规范化培训护士轮调压力、心理资本和职业倦怠的相关分析

Correlation analysis of rotation pressure,psychological capital and job burnout of standardized training nurses

目的了解在淮安市第一人民医院急诊科和心内科规范化培训的护士轮调压力、心理资本和职业倦怠的相关性。方法于2019年6月—2021年10月,采用方便抽样法抽取在南京医科大学附属淮安市第一人民医院急诊科和心内科进行规范化培训的184名新入职护士作为调查对象,采用轮调压力量表、心理资本量表和职业倦怠量表进行调查并分析。结果淮安市第一人民医院急诊科和心内科184名规范化培训护士轮调压力得分为(28.90±3.64)分,心理资本得分为(78.30±5.29)分,职业倦怠得分为(57.66±3.99)分;不同年龄、学历、规范化培训时间、婚姻状况、月收入、每个月夜班数的规范化培训护士轮调压力得分比较,差异均有统计学意义(均P<0.05);不同性别、年龄、学历、规范化培训时间、月收入、每个月夜班数的规范化培训护士心理资本得分比较,差异均有统计学意义(均P<0.05);不同年龄、学历、规范化培训时间、月收入、每个月夜班数的规范化培训护士职业倦怠得分比较,差异均有统计学意义(均P<0.05);规范化培训护士轮调压力与职业倦怠呈正相关(r=0.646,P<0.01),心理资本与职业倦怠呈负相关(r=-0.933,P<0.01),轮调压力与心理资本呈负相关(r=-0.653,P<0.01);规范化培训护士心理资本在轮调压力和职业倦怠之间起部分中介作用,中介效应为0.166,占总效应的25.58%。结论淮安市第一人民医院急诊科和心内科规范化培训护士轮调压力水平越高,其职业倦怠水平越高。心理资本在轮调压力和职业倦怠之间起部分中介作用,提高心理资本水平有利降低轮调压力对职业倦怠的影响。

Objective To explore the correlation between rotation pressure,psychological capital and job burnout of standardized training nurses in emergency department and cardiology department in the Huai'an First People's Hospital.Methods From June 2019 to October 2021,184 new nurses who received standardized training in the emergency department and cardiology department of Huai'an First People's Hospital Affiliated to Nanjing Medical University were selected by convenient sampling method as the survey object,and investigated and analyzed by rotation stress scale,psychological capital scale and job burnout scale.Results Therotation pressure score of 184 standardized trainingnursesin the emergency department and cardiology department of Huai'an First People's Hospital was(28.90±3.64)points,psychological capital score was(78.30±5.29)points,and job burnout score was(57.66±3.99)points.There were statistically significantdifferences in the rotation pressure score among standardized training nurses of different age,educational background,standardized training time,marital status,monthly income and the number of night shifts per month(all P<0.05).There were statistically significantdifferences in the psychological capital score among standardized training nurses of different gender,age,educational background,standardized training time,monthly income and the number of night shifts per month(all P<0.05).There were statistically significantdifferences in the job burnout score among standardized training nurses of different age,educational background,standardized training time,monthly income and and the number of night shifts per month(all P<0.05).Therotation pressureof standardized training nurses was positively correlated with job burnout(r=0.646,P<0.01),the psychological capital was negatively correlated with job burnout(r=-0.933,P<0.01),and the rotation pressurewas negatively correlated with psychological capital(r=-0.653,P<0.01).The psychological capitalof standardized training nursesplayed a partial mediating role between rotation pressure and job burnout,the mediating effect was 0.166,accounting for 25.58%of the total effect.Conclusions Among the standardized trainingnursesin the emergency department and cardiology department of Huai'an First People's Hospital,the higher the rotationpressure level,the higher the level of job burnout.The psychological capital plays a partial intermediary role between rotation pressureand job burnout.Improving the level of psychological capital is beneficial to reduce the impact of rotation pressure on job burnout.