护士出勤主义行为在工作疏离感与职业倦怠间的中介效应

Mediating effect of nurses'presenteeism behavior on job alienation and job burnout

目的探讨护士出勤主义行为在工作疏离感与职业倦怠间的中介效应。方法采用便利抽样法,选取2019年5月—2021年10月在焦作市人民医院护理部工作的506名护士为研究对象,采用一般资料调查表、出勤主义行为量表、工作疏离感量表、职业倦怠量表对其进行调查。采用Pearson相关分析出勤主义行为与职业倦怠、工作疏离感相关性,同时采用Bootstrap检验探讨中介作用。共发放506份问卷,有效问卷506份,有效回收率为100.00%。结果506名护士职业倦怠总分为(63.43±8.03)分,工作疏离感总分为(34.16±5.55)分,出勤主义行为评分为(6.32±1.56)分。经Pearson法分析,出勤主义行为与工作疏离感、职业倦怠呈正相关(P<0.01)。使用Bootstrap抽样检验法进行中介效应研究,职业倦怠出勤主义行为工作疏离感路径分析95%置信区间不包括数字0,护士出勤主义行为在工作疏离感与职业倦怠间的起中介作用。结论护士具有较高的出勤主义行为,在职业倦怠和工作疏离感之间起到中介作用,对此需减少护士出勤主义行为频率,促进身心健康。

Objective To explore the mediating effect of nurses'presenteeism behavior between job alienation and job burnout.Methods From May 2019 to October 2021,a total of 506 nurses working in the Nursing Department of Jiaozuo People's Hospital were selected as the research objects by the convenient sampling method.General information questionnaire,Presenteeism Behavior Scale,Job Alienation Scale and Job Burnout Scale were used to investigate the nurses.Pearson correlation was used to analyze the correlation between presenteeism behavior and job burnout and job alienation,and Bootstrap test was used to explore the mediating effect.A total of 506 questionnaires were distributed and 506 were valid,with an effective recovery rate of 100.00%.Results The total scores of job burnout,job alienation and presenteeism among 506 nurses were(63.43±8.03),(34.16±5.55)and(6.32±1.56),respectively.Pearson analysis showed that presenteeism was positively correlated with job alienation and job burnout(P<0.01).Using the Bootstrap sampling test method to conduct a mediating effect study,95%confidence interval for the path analysis from burnout to presenteeism to job alienation did not include the number 0,and nurses'presenteeism behavior played a mediating role between job alienation and job burnout.Conclusions Nurses have high presenteeism behavior,which plays a mediating role between job burnout and job alienation.Therefore,it is necessary to reduce the frequency of nurse presenteeism behavior and promote physical and mental health.