相对剥夺感在ICU护士资质过剩感与工作幸福感中的中介与调节作用  

The mediating and moderating role of relative deprivation in the relationship between perceived overqualification and occupational well-being among ICU nurses

作　　者：韩娟[1] 马佳佳[1] 陈东莉[1] 王芳[1] 赵璇[1] Han Juan;Ma Jiajia;Chen Dongli;Wang Fang;Zhao Xuan(Department of Critical Medicine,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China)

机构地区：[1]西安交通大学第一附属医院重症医学科,陕西西安710061

出　　处：《护理学杂志》2021年第20期68-72,共5页Journal of Nursing Science

摘　　要：目的探讨ICU护士资质过剩感现状及对工作幸福感的影响,分析相对剥夺感在其中所起的作用,为针对性管理提供参考。方法对陕西省3所三级甲等医院的303名ICU护士采用一般资料调查表、资质过剩感量表、医院护士工作幸福感问卷和相对剥夺感问卷进行调查,构建结构方程模型图进行中介效应检验,使用分层回归分析进行调节效应检验。结果资质过剩感得分为2.97±0.65,工作幸福感得分为4.29±0.76,相对剥夺感得分为2.96±0.71。相对剥夺感在资质过剩感和工作幸福感间具有部分中介效应,效应值-0.13,占总效应的24.5%。相对剥夺感在资质过剩感和工作幸福感间具有调节作用(调节R 2=0.051,P<0.01)。结论ICU护士工作幸福感相对较低,相对剥夺感可增强资质过剩感对工作幸福感的负面影响。护理管理者应加强针对性干预,提升护士情绪自我调节能力,增加其工作幸福感。Objective To explore the status of perceived overqualification among ICU nurses and its effect on occupational well-being,to analyze the role of relative deprivation in the relationship between perceived overqualification and occupational well-being,thus to provide reference for nursing management.Methods A total of 303 ICU nurses were selected from 3 tertiary hospitals in Shaanxi Province and were surveyed by utilizing a general information questionnaire,the 9-item Scale of Perceived Overqualification,Nurses′Occupational Well-Being Questionnaire and Relative Deprivation Questionnaire.Structural equation modeling was performed to test the mediating effect,and hierarchical regression analysis was used to test the moderating effect.Results The scores of perceived overqualification,occupational well-being and relative deprivation were 2.97±0.65,4.29±0.76 and 2.96±0.71 respectively.Relative deprivation mediated the relationship between perceived overqualification and occupational well-being,with the mediating effect being-0.13 and accounting for 24.5%of the total effect.Relative deprivation was also a moderator in the relationship between perceived overqualification and occupational well-being(adjusted R 2=0.051,P<0.01).Conclusion ICU nurses reported relatively low level of occupational well-being,and relative deprivation strengthened the negative effect of perceived overqualification on occupational well-being.Nursing managers should take targeted interventions to enhance nurses′ability of emotional self-regulation,thus to promote their occupational well-being.

关 键 词：护士 重症监护病房 资质过剩感 工作幸福感 相对剥夺感 中介效应 调节效应 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]