工作投入在新生儿重症监护室护士成长型思维与俯卧位通气知信行间的中介效应分析  

Mediating effect analysis of work engagement between growth mindset and prone ventilation knowledge,beliefs,and practices among neonatal intensive care unit nurses

作　　者：李丹 王静[2] 薛友儒 周田 周敏[3] 张蔚[4] Li Dan;Wang Jing;Xue Youru;Zhou Tian;Zhou Min;Zhang Wei(Comprehensive ICU,East Campus,Qilu Hospital of Shandong University,Jinan 250012,China;ICU,Second Ward,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Nursing,Qilu Hospital of Shandong University,Jinan 250012,China;ICU,First Ward,Qilu Hospital of Shandong University,Innovation Research Center for Nursing Theory and Practice of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院东院区综合ICU病区,济南250012 [2]山东大学齐鲁医院ICU二病区,济南250012 [3]山东大学齐鲁医院护理部,济南250012 [4]山东大学齐鲁医院ICU一病区,山东大学护理理论与实践创新研究中心,济南250012

出　　处：《中华现代护理杂志》2025年第3期375-379,共5页Chinese Journal of Modern Nursing

基　　金：山东大学教育教学改革研究项目(2023Y097);山东大学护理理论与实践创新研究中心课题项目(QLHL-2023-022)。

摘　　要：目的探讨工作投入在新生儿重症监护室(NICU)护士成长型思维与俯卧位通气知信行间的中介效应。方法采用便利抽样法,于2023年8—12月选取山东省13所三级甲等医院的360名NICU护士进行调查,采用一般资料调查表、成长型思维评估量表、工作投入量表简化版与ICU医护人员急性呼吸窘迫综合征俯卧位通气知信行问卷进行调查。采用Pearson相关分析探讨NICU护士成长型思维、工作投入和俯卧位通气知信行之间的相关关系。采用SPSS软件宏程序PROCESS插件构建中介模型。结果本研究共发放问卷370份,最终回收有效问卷360份,有效回收率为97.3%(360/370)。统计结果显示,NICU护士的成长型思维正向预测工作投入(β=0.357,P<0.01)、俯卧位通气知信行(β=0.736,P<0.01),工作投入正向预测俯卧位通气知信行(β=0.107,P<0.01)。成长型思维可通过工作投入对俯卧位通气知信行产生正向间接影响,间接效应为0.039。结论NICU护士成长型思维可以正向预测其俯卧位通气知信行,也可通过工作投入对俯卧位通气知信行产生间接影响。护理管理者应运用管理手段改善NICU护士的成长型思维,同时合理优化资源配置,提高护士的工作投入度,从而提升NICU护士俯卧位通气知信行水平。Objective To explore the mediating effect of work engagement between growth mindset and prone ventilation knowledge,beliefs,and practices among neonatal intensive care unit(NICU)nurses.Methods A convenience sampling method was used to select 360 NICU nurses from 13 tertiary hospitals in Shandong Province between August and December 2023.The study used General Information Surveys,Growth Mindset Assessment Scales,a simplified Work Engagement Scale,and an ICU Staff Acute Respiratory Distress Syndrome Prone Ventilation Knowledge,Beliefs,and Practices Questionnaire.Pearson correlation analysis was used to explore the relationship between growth mindset,work engagement,and prone ventilation knowledge,beliefs,and practices.The mediating model was constructed using the PROCESS plugin for SPSS software.Results A total of 370 questionnaires were distributed,and 360 valid questionnaires were collected,with an effective response rate of 97.3%(360/370).Statistical analysis showed that NICU nurses'growth mindset positively predicted work engagement(β=0.357,P<0.01)and prone ventilation knowledge,beliefs,and practices(β=0.736,P<0.01).Work engagement positively predicted prone ventilation knowledge,beliefs,and practices(β=0.107,P<0.01).Growth mindset had a positive indirect effect on prone ventilation knowledge,beliefs,and practices through work engagement,with an indirect effect of 0.039.Conclusions NICU nurses'growth mindset positively predicts their prone ventilation knowledge,beliefs,and practices,and can also have an indirect effect through work engagement.Nursing managers should improve NICU nurses'growth mindset using management strategies,optimize resource allocation,and enhance work engagement to improve NICU nurses'prone ventilation knowledge,beliefs,and practices.

关 键 词：新生儿 成长型思维 工作投入 俯卧位通气知信行 护士 

分 类 号：R47[医药卫生—护理学]