个体抗逆力在急诊科护士工作应激与工作投入间的中介效应研究

Mediating effect of individual resilience between work stress and work engagement among nurses in Emergency Department

目的探讨急诊科护士个人抗逆力、工作应激与工作投入之间的关系。方法采用一般资料调查表、中文版急诊科护理工作应激源量表、中文版工作投入量表和医护人员抗逆力结构量表,于2022年4—9月选取山东省6所三级甲等医院的350名护士进行问卷调查。护士工作应激、工作投入和个体抗逆力间相关关系采用Pearson相关性分析;根据中介效应检验程序构建结构方程模型,分析各变量间关系。结果本研究共发放问卷350份,回收有效问卷330份,有效回收率为94.28%。护士工作投入得分为(54.26±10.08)分,工作应激得分为(77.36±25.48)分,个体抗逆力得分为(67.76±12.33)分;工作应激与工作投入、个体抗逆力均呈负相关关系(均P<0.01),个体抗逆力与工作投入呈正相关关系(P<0.01);个体抗逆力是急诊科护士工作应激与工作投入的中介变量,中介效应占总效应的31.38%。结论本调查中大多急诊科护士工作应激、工作投入和个体抗逆力处于中等水平;个体抗逆力在急诊科护士工作应激与工作投入之间起部分中介作用。护理管理者应重视组织文化氛围,制定相应措施,以增强护士个体抗逆力,促使护士更有精力和热情投入工作。

Objective To explore the relationship between individual resilience,work stress,and work engagement among nurses in Emergency Department.Methods A questionnaire survey was conducted on 350 nurses from six ClassⅢGrade A hospitals in Shandong Province from April to September 2022,using the General Information Questionnaire,the Chinese version of the Stressor Scale for Emergency Nurse,the Chinese version of the Utrecht Work Engagement Scale,and the Medical Staff Composition Resilience Scale.Pearson correlation was used to analyze the correlation between nurse work stress,work engagement,and individual resilience.The structural equation model was constructed using a mediating effect testing program to analyze the relationships between variables.Results A total of 350 questionnaires were distributed,and 330 valid questionnaires were collected,with an effective response rate of 94.28%.The scores of nurse work engagement,work stress,and individual resilience were(54.26±10.08),(77.36±25.48),and(67.76±12.33),respectively.Work stress was negatively correlated with work engagement and individual resilience(all P<0.01),while individual resilience was positively correlated with work engagement(P<0.01).Individual resilience was a mediating variable between work stress and work engagement among nurses in Emergency Department,with a mediating effect accounting for 31.38%of the total effect.Conclusions Most nurses of Emergency Department have moderate levels of work stress,work engagement,and individual resilience.Individual resilience partially mediates the relationship between work stress and work engagement among nurses in Emergency Department.Nursing managers should attach importance to the organizational culture atmosphere and develop corresponding measures to enhance the individual resilience of nurses and encourage them to be energetic and enthusiastic in their work.