恢复体验在儿科护士领导-部属交换与工作旺盛感间的中介效应

The mediating effect of recovery experience between leader-member exchange and thriving at work in pediatric nurse

目的调查儿科护士领导-部属交换质量、恢复体验和工作旺盛感现状,探讨领导-部属交换、恢复体验和工作旺盛感之间的相关性。方法采用便利抽样法于2021年9—11月选取青岛市4所三级甲等医院的312名儿科护士为研究对象,应用领导-部属交换量表、恢复体验问卷和工作旺盛感量表对其进行横断面调查。对数据进行描述性统计分析、Pearson相关性分析,使用结构方程模型对恢复体验在领导-部属交换与工作旺盛感之间的中介效应进行分析,并应用Bootstrap法对中介作用进行验证。结果儿科护士的领导-部属交换条目均分为(3.94±0.90)分,恢复体验条目均分为(3.47±0.76)分,工作旺盛感条目均分为(3.71±0.75)分。领导-部属交换与恢复体验、工作旺盛感呈正相关(r=0.486、0.575,均P<0.01);恢复体验与工作旺盛感呈正相关(r=0.711,P<0.01);中介效应检验显示:恢复体验在领导-部属交换与工作旺盛感间起部分中介作用,中介效应占总效应的66.9%。结论儿科护士的领导-部属交换、恢复体验和工作旺盛感处于中等水平;领导-部属交换可直接或通过恢复体验间接影响儿科护士工作旺盛感。护理管理者应加强与护士关系的管理,形成良好的心理和情感纽带,并开展恢复体验培训以提高儿科护士的工作旺盛感,提高护理质量。

Objective To explore the current status of quality of pediatric nurses′leader-member exchange,recovery experience,thriving at work,as well as to explore the correlation between leader-member exchange,recovery experience,and thriving at work.Methods A convenience sampling method was used to select 312 pediatric nurses from four tertiary level A hospitals in Qingdao from September to November 2021 as the study population.A cross-sectional survey was conducted using the Leader-Member Exchange Scale,the Recovery Experience Scale,and the Thriving at work Scale.Descriptive statistical analysis,Pearson correlation analysis,and structural equation modeling were conducted on the data to analyze the mediating effect of recovery experience between leader-member exchange and thriving at work,and Bootstrap method was applied to validate the mediating effect.Results The pediatric nurses′leader-member exchange score was(3.94±0.90)points,recovery experience score was(3.47±0.76)points,and thriving at work score was(3.71±0.75)points.Leader-member exchange was positively correlated with recovery experience and thriving at work(r=0.486,0.575,both P<0.01);recovery experience was positively correlated with thriving at work(r=0.711,P<0.01);the test of mediating effect showed that recovery experience partially mediated the effect between leader-member exchange and thriving at work,intermediary effect accounted for 66.9%of the total effect.Conclusions Pediatric nurses have moderate levels of leader-member exchange,recovery experience,thriving at work.Leader-member exchange can affect pediatric nurses′thriving at work both directly and indirectly through the recovery experience.Nursing managers should strengthen the management of relationships with nurses,form good psychological and emotional bonds,and conduct recovery experience training to improve nurses′thriving at work,and improve the quality of care.