肿瘤医院护士工作投入影响因素分析:工作接纳的中介效应

Influencing factors of nurses'work engagement in cancer hospitals:the mediating effect of work acceptance

目的:了解肿瘤医院护士工作投入的现状,探讨其影响因素以及工作接纳在医院磁性水平和工作投入之间的中介效应。方法:采用便利抽样法,于2019年9月选取某三级甲等肿瘤专科医院420名护理人员为研究对象。应用一般资料调查表、中文版磁性要素量表Ⅱ(EOMⅡ)、工作相关接纳行动问卷(WAAQ)、Utrecht工作投入量表(UWES)对护士进行横断面调查。采用单因素分析、相关分析和结构方程模型分析医院磁性水平、护士工作接纳和护士工作投入之间的关系。共发放问卷420份,回收有效问卷408份。结果:408名护士EOMⅡ得分为(141.53±22.73)分,WAAQ得分为(33.79±8.38)分,UWES得分为(45.11±17.27)分。工作投入与医院磁性水平及工作接纳均呈正相关(r值分别为0.549、0.564;P<0.01)。医院磁性水平对工作接纳(β=0.39)和工作投入(β=0.40)均具有正向预测作用,工作接纳对工作投入有正向预测作用(β=0.47),工作接纳在医院磁性水平与工作投入之间存在部分中介效应,中介效应占总效应的31.49%。结论:工作接纳在医院磁性水平和工作投入之间起部分中介作用,护理管理者可以通过营造磁性护理工作环境,促进护士的工作接纳,提升其工作投入度。

Objective To understand the current status of nurses'work engagement in cancer hospitals,explore its influencing factors and the mediating effect of work acceptance between hospital magnetic level and work engagement.Methods In September 2019,420 nurses from a Class Ill Grade A cancer hospital were selected as the research object by convenient sampling.The General Information Questionnaire,the Chinese version of the Essentials of Magnetism Scale U(EOM H),Work-related Acceptance and Action Questionnaire(WAAQ)and the Utrecht Work Engagement Scale(UWES)were used to conduct a cross-sectional survey of nurses.Single factor analysis,correlation analysis and structural equation model were used to analyze the relationship among hospital magnetic level,work acceptance and work engagement of nurse.A total of 420 questionnaires were distributed an"408 valid questionnaires were collected.Results Among 408 nurses,the scores of EOM H,WAAQ and UWES were(141.53±22.73),(33.79±8.38)and(45.11±17.2)respectively.Work engagement was positively correlated with hospital magnetic level and work acceptance with statistical differences(r=0.549,0.564;P V 0.01).The hospital magnetic level had a positive predictive effect on work acceptance(β=0.39)and work engagement(β=0.40),and work acceptance had a positive predictive effect on work engagement(β=0.47).Work acceptance had a partial mediating effect between hospital magnetic level and work engagement,and the mediating effect accounted for 31.49%of the total effect.Conclusions Work acceptance plays a part of the mediating role between hospital magnetic level and work engagement.Nursing managers can create a magnetic nursing work environment to promote nurses'work acceptance and increase their work engagement.