital human resources managers should enhance resilience among standardized training nurses so as to improve the level of adaptive performance.

关 键 词：规范化培训护士 职业紧张 心理弹性 适应性绩效 

分 类 号：R197.3[医药卫生—卫生事业管理]