心理契约破裂在护士情绪劳动与情感承诺间的中介作用  

Mediating effect of psychological contract breach between emotional labor and affective commitment in nurses

作　　者：胡家星 束余声[2] 白璐 王心慰 窦英茹[3] 孙秀云[4] HU Jiaxing;SHU Yusheng;BAI Lu;WANG Xinwei;DOU Yingru;SUN Xiuyun(School of Public Health,College of Nursing,Yangzhou University,Yangzhou Jiangsu,225009,China;Department of Thoracic Surgery,Northern Jiangsu People's Hospital,Yangzhou Jiangsu,225001,China;Department of Public Administration,Northern Jiangsu People's Hospital,Yangzhou Jiangsu,225001,China;Nursing Department,Northern Jiangsu People's Hospital,Yangzhou Jiangsu,225001,China)

机构地区：[1]扬州大学护理学院公共卫生学院,江苏扬州225009 [2]江苏省苏北人民医院胸外科,江苏扬州225001 [3]江苏省苏北人民医院公共管理科,江苏扬州225001 [4]江苏省苏北人民医院护理部,江苏扬州225001

出　　处：《职业与健康》2023年第13期1797-1802,共6页Occupation and Health

基　　金：扬州市科协软科学课题立项(2022099)。

摘　　要：目的 探讨心理契约破裂在护士情绪劳动与情感承诺间的中介作用,为提高护士情感承诺水平提供参考依据。方法 2022年5月,方便选取江苏省3所综合医院887名临床护士为研究对象,采用一般资料调查表、护士情绪劳动量表、心理契约调查问卷和情感承诺量表对其进行调查,并对数据进行分析。结果 887名护士情绪劳动总均分为(3.61±0.72)分,心理契约破裂总均分为(2.34±0.70)分,情感承诺总均分为(3.47±0.85)分。情绪劳动、心理契约破裂与情感承诺均呈负相关(r=-0.174、-0.587,均P<0.01);情绪劳动与心理契约破裂呈正相关(r=0.381,P<0.01)。结构方程模型结果显示,心理契约破裂在护士表层扮演、情绪表达要求与情感承诺间起完全中介作用,效应比占100%;在深层扮演与情感承诺间起部分中介作用,效应比占36.95%。结论 情绪劳动可通过心理契约破裂间接影响护士情感承诺,提示护理管理者可以从减少心理契约破裂角度出发,改善情绪劳动现状,提高护士情感承诺水平。Objective To explore the mediating effect of psychological contract breach on nurses'emotional labor and affective commitment,provide the reference for improving nurses'affective commitment level.Methods In May 2022,887 clinical nurses from three general hospitals in Jiangsu Province were selected by the convenience sampling as research subjects.The nurses were investigated by the general information questionnaire,nurses'emotional labor scale,psychological contract questionnaire and emotional commitment scale,and the data were analyzed.Results The overall averaged score of emotional labor of 887 nurses was(3.61±0.72)points,the overall averaged score of psychological contract breach was(2.34±0.70)points,and the overall averaged score of affective commitment was(3.47±0.85)points.The emotional labor and psychological contract breach were negatively correlated with affective commitment(r=-0.174,-0.587,both P<0.01).There was a positive correlation between emotional labor and psychological contract breach(r=0.381,P<0.01).The structural equation model results showed that psychological contract breach played a complete mediating role between surface acting,emotional expression requirements and affective commitment in nurses,with the proportion of effect was 100%,and played a partial mediating role between deep acting and affective commitment,with the proportion of effect was 36.95%.Conclusion The emotional labor can indirectly affect nurses'affective commitment through psychological contract breach,suggesting that nursing managers can improve emotional labor and improve nurses'affective commitment from the perspective of reducing psychological contract breach.

关 键 词：情感承诺 情绪劳动 心理契约破裂 结构方程模型 

分 类 号：R395.6[哲学宗教—心理学]