职业获益感在助产士工作压力源和人文执业能力间的中介效应分析

The mediating effect of perceived professional benefits between job stressor and humanistic practice ability in midwives

目的探讨助产士工作压力源、职业获益感、人文执业能力之间的关系及作用机制,为助产士的培养与管理提供参考。方法采用便利抽样法,于2020年5—9月分别对浙江省6所综合性或专科性医院的216名助产士采用压力源量表、职业获益感问卷及人文执业能力测评量表开展横断面调查,在了解现状、相关性分析的基础上进行中介效应分析。结果助产士人文执业能力、压力源、职业获益感得分分别为(102.13±25.91)、(72.77±14.49)、(138.23±18.71)分。压力源与人文执业能力呈负相关(r=-0.206,P<0.01);职业获益感与人文执业能力呈正相关(r=0.289,P<0.01),与压力源呈负相关(r=-0.507,P<0.01)。职业获益感在压力源对人文执业能力的影响中起主要中介作用(标准化总效应为-0.233,间接效应为-0.144)。结论职业获益感是助产士工作压力源和人文执业能力间的主要中介变量,管理者应降低工作压力,提升职业获益感,促进助产士人文执业能力的形成、发展与实践。

Objective To explore the relationship and mechanism among job stressors,perceived professional benefits and humanistic practice ability in midwives,so as to provide reference for the training and management of midwives.Methods Used the convenient sampling method to conduct a cross-sectional survey on 216 midwives in 6 comprehensive or specialized hospitals in Zhejiang Province by using Stressor Scale,Perceived Professional Benefits Questionnaire and Humanistic Practice Ability Scale from May to September 2020.The mediating effect was analyzed on the basis of the current situation analysis and correlation analysis.Results The total scores of humanistic practice ability,job stressors and perceived professional benefits of midwives were(102.13±25.91),(72.77±14.49)and(138.23±18.71)respectively.The job stressors of midwives were negatively correlated with humanistic practice ability(r=-0.206,P<0.01),perceived professional benefits were positively related to humanistic practice ability(r=0.289,P<0.001)and were negatively correlated with job stressors(r=-0.507,P<0.001).Perceived professional benefits played a major mediating role in the influence of stressors on humanistic practice ability(the total standardized effect was-0.233,and the indirect effect was-0.144).Conclusions Perceived professional benefits act as a main mediator between job stressors and humanistic practice ability in midwives.Managers should reduce job stressors,enhance perceived professional benefits,and promote the formation,development and practice of humanistic practice ability of midwives.