抗逆力和个人-组织契合在临床护士心理安全感与主动性工作行为间的链式中介作用

Chain mediating effect of resilience and person-organization fit on psychological security and proactive work behavior of clinical nurses

目的分析临床护士心理安全感、抗逆力、个人-组织契合与主动性工作行为的关系,并探讨抗逆力和个人-组织契合在临床护士心理安全感与主动性工作行为间的作用机制。方法2023年1—4月,选取241名临床护士,采用一般资料调查问卷、心理安全感量表、医护人员抗逆力评价量表、护士个人-组织契合评估量表、主动性工作行为绩效测评量表进行问卷调查。采用SPSS 24.0进行统计分析,采用AMOS 25.0构建结构方程模型。结果241名临床护士心理安全感总均分为(3.76±0.49)分,抗逆力总均分为(4.11±0.41)分,个人-组织契合总均分为(4.06±0.35)分,主动性工作行为总均分为(4.40±0.20)分。Pearson相关分析表明,心理安全感、抗逆力、个人-组织契合与临床护士主动性工作行为均呈正相关(均P<0.01)。结构方程模型显示,心理安全感对临床护士主动性工作行为存在直接效应,抗逆力和个人-组织契合在临床护士心理安全感与主动性工作行为间存在链式中介作用,链式中介效应为0.037,占总中介效应的22.98%。结论临床护士主动性工作行为水平较高,抗逆力和个人-组织契合在临床护士心理安全感与主动性工作行为间起着链式中介作用。

Objective To analyze the relationship between psychological security,resilience,person-organization,and proactive work behavior of clinical nurses,and explore the mechanism of resilience and person-organization fit in the relationship between psychological security and proactive work behavior of clinical nurses.Methods From January to April 2023,241 clinical nurses were selected and surveyed using general information survey questionnaire,psychological security scale,resilience evaluation scale for medical staff,nurse person-organization fit evaluation scale,and proactive work behavior performance evaluation scale.SPSS24.0 was used for statistical analysis,and AMOS 25.0 was used to construct structural equation model.Results The total average score of psychological security among 241 clinical nurses was(3.76±0.49)points,the total average score of resilience was(4.11±0.41)points,the total average score of person-organization fit was(4.06±0.35)points,and the total average score of proactive work behavior was(4.40±0.20)points.Pearson correlation analysis showed that psychological security,resilience,person-organization fit,and proactive work behavior of clinical nurses were positively correlated(all P<0.01).The structural equation model showed that psychological security had a direct effect on the proactive work behavior of clinical nurses,and resilience and person-organization fit had a chain mediating effect between psychological security and proactive work behavior of clinical nurses,with a chain mediating effect of 0.037,accounting for 22.98%of the total mediating effect.Conclusion Clinical nurses have a high level of proactive work behavior,and resilience and person-organization fit play a chain mediating role between their psychological security and proactive work behavior.