临床护士心理资本和共情疲劳与工作投入的现状及其关系研究  

Study on the current status and relationship between psychological capital and compassion fatigue with work engagement of clinical nurses

作　　者：何洪 王佳琳[1] 金曼 袁中清 滕梅 He Hong;Wang Jialin;Jin Man;Yuan Zhongqing;Teng Mei(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 611137,China;Operating Room,The Third People's Hospital of Chengdu,Chengdu 610014,China;Department of Nursing,Sichuan Nursing Vocational College,Deyang 618099,China)

机构地区：[1]成都中医药大学护理学院,成都611137 [2]成都市第三人民医院手术室,成都610014 [3]四川护理职业学院护理系,德阳618099

出　　处：《中华劳动卫生职业病杂志》2023年第11期818-824,共7页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：2022年度教育部人文社会科学研究规划基金项目(22YJA630087);四川省心理健康教育研究中心项目(XLJKJY2206B)。

摘　　要：目的:探讨临床护士心理资本、共情疲劳与工作投入的关系,分析心理资本在共情疲劳与工作投入之间的中介效应,为减轻护士共情疲劳、提高工作投入水平提供科学依据。方法:于2021年12月至2022年2月,采用便利抽样的方法,选取四川省7家综合性医院的494名临床护士为研究对象,采用一般资料调查问卷、《共情疲劳简短量表》《工作投入简短量表》和《护士心理资本问卷》进行调查,采用Pearson相关分析共情疲劳、工作投入和心理资本间的相关性,采用逐步回归分析法和Bootstrap法分析共情疲劳和心理资本对工作投入的影响以及心理资本在共情疲劳和工作投入间的中介作用。结果:494名临床护士中,男33人(6.7%),女461人(93.3%),平均年龄(31.47±6.89)岁,平均工作年限(9.87±7.61)年,心理资本、共情疲劳和工作投入均分分别为(5.01±0.76)、(3.19±2.08)、(4.60±1.37)分;共情疲劳与心理资本和工作投入均呈负相关( r=-0.608、-0.580, P<0.001),工作投入与心理资本呈正相关( r=0.771, P<0.001);共情疲劳与心理资本共同解释工作投入变异的61.3%,对工作投入的直接效应分别为-0.206(95% CI:-0.283~-0.138, P<0.001)和0.677(95% CI:0.599~0.744, P=0.001)。心理资本在共情疲劳和工作投入之间起部分中介作用,中介效应为-0.397(95% CI:-0.456~-0.340, P<0.001),占总效应65.8%。 结论:临床护士工作投入处于较高水平,管理者可采取针对性措施缓解临床护士共情疲劳症状,提高其心理资本,进而稳定和提高其工作投入水平。ObjectiveTo explore the relationship between clinical nurses'psychological capital,compassion fatigue with work engagement,and analyze the mediating effect of psychological capital between compassion fatigue and work engagement,so as to provide scientific evidence for reducing compassion fatigue and improving work engagement of clinical nurses.MethodsFrom December 2021 to February 2022,494 clinical nurses from 7 general hospitals in Sichuan Province were selected for the study using convenience sampling.The General Information Questionnaire,the Compassion Fatigue Short Scale,the Work Engagement Short Scale and the Psychological Capital Questionnaire for Nurses were used to conduct the survey.Pearson correlation was used to analyze the correlation between compassion fatigue,work engagement and psychological capital.And stepwise regression analysis and Bootstrap method were used to analyze the effects of compassion fatigue and psychological capital on work engagement as well as the mediating effect of psychological capital between compassion fatigue and work engagement.ResultsOf the 494 clinical nurses,33(6.7%)were male and 461(93.3%)were female,with an average age of(31.47±6.89)years old and an average working years(9.87±7.61)years.The average scores of psychological capital,compassion fatigue and work engagement of clinical nurses were(5.01±0.76),(3.19±2.08)and(4.60±1.37)points,respectively.Compassion fatigue was negatively correlated with psychological capital and work engagement(r=-0.608,-0.580,P<0.001),and work engagement was positively correlated with psychological capital(r=0.771,P<0.001).Compassion fatigue and psychological capital together accounted for 61.3%of the variation in work engagement,with the direct effects on work engagement were-0.206(95%CI:-0.283--0.138,P<0.001)and 0.677(95%CI:0.599-0.744,P=0.001),respectively.Psychological capital partially mediated the relationship between compassion fatigue and work engagement,with a mediating effect of-0.397(95%CI:-0.456--0.340,P<0.001),accounting for

关 键 词：护士 心理资本 共情疲劳 工作投入 中介作用 

分 类 号：R192.6[医药卫生—卫生事业管理]