职业幸福感在三级甲等医院低年资护士职业倦怠与管理关怀感知间的中介效应  

Mediating effect of occupational well-being between job burnout and management care perception of junior nurses in grade-A tertiary hospitals

作　　者：廖坤锋 姚依松 杨金盘 牛瑞 杨西宁[4] 张子怡 LIAO Kunfeng;YAO Yisong;YANG Jinpan;NIU Rui;YANG Xining;ZHANG Ziyi(School of Nursing,Guangxi University of Chinese Medicine,Nanning,Guangxi 530200,China;The Fourth Clinical Medical College,Qingdao University,Yantai,Shandong 264001,China;School of Nursing,Jiangxi Medical College,Shangrao,Jiangxi 334000,China;Nursing Department,National Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530000,China;Sichuan Primary Health Care Development Research Center,Nanchong,Sichuan 637000,China)

机构地区：[1]广西中医药大学护理学院,广西南宁530200 [2]青岛大学第四临床医学院,山东烟台264001 [3]江西医学高等专科学校护理学院,江西上饶334000 [4]广西壮族自治区民族医院护理部,广西南宁530000 [5]四川省基层卫生事业发展研究中心,四川南充637000

出　　处：《职业与健康》2024年第21期2887-2892,共6页Occupation and Health

基　　金：江西省教育厅科学技术研究一般项目(GJJ213406);上饶市2021年度社会发展领域科技计划医疗卫生指导性项目(2021CZDX48)。

摘　　要：目的探讨低年资护士职业幸福感在管理关怀感知与职业倦怠间的中介作用。方法采用整群抽样法选取2023年2—4月南宁市3所三级甲等医院的485名低年资护士作为研究对象,采用一般资料调查表、医护人员职业幸福感量表、马氏职业倦怠量表-服务行业版、中文版管理关怀性评估量表进行调查,并对数据进行分析。结果低年资护士管理关怀感知得分为(126.33±25.74)分,为中等水平;职业幸福感得分为(64.22±16.64)分,处于中等偏下水平。低年资护士职业倦怠检出率为77.9%。低年资护士的管理关怀感知对其职业倦怠具有负向影响(r=-0.533,P<0.01),且管理关怀感知可通过低年资护士职业幸福感的中介作用影响职业倦怠,中介效应占72.2%。结论低年资护士的职业倦怠发生率较高,职业幸福感水平偏低。职业幸福感是低年资护士管理关怀感知与职业倦怠间的中介变量,建议护理管理者采取针对措施来提升低年资护士的管理关怀感知水平,提高其职业幸福感,进而降低其职业倦怠水平。Objective To explore the mediating effect of occupational well-being of junior nurses between management care perception and job burnout.Methods A total of 485 junior nurses from three grade-A tertiary hospitals in Nanning City from February to April 2023 were selected as the research objects by cluster sampling method.The general information questionnaire,the occupational well-being scale of medical staff,the Maslach burnout inventory-service industry edition,and the Chinese version of the management caring assessment scale were used for investigation,and the data were analyzed.Results The score of management care perception of junior nurses was(126.33±25.74)points,which was at a medium level.The score of occupational well-being of junior nurses was(64.22±16.64)points,which was below the middle level.The detection rate of job burnout among junior nurses was 77.9%.The perceived management care of junior nurses had a negative impact on their job burnout(r=-0.533,P<0.01),and the perceived management care could affect job burnout through the mediating role of occupational well-being of junior nurses,accounting for 72.2% of the mediating effect.Conclusion The incidence of job burnout of junior nurses is high,and the level of occupational well-being is low.Occupational well-being is an intermediary variable between junior nurses'perception of management care and job burnout.It is recommended that nursing managers take targeted measures to improve the perception of management care level of junior nurses,enhance their occupational well-being,and thereby reduce their level of job burnout.

关 键 词：低年资护士 职业倦怠 职业幸福感 管理关怀感知 中介效应 

分 类 号：R181.31[医药卫生—流行病学]