北京市三级医院护理人员安全行为在工作形塑与职业生活质量间的中介作用  

Mediating role of safety behavior between job crafting and professional life quality of nursing staff from tertiary hospitals in Beijing City

作　　者：王美晨 孙晓丹 吕秋颖 王雨生 陈晓旭 WANG Meichen;SUN Xiaodan;LYU Qiuying;WANG Yusheng;CHEN Xiaoxu(Hemodialysis Room,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China;Emergency Department,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Maxillofacial Surgery Department,Stomatological Hospital of Peking University,Beijing 100081,China)

机构地区：[1]首都医科大学附属北京康复医院血透室,北京100144 [2]首都医科大学附属北京友谊医院急诊科,北京100050 [3]北京大学口腔医院颌面外科,北京100081

出　　处：《职业与健康》2024年第15期2071-2075,共5页Occupation and Health

基　　金：国家自然科学基金项目(81972148);北京市引进人才科研启动基金(2023019)。

摘　　要：目的调查北京市三级医院护理人员工作形塑、安全行为及职业生活质量现状,探究护理人员安全行为在工作形塑与职业生活质量间的中介作用。方法采用便利抽样法,于2022年10月—2023年2月选取北京市3所三级医院护理人员作为调查对象,使用一般资料调查表、护士安全行为量表、工作形塑量表、职业生活质量量表开展问卷调查。使用Mplus 7.0软件构建结构方程模型,验证护士安全行为的中介作用。结果共回收问卷475份,其中有效问卷458份,有效率为96.4%。调查的护理人员安全行为得分为(54.95±8.68)分,工作形塑得分为(78.33±10.45)分,职业生活质量得分为(182.06±42.15)分。护理人员工作形塑与安全行为、职业生活质量均呈正相关(r=0.370、0.422,均P<0.01),安全行为与职业生活质量呈正相关(r=0.589,P<0.01)。护理人员安全行为在工作形塑与职业生活质量中起部分中介作用,中介效应为0.239,占总效应的32.04%。结论工作形塑不仅对北京市三级医院护理人员的职业生活质量有直接预测作用,也可通过护士安全行为间接预测其职业生活质量。Objective To investigate the current status of job crafting,safety behavior,and quality of working life among nursing staff of tertiary hospitals in Beijing City,explore the mediating role of safety behavior between job crafting and quality of working life of nursing staff.Methods By the convenience sampling method,the nursing staff from three tertiary hospitals in Beijing City were surveyed from October 2022 to February 2023.A questionnaire survey was conducted using the general information questionnaire,nurse safety behavior scale,job crafting scale,and quality of working life scale.The Mplus 7.0 software was used to construct a structural equation model,to verify the mediating role of nurse safety behavior.Results A total of 475 questionnaires were collected,of which 458 were valid,with a questionnaire effectiveness rate of 96.4%.The scores of safety behavior,job crafting and quality of working life of surveyed nursing staff were(54.95±8.68),(78.33±10.45)and(182.06±42.15)points,respectively.The job crafting of nursing staff was positively correlated with safety behavior and quality of working life(r=0.370,0.422,both P<0.01),while the safety behavior of nurses was positively correlated with quality of working life(r=0.589,P<0.01).The nurses'safety behaviors played a partial mediating role between job crafting and quality of working life,with the mesomeric effect of 0.239,accounting for 32.04%of the total effect.Conclusion The job crafting not only directly predicts the quality of working life of nursing staff from tertiary hospitals in Beijing City,but also indirectly predicts the quality of working life through nurses'safety behavior.

关 键 词：护士 工作形塑 安全行为 职业生活质量 中介效应 

分 类 号：R192.6[医药卫生—卫生事业管理]