消极情感和心理韧性在三级甲等医院护士工作压力与护理组织氛围之间的中介调节作用  

Mediating role of negative emotions and psychological resilience between work pressure and nursingorganizational atmosphere among nurses in third-level grade A hospital

作　　者：李娜[1,3] 邹小芳 邓银辉[1,3] 邹婷 陈钰仪 LI Na;ZOU Xiaofang;DENG Yinhui;ZOU Ting;CHEN Yuyi(Department of Nursing,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong,510150,China;Obstetrics DepartmentⅡ,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong,510150,China;School of Nursing,Guangzhou Medical University,Guangzhou Guangdong,510182,China)

机构地区：[1]广州医科大学附属第三医院护理部,广东广州510150 [2]广州医科大学附属第三医院产科二区,广东广州510150 [3]广州医科大学护理学院,广东广州510182

出　　处：《职业与健康》2023年第17期2354-2358,共5页Occupation and Health

基　　金：广州护理学会科研课题(A2021030);广州医科大学2022年度思想政治教育专项课题。

摘　　要：目的了解护士工作压力对护理组织氛围的影响,并分析消极情感和心理韧性的中介及调节作用。方法2021年6—9月,采用护士工作压力量表、心理韧性量表、消极情感量表、护理组织氛围量表对我国7个省市808名三级甲等医院护士进行横断面调查,并对数据进行分析。结果三级甲等医院护士的护理组织氛围感得分为(3.359±0.698)分,护士工作压力对组织氛围的直接预测作用显著(β=-0.271,P<0.01);纳入消极情感后,护士工作压力对护理组织氛围的直接预测作用仍然显著(β=-0.192,P<0.01),且消极情感对护理组织氛围的中介作用有统计学意义(β=-0.134,P<0.01),中介效应占总效应值的29.41%;心理韧性对中介模型的前半段路径具有负向调节作用(β=-0.152,P<0.01)。结论三级甲等医院的护士护理组织氛围感处于中等偏上水平。消极情感在护士工作压力与组织氛围之间起部分中介作用,心理韧性可减弱工作压力对消极情感的影响。建议护理管理者重视护士工作中的压力源与消极情感,采取有效措施,提高护理工作者的心理韧性水平,促进心理健康,从而营造良好的护理组织氛围。Objective To explore the effect of nurses'work stress on nursing organization atmosphere,and analyze the mediating and moderating effects of negative emotion and psychological resilience.Methods From June to September in 2021,a crosssectional survey was conducted among 808 nurses from 7 provinces and cities in China with the Work Stress Scale,Psychological Resilience Scale,Negative Emotion Scale and Nursing Organization Climate Scale,and the data was analyzed.Results The score of nurses'sense of organizational atmosphere was(3.359±0.698)points,and the direct predictive effect of nurses'work stress on organizational atmosphere was significant(β=-0.271,P<0.01).After including negative emotion,the direct predictive effect of nurses'work stress on nursing organization climate was still significant(β=-0.192,P<0.01),and the mediating effect of negative emotion on nursing organization climate was statistically significant(β=-0.134,P<0.01),and the mediating effect accounted for 29.41%of the total effect value.Resilience had a negative moderating effect on the first half of the mediation model(β=-0.152,P<0.01).Conclusions The sense of nursing organization atmosphere of nurses in third-level grade A hospital is above the medium level.Negative emotions play a partial mediating role between nurses'work pressure and organizational atmosphere,and psychological resilience can weaken the impact of work pressure on negative emotions.It is suggested that nursing managers should pay attention to the stressors and negative emotions in nursing work,and take effective measures to improve the level of psychological resilience of nursing workers,so as to promote mental health and create a better atmosphere of nursing organization.

关 键 词：护士工作压力 心理韧性 组织氛围 消极情感 中介调节作用 

分 类 号：R181.3[医药卫生—流行病学]