逆境商在肿瘤科护士执业环境和职业认同间的中介效应  

Mediating effect of adversity quotient between practice environment and professional identity on oncology nurses

作　　者：杨双 李晓芳 Yang Shuang;Li Xiaofang(DepartmentⅡof Radiotherapy,National Clinical Research Centre for Cancer,Tianjin’s Clinical Research Centre for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin Medical University Cancer Institute&Hospital,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院放疗二科国家恶性肿瘤临床医学研究中心天津市恶性肿瘤临床医学研究中心天津市肿瘤防治重点实验室,天津300060

出　　处：《现代临床护理》2025年第3期7-14,共8页Modern Clinical Nursing

基　　金：天津市医学重点学科(专科)建设项目,项目编号为TJYXZDXK-011A。

摘　　要：目的 分析逆境商在肿瘤科护士职业认同与执业环境间的中介效应。方法 采用便利抽样法,2023年6月—12月选取天津市某三级甲等专科医院的301名肿瘤科护士作为研究对象,应用一般资料调查表、护士执业环境测评量表、职业认同量表、逆境商量表进行调查。运用Pearson相关性分析法分析肿瘤科护士的护士执业环境、职业认同和逆境商的相关性;采用AMOS23.0软件建立结构方程模型,并用Bootstrap置信区间评估法验证中介效应模型。结果 262名护士完成研究。护士执业环境得分为(78.21±19.29)分,护士职业认同得分为(113.29±21.29)分,肿瘤科护士逆境商得分为(137.71±21.98)分。肿瘤科护士执业环境得分与逆境商得分(r=0.214,P<0.01)、职业认同得分(r=0.566,P<0.01)均呈正相关,逆境商得分与职业认同得分呈正相关(r=0.399,P<0.01)。执业环境对职业认同存在直接效应(β=0.492,P<0.01),并通过逆境商中介效应间接影响职业认同(β=0.060,P<0.01),中介效应占总效应的10.88%。结论 肿瘤科护士执业环境处于中等水平,逆境商处于高水平,职业认同处于中等水平,逆境商在肿瘤科护士执业环境与职业认同间具有中介作用。护理管理者应注重培养肿瘤科护士的逆境商,以提高其职业认同。Objective To explore the mediating effect of adversity quotient between professional identity and practice environment on the oncology nurses.Methods Using the convenience sampling method,301 nurses were selected from the Department of Oncology of our hospital to participate the study between June and December 2023.A general information questionnaire,the nurse practice environment assessment scale,nurse professional identity scale,and adversity quotient scale were used in the survey.Pearson correlation was used to analyse the correlation between practice environment,adversity quotient and occupational identity of oncology nurses.AMOS 21.0 was used to establish the model of structural equation,and Bootstrap confidence interval evaluation method was used to verify the model of mediation effect.Results A total of 262 nurses completed the study.The mean score of the nursing practice environment assessment scale was 78.21±19.29,and that was 113.29±21.29 of the nurse professional identity scale and 137.71±21.98 of the nurse adversity quotient scale.A positive correlation was found between the environment of nursing practice and adversity quotient(r=0.214,P<0.01),and professional identity(r=0.566,P<0.01)among the oncology nurses.A postive correlation was found between adversity quotient and professional identity(r=0.399,P<0.01).The value of mediation effect of adversity quotient between the environment of nursing practice and professional identity was 0.060(P<0.01),accounting for 10.88%of the total effect.Conclusion The environment of nursing practice is moderate in the Department of Oncology,with a high adversity quotient and a moderate professional identity.Where,adversity quotient has a mediating role between the environment of nursing practice and professional identity.Nursing managers should focus on developing the adversity quotient to enhance the professional identity among the oncology nurses.

关 键 词：逆境商 肿瘤科护士 执业环境 职业认同 中介效应 横断面研究 

分 类 号：R47[医药卫生—护理学]