临床护士品格优势和工作重塑在职业认同与创新行为间的链式中介效应

The relationship between professional identity and innovative behavior in clinical nurses:the chain mediation effect of character strengths and job crafting

目的了解临床护士创新行为现状,探讨品格优势和工作重塑在护士职业认同与创新行为间的链式中介作用,为提高护士创新能力提供参考。方法采用一般资料调查表、职业认同量表、精简版三维度品格优势量表、工作重塑量表、创新行为量表对1680名护士进行调查,构建并检验链式中介模型。结果职业认同总分100.03±16.72,品格优势总分50.71±6.28,工作重塑总分73.91±11.47,创新行为总分29.45±7.22。职业认同与品格优势、工作重塑、创新行为均呈正相关(r=0.712、0.377、0.595,均P<0.05);品格优势与工作重塑在职业认同与创新行为间起链式中介作用,中介效应分别为0.386、0.092。结论临床护士创新行为处于中等偏下水平,职业认同不仅可以直接预测创新行为,还可通过品格优势和工作重塑的链式中介作用对创新行为起间接预测作用。医院管理人员应重视临床护士的职业认同教育,鼓励护士在工作中应用品格优势、提高工作重塑能力,进而提高其创新能力。

Objective To describe the level of innovative behavior in clinical nurses,to explore the chain mediation effect of character strengths and job crafting on the relationship between professional identity and innovative behavior,and to provide reference for improving nurses′innovation ability.Methods A total of 1,680 nurses completed a battery of questionnaires including a demographic data questionnaire,the Professional Identity Scale,Three-Dimensional Inventory of Character Strengths,Job Crafting Scale,and Nurse Innovation Behavior Scale.A chain mediation model was constructed and tested.Results The sample scored 100.03±16.72 on professional identity,50.71±6.28 on character strengths,73.91±11.47 on job crafting and 29.45±7.22 on innovative behavior.Professional identity was positively correlated with character strengths,job crafting and innovative behavior(r=0.712,0.377,0.595,all P<0.05).Character strengths and job crafting played a chain mediating role in the relationship between professional identity and innovative behavior,which accounted for 0.386 and 0.092 of the total effect,respectively.Conclusion Clinical nurses′innovative behavior is at a low to moderate level.Professional identity not only directly predicts innovative behavior,but also has indirect effect on innovative behavior through the chain of character strengths and job crafting.Hospital managers should pay more attention to professional identity education for clinical nurses,encourage them to adopt character strengths in their work,improve their job crafting ability,thus to enhance their innovative ability.