自我调节疲劳在护士非工作时间连通行为与工作投入间的中介作用

The mediating role of self-regulatory fatigue in nurses'work connectivity behavior after-hours and work engagement

目的探讨护士的非工作时间连通行为、自我调节疲劳与工作投入的关系,为制订提升护士工作投入策略提供参考。方法本研究为横断面调查研究。采用便利抽样法,于2022年6-8月抽取山东省10所医院661名护士作为研究对象,使用非工作时间连通行为量表、自我调节疲劳量表和工作投入量表简版测评护士的非工作时间连通行为、自我调节疲劳程度和工作投入水平。构建结构方程模型评价自我调节疲劳在非工作时间连通行为与工作投入间的中介效应。结果护士的非工作时间连通行为、自我调节疲劳和工作投入得分分别为(37.66±7.05)、(42.98±10.55)(34.29±6.58)分。非工作时间连通行为对工作投入总效应为-0.3366。非工作时间连通行为与自我调节疲劳呈正相关(r=0.423,P<0.01);工作投入与非工作时间连通行为和自我调节疲劳呈负相关(r=-0.361、-0.479,均P<0.01);自我调节疲劳在护士非工作时间连通行为与工作投入中起部分中介效应,占总效应的46.61%。结论自我调节疲劳在护士非工作时间连通行为与工作投入间具有中介效应。护理管理者应通过减少护士非工作时间连通行为,同时降低护士自我调节疲劳程度,进而提高护士工作投入水平。

Objective To explore the relationship between work connectivity behavior after-hours,self-regulatory fatigue and work engagement of nurses,so as to provide reference for developing strategies to improve nurses'work engagement.Methods This was a cross-sectional survey study.A total of 661 nurses from 10 hospitals in Shandong Province were selected as subjects by convenience sampling method from June to August 2022.The Work Connectivity Behavior After-hours Scale,Self-Regulatory Fatigue Scale and Work Engagement Scale were used to measure the work connectivity behavior after-hours,self-regulatory fatigue level and work engagement level.A structural equation model was constructed to evaluate the mediating effect of self-regulatory fatigue on work connectivity behavior after-hours and work engagement.Results The scores of work connectivity behavior after-hours,self-regulatory fatigue and work engagement of nurses were(37.66±7.05),(42.98±10.55)and(34.29±6.58)points,respectively.The total effect of work connectivity behavior after hours on work engagement was-0.3366.The work connectivity behavior after-hours was positively correlated with self-regulatory fatigue(r=0.423,P<0.01)and work engagement was negatively correlated with work connectivity behavior after-hours and self-regulatory fatigue(r=-0.361,-0.479,both P<0.01).Self-regulatory fatigue had a partial mediating effect on work connectivity behavior after-hours and work engagement,accounting for 46.61%of the total effect.Conclusions Self-regulatory fatigue has a mediating effect on the relationship between nurses'work connectivity behavior after-hours and work engagement.Nursing managers should reduce the degree of self-regulatory fatigue of nurses by preventing their work connectivity behavior after-hours,so as to improve the work involvement level of nurses.