问题解决应对策略在护士组织认同与主动职业行为间的中介效应  

Mediating effect of problem-solving coping strategies on organizational identification and proactive career behavior in nurses

作　　者：张静[1] 张煜桐 赵宁[3] 郭素娟 陈永利[5] 周立帅 Zhang Jing;Zhang Yutong;Zhao Ning;Guo Sujuan;Chen Yongli;Zhou Lishuai(School of Nursing,Cangzhou Medical College,Cangzhou 061001,China;Department of Health Management and Services,Cangzhou Medical College,Cangzhou 061001,China;Department of Nursing,Cangzhou Central Hospital,Cangzhou 061001,China;Department of Nursing,Luanzhou People′s Hospital,Luanzhou 063700,China;Department of General Surgery,the Second Affiliated Hospital of Xingtai Medical College,Xingtai 054000,China;Department of Medical Services,People's Hospital of Qiu County,Hebei Province,Handan 057450,China)

机构地区：[1]沧州医学高等专科学校护理系,沧州061001 [2]沧州医学高等专科学校健康管理与服务系,沧州061001 [3]沧州市中心医院护理部,沧州061001 [4]滦州市人民医院护理部,滦州063700 [5]邢台医学高等专科学校第二附属医院普外科,邢台054000 [6]河北省邱县人民医院医务科,邯郸057450

出　　处：《中国实用护理杂志》2024年第16期1229-1235,共7页Chinese Journal of Practical Nursing

基　　金：河北省高等学校人文社会科学研究项目(SQ2021221)。

摘　　要：目的了解护士主动职业行为、问题解决应对策略和组织认同的现状及影响因素,探讨问题解决应对策略、组织认同与主动职业行为之间的关系。方法2023年11月便利抽样法选取沧州市中心医院、邢台医学高等专科学校第二附属医院、滦州市人民医院、河北省邱县人民医院的536名护士作为研究对象,采用一般资料调查问卷、主动职业行为量表、生涯应对策略量表、组织认同量表进行横断面调查。采用AMOS 24.0构建结构方程分析中介效应。结果最终回收有效问卷495份。495名护士中女432名,男63名;年龄<31岁170名,31~40岁256名,>40岁69名。护士主动职业行为得分为(51.28±9.86)分,问题解决应对策略得分为(16.25±2.81)分,组织认同得分为(19.00±4.84)分。单因素分析显示,护士的主动职业行为受年龄、职称、科室和薪酬满意度的影响(F值为2.20~24.44,均P<0.05),问题解决应对策略受职称、科室和薪酬满意度的影响(F=5.72、2.75、21.30,均P<0.01),组织认同受薪酬满意度的影响(F=23.22,P<0.01)。问题解决应对策略、组织认同与主动职业行为均呈正相关(r=0.786、0.722,均P<0.01);问题解决应对策略在组织认同与主动职业行为间起部分中介效应(β=0.432,P<0.01),中介效应占总效应的64.48%。结论护士主动职业行为、问题解决应对策略、组织认同水平尚有提升空间。护理管理者应关注不同年龄、职称、科室护士的工作优势,提高薪酬满意度以激发其工作潜能;通过提高护士的组织认同度,引导其在应对职业压力时采取问题解决应对策略来促进主动职业行为的发展。Objective To analyze the level and influencing factors of nurses′proactive career behavior,problem-solving coping strategies and organizational identification,and to explore the relationship among them.Methods This was a cross-sectional survey.A total of 536 nurses from Cangzhou Central Hospital,Luanzhou People′s Hospital,the Second Affiliated Hospital of Xingtai Medical College,People′s Hospital of Qiu County,Hebei Province in November 2023 were selected by convenience sampling method and investigated by general data questionnaire,Proactive Career Behavior Scale,Career Coping Strategies Scale and Organizational Identification Scale.The mediation effect was analyzed by AMOS 24.0 structural equation model.Results Finally,495 valid questionnaires were collected.There were 432 females and 63 males,170 cases aged<31 years old,256 cases aged 31-40 years old,and 69 cases aged>40 years old.The score of nurses′proactive career behavior was(51.28±9.86)points,problem-solving coping strategies was(16.25±2.81)points,and organizational identification was(19.00±4.84)points.The results of single factor analysis showed that nurses′proactive career behavior was affected by age,title,department and salary satisfaction(F values were 2.20-24.44,all P<0.05),problem-solving coping strategies was affected by title,department and salary satisfaction(F=5.72,2.75,21.30,all P<0.01),organizational identification was affected by salary satisfaction(F=23.22,P<0.01).Problem-solving coping strategies,organizational identification were positively associated with proactive career behavior(r=0.786,0.722,both P<0.01).Problem-solving coping strategies had a partial mediating effect between organizational identification and proactive career behavior(β=0.432,P<0.01),and the mediating effect accounted for 64.48%of the total effect.Conclusions There is still room for improvement of nurses′proactive career behavior,problem-solving strategies,and organizational identification.Nursing managers should pay attention to nurses′job advantage

关 键 词：护士 主动职业行为 生涯应对策略 组织认同 中介效应 

分 类 号：R47[医药卫生—护理学]