护士一般自我效能感在工作环境感知与职业倦怠间的中介作用  

Mediating role of nurses'general self-efficacy in the relationship between work environment perception and job burnout

作　　者：姚轶超 曹志娇 滕海茂 马沛 高伟娜[3] YAO Yichao;CAO Zhijiao;TENG Haimao;MA Pei;GAO Weina(Department of Operating Room,Baoding NO1 Central Hospital,Baoding,Hebei 071000,China;Department of Nursing,Baoding NO1 Central Hospital,Baoding,Hebei 071000,China;Department of Orthopedics,Baoding NO1 Central Hospital,Baoding,Hebei 071000,China)

机构地区：[1]保定市第一中心医院手术室,河北保定071000 [2]保定市第一中心医院护理部,河北保定071000 [3]保定市第一中心医院骨科,河北保定071000

出　　处：《职业与健康》2024年第18期2449-2454,共6页Occupation and Health

摘　　要：目的了解护士一般自我效能感在工作环境感知与职业倦怠间的中介作用。方法2023年3月采用便利抽样法,使用自行编制的一般资料调查表、护理工作环境量表、中文版马氏职业倦怠量表、一般自我效能感量表对保定市3家三级甲等医院1261名护士进行问卷调查,并对数据进行分析。结果1261名护士的护理工作环境总分为(123.32±24.14)分,职业倦怠总分为(65.80±23.33)分、一般自我效能感总分为(28.27±6.83)分。无、轻、中和重度倦怠的检出率分别为24.74%、24.66%、47.18%和3.40%。一般自我效能感在护理工作环境与职业倦怠间具有部分中介效应,效应值-0.097,占总效应的21.54%。一般自我效能感在护理工作环境和职业倦怠间起调节效应(β=0.005,△R^(2)=0.003,P<0.05)。结论保定市3家三级甲等医院护士的职业倦怠现状不容乐观,应引起医院管理者重视。护士一般自我效能感在护理工作环境与职业倦怠之间,既存在中介效应也存在调节效应,护理管理者可从组织层面的护理工作环境和个体层面的一般自我效能感两方面入手,进行针对性干预。Objective To investigate the mediating role of nurses'general self-efficacy in their work environment perception and job burnout.Methods In March 2023,a convenience sampling method was used to conduct a questionnaire survey of 1261 nurses from three grade-A tertiary hospitals in Baoding City using a self-compiled general information questionnaire,nursing work environment scale(C-NWE),Chinese version of Maslach burnout inventory(MBI),general self-efficacy scale(GSES),and the data were analyzed.Results The total scores of C-NWE,MBI,GESE for 1261 nurses were(123.32±24.14),(65.80±23.33)and(28.27±6.83)points,respectively.The detection rates of zero,mild,moderate,and severe job burnout were 24.74%,24.66%,47.18%and 3.40%,respectively.General self-efficacy had a partial mediating effect between nursing work environment and job burnout,with an effect value of-0.097,accounting for 21.54%of the total effect.General self-efficacy had a moderating effect on the relationship between nursing work environment and job burnout(β=0.005,△R^(2)=0.003,P<0.05).Conclusion The current situation of job burnout among nurses in three grade-A tertiary hospitals in Baoding is not optimistic and should be taken seriously by hospital managers.Nurses'general self-efficacy has both mediating and moderating effects between the nursing work environment and job burnout.Nursing managers should carry out targeted interventions from two aspects:the nursing work environment at the organization level and the general self-efficacy at the individual level.

关 键 词：工作环境感知 职业倦怠 一般自我效能感 中介效应 调节效应 

分 类 号：R181.31[医药卫生—流行病学]