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作 者:吴晓慧[1] 邢介霞[1] 唐铭雪 王文佳 WU Xiaohui;XING Jiexia;TANG Mingxue;WANG Wenjia(Department of Neurology,Qilu Hospital,Shandong University,Jinan,Shandong 250012,China)
机构地区:[1]山东大学齐鲁医院神经内科,山东济南250012
出 处:《职业卫生与应急救援》2021年第2期148-152,共5页Occupational Health and Emergency Rescue
摘 要:目的调查临床护士的心理健康状况,增强护士心理健康,促进护理人员职业生涯良好发展,最终提高护理质量。方法2020年6—7月,采用护士工作压力源问卷、心理弹性问卷和职业生涯状况评价问卷,对某三级综合医院166名一线临床护理人员进行在线问卷调查。根据分析结果,使用AMOS 24.0软件建立路径关系模型,用最大似然比法对模型进行验证、修正。结果166名护士工作压力源总分为(99.27±4.32)分,心理弹性总分为(84.28±4.70)分,职业生涯总分为(77.76±1.19)分。护士工作压力源问卷总得分与职业生涯状况问卷总得分呈负相关(P<0.05),心理弹性问卷总得分与职业生涯状况问卷总得分呈正相关(P<0.05)。路径分析图显示:心理弹性对职业生涯的直接效应为0.42,而工作压力源对职业生涯的直接效应为-0.68,对心理弹性的直接作用为-0.58,工作压力源通过心理弹性路径对职业生涯的影响为-0.24,心理弹性的中介作用较小。结论该三级医院的临床护士的工作压力较大,心理弹性水平较高,职业生涯状况处于中等水平。临床管理工作中可通过降低护士的工作压力,提升其心理弹性水平,促进其职业生涯的良好发展。Objective To investigate the mental health status of clinical nurses and the affecting factors,in order to enhance the mental health,promote the career development and finally improve the nursing quality.Methods Totally 166 front-line clinical nurses in a tertiary general hospital were investigated by using job stressors questionnaire,psychological resilience questionnaire and career status evaluation questionnaire.The Amos 24.0 software was used to establish the path relationship model based on the analysis results,and the maximum likelihood ratio method was used to verify and modify the model.Results The total scores of job stressors,psychological resilience and career of 166 nurses were 99.27±4.32,84.28±4.70 and 77.76±1.19,respectively.The total score of job stressor was negatively correlated with the total score of career status(P<0.05),and the total score of psychological resilience was positively correlated with the total score of career status(P<0.05).Path analysis showed that the direct effect coefficient of psychological resilience on career was 0.42,while the direct effect coefficient of job stressors on career and psychological resilience was-0.68 and-0.58,respectively.The effect coefficient of job stressors on career through psychological resilience path was 0.24 and the mediating role of psychological resilience was small.Conclusions The work pressure and the level of psychological resilience of clinical nurses in this hospital were high,and their career status was in the middle level.In clinical management,nurses’work pressure should be reduced so as to improve their psychological resilience level and promote their career development.
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