自我复原力在手术室护士工作卷入与职业倦怠间的中介效应分析

Analysis on mediating effect of self-resilience between job involvement and job burnout among operating room nurses

目的了解南京市3所三级医院的手术室护士职业倦怠现状,分析自我复原力在手术室护士工作卷入与职业倦怠间的中介作用。方法2021年3—4月采用便利抽样法,选取南京市3所三级医院的314名手术室护士为研究对象,采用一般资料调查表、自我复原力量表、职业倦怠量表、工作卷入量表对手术室护理进行调查,采用AMOS 22.0软件验证三者之间的关系。结果314名手术室护士职业倦怠总分为(69.79±10.94)分。中介效应分析显示,工作卷入直接负向预测职业倦怠(β=-0.560,P<0.01),正向预测自我复原力(β=-0.580,P<0.01);自我复原力直接负向预测职业倦怠(β=-0.350,P<0.01)。工作卷入以自我复原力为中介变量对职业倦怠有间接负向预测作用,间接效应值为-0.203(P<0.01)。结论南京市3所三级医院手术室护士职业倦怠处于中等水平,手术室护士工作卷入与自我复原力越高则职业倦怠水平越低,自我复原力在工作卷入对职业倦怠的影响过程中发挥部分中介作用。提示护理管理者可通过人文关怀、职业心理培训等方式增强护士自我复原力,提高工作卷入对职业倦怠的积极影响。

Corresponding author:XIAO Jian-ming,Deputy chief nurse,E-mail:18951769615@189.cn Abstract:Objective To understand the current state of burnout among operating room nurses in three tertiary hospitals in Nanjing City,analyze the mediating effect of self-resilience between job involvement and job burnout ofnurses in operating room.Methods The convenience sampling method was used to select 314 operating room nurses from three tertiary hospitals in Nanjing City from March to April 2021.The general information questionnaire,self-resilience scale,occupational burnout scale and work involvement scale were used to investigate the operating room nurses,and AMOS 22.0 software was used to verify the relationship between the three.Results The total score of job burnout of 314 nurses in operating room was(69.79±10.94)points.The mediation effect analysis showed that work involvement directly and negatively predicted job burnout(β=-0.560,P<0.01),and positively predicted self-resilience(β=-0.580,P<0.01),while self-resilience directly negatively predicted job burnout(β=-0.350,P<0.01).The job involvement with self-resilience as a mediating variable had an indirect negative predictor of job burnout,with an indirect effect value of-0.203(P<0.01).Conclusions The job burnout of operating room nurses in three tertiary hospitals in Nanjing City is at a moderate level.The higher the job involvement and self-resilience of operating room nurses,the lower the job burnout level.The self-resilience plays a partial mediating role in the impact of job involvement on job burnout.It is suggested that nursing managers can enhance the self-resilience of nurses through humanistic care and vocational psychological training,and improve the positive impact of work involvement on job burnout.