职业满意度和职业主动行为在护士职业不安全感与工作投入关系中的作用分析  

Role of occupational satisfaction and occupational proactive behavior in the relationship between nurse occupational insecurity and work engagement

作　　者：杨明艳 杨梅 曾德建 郭明丽 吴学华[4] 王志羚 周明建 Yang Mingyan;Yang Mei;Zeng Dejian;Guo Mingli;Wu Xuehua;Wang Zhiling;Zhou Mingjian(Nursing Department,Southern University of Science and Technology Hospital,Shenzhen 518067,China;Nursing Department,Jiangyou Second People's Hospital,Mianyang 621701,China;Department of Cardiology,Jiangyou Second People's Hospital,Mianyang 621701,China;Nursing School,Sichuan College of Traditional Chinese Medicine,Mianyang 621000,China;School of Economics and Management,Harbin Institute of Technology,Shenzhen,Shenzhen 518055,China)

机构地区：[1]南方科技大学医院护理部,深圳518067 [2]江油市第二人民医院护理部,绵阳621701 [3]江油市第二人民医院心血管内科,绵阳621701 [4]四川中医药高等专科学校护理学院,绵阳621000 [5]哈尔滨工业大学(深圳)经济管理学院,深圳518055

出　　处：《中华现代护理杂志》2023年第24期3296-3301,共6页Chinese Journal of Modern Nursing

基　　金：南方科技大学医院2022年院长研究基金(2022-C3)。

摘　　要：目的探讨职业不安全感对工作投入的影响,并检验职业满意度的中介作用和职业主动行为的调节作用。方法采用便利抽样法,2022年7月选取南方科技大学医院、江油市第二人民医院的护士为研究对象。采用一般状况调查表、职业不安全感量表、职业满意度量表、工作投入量表以及职业主动行为量表进行问卷调查。共收集598份有效问卷。分别采用SPSS 22.0 Process中的Model 4和Model 7检验中介效应和有调节的中介效应。结果职业不安全感与职业满意度、工作投入呈负相关(r=-0.202、-0.165,P<0.01),职业满意度与工作投入呈正相关(r=0.549,P<0.01)。职业满意度在职业不安全感对工作投入的影响中起完全中介的作用(中介效应值为-0.090 9,95%置信区间:-0.14~-0.04),占总效应的65.30%。职业主动行为在职业不安全感与职业满意度关系中起正向调节的作用(β=0.07,P<0.01)。结论护士的工作投入处于较高水平,但职业不安全感会降低护士的工作满意度,从而减少其工作投入。职业主动行为高的护士,职业不安全感对职业满意度的削弱会得到缓和。Objective To explore the effect of job insecurity on work engagement,and examine the mediating role of job satisfaction and the moderating role of occupational proactive behavior.Methods Using the convenient sampling method,nurses from Southern University of Science and Technology Hospital and Jiangyou Second People's Hospital were selected as the research objects in July 2022.General information questionnaire,Occupational Insecurity Scale,Occupational Satisfaction Scale,Work Engagement Scale and Occupational Proactive Behavior were used for questionnaire investigation.A total of 598 valid questionnaires were collected.Model 4 and Model 7 in the SPSS 22.0 Process were used to test the mediating effect and the moderated mediating effect respectively.Results Occupational insecurity was negatively correlated with occupational satisfaction and work engagement(r=-0.202,-0.165,P<0.01),while occupational satisfaction was positively correlated with work engagement(r=0.549,P<0.01).Work satisfaction played a completely mediating role in the effect of job insecurity on work engagement(mediating effect value:-0.0909,95%confidence interval:-0.14--0.04),accounting for 65.30%of the total effect.Occupational active behavior positively moderated the relationship between job insecurity and job satisfaction(β=0.07,P<0.01).Conclusions Nurses'work engagement is at a high level,but occupational insecurity will reduce nurses'job satisfaction and thus reduce their work engagement.Nurses with high occupational proactive behavior can alleviate the weakening of job insecurity on job satisfaction.

关 键 词：护士 职业不安全感 职业满意度 职业主动行为 工作投入 

分 类 号：R192.6[医药卫生—卫生事业管理]