临床护士内在动机在挑战性-阻碍性压力与工作繁荣间的中介效应

The mediating role of intrinsic motivation between challenge-hindrance stressors and thriving at work among clinical nurses

目的探究临床护士挑战性-阻碍性压力、内在动机与工作繁荣的关系,并分析内在动机在两者间的中介效应。方法2022年5—6月便利抽取山东第一医科大学附属省立医院、山东大学齐鲁医院、山东省千佛山医院的319名临床护士为研究对象,采用一般资料调查表、挑战性-阻碍性压力量表、内在动机量表、工作繁荣量表进行横断面调查。采用Pearson分析各变量间的相关性,采用Amos23.0构建结构方程模型,分析内在动机分别在挑战性压力、阻碍性压力与工作繁荣间的中介效应。结果挑战性压力得分为(21.22±4.42)分,阻碍性压力得分为(13.51±3.59)分,内在动机得分为(78.96±11.52)分,工作繁荣得分为(51.27±8.03)分。挑战性压力与内在动机、工作繁荣均呈正相关(r=0.222、0.221,均P<0.01),阻碍性压力与内在动机、工作繁荣均呈负相关(r=-0.152、-0.337,均P<0.01),内在动机与工作繁荣呈正相关(r=0.564,P<0.01)。内在动机分别在挑战性压力、阻碍性压力与工作繁荣间起部分中介作用,中介效应分别占16.02%和13.79%。结论挑战性压力和阻碍性压力均可通过内在动机间接影响临床护士工作繁荣;护理管理者应帮助临床护士正确对待不同性质的压力,以增强临床护士工作的内在动机,促进其工作繁荣。

ObjectiveTo explore the relationship between challenge-hindrance stressors and thriving at work in clinical nurses,and to analyze the mediating role of intrinsic motivation.MethodsThis was a cross-sectional survey.A total of 319 nurses from the Provincial Hospital Affiliated to Shandong First Medical University,Qilu Hospital of Shandong University,Shandong Provincial Qianfoshan Hospital from May to June 2022 were investigated by general data questionnaire,Challenge-Hindrance Stressors Scale,Intrinsic Motivation Scale and Thriving At Work Scale.Pearson was used to analyze the correlation between various variables,and Amos 23.0 was used to construct a structural equation model to analyze the mediating role of intrinsic motivation between challenging stressors,hindrance stressors,and thriving at work.ResultsThe score for challenging stressors was(21.22±4.42)points,the score for hindrance stressors was(13.51±3.59)points,the score for intrinsic motivation was(78.96±11.52)points,and the score for thriving at work was(51.27±8.03)points.Challenging stressors was positively associated with intrinsic motivation and thriving at work(r=0.222,0.221,both P<0.01),hindrance stressors was negatively associated with intrinsic motivation and thriving at work(r=-0.152,-0.337,both P<0.01),intrinsic motivation was positively correlated with thriving at work(r=0.564,P<0.01).Intrinsic motivation was partially mediated between challenging stressors,hindrance stressors and thriving at work,respectively accounting for 16.02%and 13.79%.ConclusionsChallenging stressors and hindrance stressors can indirectly influence their thriving at work through intrinsic motivation.Nursing managers should help nurses treat different stressors correctly to enhance their intrinsic motivation and promote their thriving at work.