医院安全氛围在护士感知工作环境及满意度间的中介效应分析  

The Mediating Effect of Hospital Unit Safety Climate between the Nursing Work Environment and Job Satisfaction

作　　者：王翠[1] 杨璐[1] 吴冬梅 杨思敏 康群松 Cui WANG;Lu YANG;Dongmei WU;Simin YANG;Qunsong KANG(Dept.of Nursing,Chengdu 6th People’s Hospital,Chengdu Sichuan 610051;Dept.of Nursing,Chengdu 4th People’s Hospital,Chengdu Sichuan 610036,China)

机构地区：[1]成都市第六人民医院护理部,四川成都610051 [2]成都市第四人民医院护理部,四川成都610036

出　　处：《昆明医科大学学报》2024年第6期175-181,共7页Journal of Kunming Medical University

基　　金：2023年成都市医学科研课题项目(2023333)。

摘　　要：目的探讨护士感知工作环境、医院安全氛围和护士满意度之间的关系和影响路径。方法采用便利抽样法,于2021年9月至11月选取成都市2家三级甲等综合医院和1家三级甲等专科医院护士为研究对象,以护士感知工作环境问卷、医院安全氛围量表和工作满意度量表对护士进行调查,采用Pearson相关性分析医院安全氛围、护士感知工作环境与满意度之间相关性,根据相关性检验结果建立路径关系模型,用Bootstrap法进行中介效应检验,深入剖析医院安全氛围在护士感知工作环境和满意度之间的中介效应。结果护士工作环境感知与满意度呈正相关(r=0.428,P<0.01),医院安全氛围与护士工作环境呈正相关(r=0.693,P<0.01),医院安全氛围与护士满意度呈正相关(r=0.466,P<0.01),护士感知工作环境正向预测医院安全氛围(β=0.773,P=0.003),对满意度的正向预测作用差异无统计学意义(β=0.060,P=0.530),医院安全氛围在护士感知工作环境和满意度间的间接效应值为0.414(95%CI 0.557~1.531),占总效应的87.34%。结论医院安全氛围在护士感知工作环境和满意度间起到完全中介作用,促进护理队伍健康稳定发展。Objective To explore the relationship and influence path between nurses' p erceived work environment,hospital safety climate and nurses' s atisfaction.Methods Using convenience sampling method,444 in-service nurses in a third-class A hospital in Chengdu City were selected as research subjects from September to November 2021,and the nurses were surveyed with the Nurses' Perceived Work Environment Questionnaire.Hospital Safety Climate Scale,and Job Satisfaction Scale,and the correlation between hospital safety climate,Nurses' perceived work environment and satisfaction were analyzed by Pearson correlation,and a path relationship model was established based on the correlation test,and a mediation effect test was conducted by Bootstrap method.Based on the results of the correlation test,a path relationship model was established,and the mediation effect test was conducted by Bootstrap method to deeply analyze the mediation effect of hospital safety atmosphere between Nurses 'p e rceived work environment and satisfaction.Results Nurses' p erceived work environment was positively correlated with satisfaction(r = 0.428,P < 0.01),hospital safety climate was positively correlated with Nurses' w ork environment(r = 0.693,P < 0.01),hospital safety climate was positively correlated with Nurses' s atisfaction(r = 0.466,P < 0.01),Nurses' perceived work environment positively predicted hospital safety climate(β = 0.773,P = 0.003),while the positive predictive effect on satisfaction was not statistically significant(β = 0.060,P =0.530).The value of the indirect effect of hospital safety climate between Nurses' p erceived work environment and satisfaction was 0.414(95%CI 0.557-1.531),which accounted for 87.34% of the total effect.Conclusion Hospital safety climate acts as a complete mediator between Nurses' p erceived work environment and satisfaction,promoting a healthy and stable nursing workforce.

关 键 词：护士 工作环境 医院安全氛围 满意度 中介效应 

分 类 号：R473.6[医药卫生—护理学] R471[医药卫生—临床医学]