三级综合性医院护士挑战性-阻碍性压力源对其工作投入影响的路径分析  

Path analysis of effect of challenge-hindrance stressors on nurses'work engagement in ClassⅢgeneral hospitals

作　　者：钱艳[1,2] 何英姿[3] 潘玲玲[4] 杨富 Qian Yan;He Yingzi;Pan Lingling;Yang Fu(Department of Hematology,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Center for Nursing Management,China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Gerontology,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Department of Cardiology,Yijishan Hospital,Wannan Medical College,Wuhu 241000,China;Nursing Department,Shanghai General Hospital,Shanghai 200080,China)

机构地区：[1]上海交通大学附属第六人民医院血液内科,上海200233 [2]上海交通大学中国医院发展研究院护理管理研究所,上海200025 [3]上海交通大学附属第六人民医院老年病科,上海200233 [4]皖南医学院弋矶山医院心血管内科,芜湖241000 [5]上海市第一人民医院护理部,上海200080

出　　处：《中华现代护理杂志》2022年第5期618-624,共7页Chinese Journal of Modern Nursing

基　　金：上海交通大学中国医院发展研究院科研课题计划资助(CHDI-2020-D-05)。

摘　　要：目的了解三级综合性医院护士挑战性-阻碍性压力源现状及其对工作投入的影响路径,为护理管理者制订压力源应对策略提供指导。方法本研究为横断面调查研究,于2020年10—12月采用方便抽样法在上海市、安徽省、浙江省各选取1所三级综合性医院,以科室为单位整群抽样,共抽取1257名护士为研究对象。采用一般资料、挑战性-阻碍性压力源量表、恢复体验问卷、职业使命感问卷、工作投入量表简版对护士进行调查。共回收有效问卷1133份,有效回收率为90.14%。结果1133名护士的挑战性压力源总分为(22.51±4.08)分,阻碍性压力源总分为(19.46±4.33)分,工作投入量表简版总分为(42.24±10.54)分。路径分析结果显示,职业使命感在挑战性压力源与工作投入间起完全中介作用;阻碍性压力源直接负向预测工作投入,恢复体验和职业使命感均在两者间起部分中介作用,且恢复体验的中介效应高于职业使命感(P<0.05)。结论三级综合性医院护士挑战性压力源处于中等偏上水平,阻碍性压力源处于中等水平。管理者应区分压力源的属性,根据不同作用路径,提升护士工作投入。Objective To understand the status quo of challenge-hindrance stressors in nurses of ClassⅢgeneral hospitals and their effects on work engagement,so as to provide guidance for nursing managers to formulate stressor coping strategies.Methods This study was a cross-sectional survey.From October to December 2020,the convenience sampling method was used to select 1 ClassⅢgeneral hospital in Shanghai,Anhui Province,and Zhejiang Province,respectively.Cluster sampling was performed by department,and a total of 1257 nurses were selected.Nurses were surveyed using general information,Challenge-Hindrance Stressor Scale(CHSS),Recovery Experience Questionnaire(REQ),Calling Questionnaire and Utrecht Work Engagement Scale-9(UWES-9).A total of 1133 valid questionnaires were recovered,with an effective recovery rate of 90.14%.Results The total score of challenging stressors of 1133 nurses was(22.51±4.08),the total score of hindrance stressors was(19.46±4.33)and the total score of UWES-9 was(42.24±10.54).The results of path analysis showed that job mission completely mediated the relationship between challenging stressors and job engagement.Hindering stressors directly negatively predicted job engagement and recovery experience and occupational mission played a partial mediating role between them.The recovery experience had a higher mediating effect than occupational mission(P<0.05).Conclusions The challenging stressors for nurses in tertiary general hospitals are at an upper-middle level and the hindrance stressors were at a moderate level.Managers should distinguish the attributes of stressors and improve work engagement of nurses according to different action paths.

关 键 词：护士 挑战性压力源 阻碍性压力源 职业使命感 恢复体验 工作投入 中介效应 

分 类 号：R47[医药卫生—护理学]