组织信任对临床护士差序氛围感知和工作满意度间的中介与调节效应  

The perceived climate of team Cha-xu and its influence on job satisfaction in clinical nurses:the mediating and moderating effect of organizational trust

作　　者：潘莘莘[1] 苏翔逸 柳琼 戴璇璇[3] 陈朝红[4] PAN Shenshen;SU Xiangyi;LIU Qiong;DAI Xuanxuan;CHEN Chaohong(Department of Thyroid Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China;不详)

机构地区：[1]温州医科大学附属第一医院甲状腺外科,浙江温州325000 [2]温州医科大学附属第一医院ICU [3]温州医科大学附属第一医院乳腺外科 [4]温州医科大学附属第一医院心胸外科

出　　处：《中华全科医学》2023年第5期891-895,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2019RC204);温州市基础性科研项目(Y20220513)。

摘　　要：目的探讨临床护士差序氛围感知现状,及其对工作满意度的影响,并分析组织信任在其中所起的作用,以期为临床护理管理工作提供一定的参考和依据。方法使用方便抽样,于2021年6—10月选取浙江省温州市2所三甲医院的433名临床护士作为研究对象。使用基本资料调查表、差序氛围感知量表、护士工作满意度量表和组织信任量表调查其差序氛围感、工作满意度和组织信任感。使用Amos 17.0软件建立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。结果差序氛围感知总分为(40.31±7.45)分,条目均分为(3.67±0.68)分;工作满意度总分为(51.11±8.63)分,条目均分为(3.41±0.58)分;组织信任总分为(50.21±9.39)分,均分为(3.86±0.72)分。差序氛围感知可通过组织信任的中介作用间接影响工作满意度,中介效应值为-0.14,占总效应的31.1%。组织信任在差序氛围感知和工作满意度间具有调节作用(ΔR^(2)=0.067,P<0.01)。结论医院管理者应帮助护理管理人员形成良好的管理风格或领导风格,降低临床护士的差序氛围感知,重视与一线临床护士的深度联结,通过干预提升护士的组织信任感,以提高其工作满意度及临床护理服务质量。Objective To explore the current status of the perceived climate of team Cha-xu in clinical nurses and its influence on job satisfaction,and to analyze the role of organizational trust between them,in order to provide a certain reference and basis for clinical nursing management.Methods A total of 433 clinical nurses were recruited by convenience sampling from 2 tertiary hospitals in Wenzhou,Zhejiang Province,between June and October 2021.The basic information questionnaire,perceived climate of team Cha-xu scale,the nurses'job satisfaction scale(Chinese Version)and organizational trust scale were used in the investigation.A structural equation model was constructed using Amos 17.0 software to test for mediation effect,and hierarchical regression analysis was used to test for moderating effects.Results The total scores of perceived climate of team Cha-xu,job satisfaction and organizational trust were 40.31±7.45,51.11±8.63 and 50.21±9.39 respectively,and the item mean scores were 3.67±0.68,3.41±0.58 and 3.86±0.72 respectively.Organizational trust mediated between the perceived climate of team Cha-xu and job satisfaction,with a mediation effect of-0.14,accounting for 31.1%of the total effect.Organizational trust was also a moderator in the relationship between perceived climate of team Cha-xu and job satisfaction(ΔR^(2)=0.067,P<0.01).Conclusion Hospital managers should help nursing managers to form a good management style or leadership style,reduce the perception of team Cha-xu,pay attention to deep connection with clinical nurses,enhance nurses'sense of organizational trust through intervention,and improve their job satisfaction and the quality of clinical nursing service.

关 键 词：临床护士 差序氛围感知 工作满意度 组织信任 

分 类 号：R471[医药卫生—护理学]