新入职护士工作环境感知与转型冲击间的关系及自我职业生涯管理和组织社会化的中介作用

The relationship between new nurses'perception of work environment and transition shock and the mediating role of self-career management and organizational socialization

目的探讨新入职护士工作环境感知对其角色转型冲击的影响,并验证自我职业生涯管理及组织社会化的中介作用。方法选取2020年5—7月河南省某三级甲等医院的498名新入职护士作为研究对象,采用护士工作环境感知量表、自我职业生涯管理问卷、组织社会化情况调查问卷及新护士转型冲击量表进行调查。采用结构方程模型构建工作环境感知对新入职护士转型冲击的影响框架,并采用Bootstrap抽样5000次的方法进行自我职业生涯管理和组织社会化的中介效应检验。结果新入职护士转型冲击平均分为82.37±22.37分,工作环境感知与其呈负相关(r=-0.301,P<0.01),自我职业生涯管理及组织社会化在二者间起链式中介作用,间接效应为-0.194,占总效应的45.75%,经Bootstrap检验置信区间为(-0.205,-0.028),P<0.001。结论工作环境感知、自我职业生涯管理及组织社会化水平都是影响新入职护士角色转型的重要因素,且自我职业生涯管理和组织社会化在其中起链式中介作用,护理管理者应针对性给予有效干预,缓解新入职护士转型冲击现状,帮助其更好地融入新的角色。

Objective To explore the eff ect of newly recruited nurses'perception of work environment on their role transition impact,and to verify the mediating role of self-career management and organizational socialization.Methods A total of 498 newly recruited nurses from a tertiary fi rst-class hospital in Henan province from May to July 2020 were selected as the study objects,and the survey was conducted by using the nurse work environment perception scale,the self-career management questionnaire,the organizational socialization questionnaire and the new nurses transformation impact scale.Structural equation model was used to construct the impact frame of work environment perception on the impact of new nurses'transition,and the method of Bootstrap sampling 5,000 times was used to test the mediating effect of self-career management and organizational socialization.Results The average score of the transition eff ect of newly recruited nurses was 82.37±22.37 points.The perception of work environment was negatively correlated with it(r=-0.301,P<0.01).Self-career management and organizational socialization played a chain mediating role between the two.The indirect effect was-0.194,accounting for 45.75%of the total eff ect.,the confi dence interval of Bootstrap test is(-0.205,-0.028),P<0.001.Conclusion The work environment perception,self-career management and level of organizational socialization were all important factors affecting the role transition of newly recruited nurses,and self-career management and organizational socialization play a chain-mediated role in it.Nursing managers should provide targeted and eff ective interventions to alleviate the impact of the transition of newly recruited nurses and help them better integrate into their new roles.