职业生涯韧性在桂西地区产科护理人员工作压力与工作形塑间的中介作用

Mediating role of career resilience in the relationship between work stress and work shaping among obstetric nursing staff in the western Guangxi region

目的了解桂西地区产科护理人员工作压力、工作形塑和职业生涯韧性现状,分析三者之间的内部影响机理。方法于2022年1—5月选取桂西地区百色市10所医院的产科临床一线护理人员224名作为调查对象,采用护士基本资料及护士工作压力源量表、工作形塑量表、职业生涯韧性问卷开展调查,并对数据进行统计分析。结果224名产科护士的工作压力得分为(75.40±14.73)分,工作形塑得分为(83.42±13.90)分,职业生涯韧性得分为(121.04±23.98)分。不同职称、医院级别、月收入及每月夜班次数的产科护理人员工作压力得分比较,差异均有统计学意义(均P<0.05);不同医院类别、月收入及每月夜班次数的产科护理人员工作形塑得分比较,差异均有统计学意义(均P<0.05)。产科护理人员的工作压力、职业生涯韧性与工作形塑均呈负相关(r=-0.398、-0.279,均P<0.01),职业生涯韧性与工作形塑呈正相关(r=0.494,P<0.01)。回归分析结果加入中介变量职业生涯韧性后,回归模型对工作形塑的解释量由17.8%提高至35.2%;职业生涯韧性在工作压力与工作形塑之间发挥部分中介作用,中介效应为25.7%。结论桂西地区产科护理人员工作压力处于中等偏上水平,工作压力可直接负向预测工作形塑,但工作压力与工作形塑间的关系部分是由职业生涯韧性介导,而职业生涯韧性本身对工作形塑具有正向预测作用。

Objective To understand the current situation of work stress,work shaping,and career resilience among obstetric nursing staff in the western Guangxi region,and to analyze the internal influencing mechanisms among the three.Method From January to May 2022,224 frontline obstetric clinical nursing staff from 10 hospitals in Baise City of western Guangxi were selected as the sur-vey subjects.A survey was conducted using the basic information of nurses,the nurse work stress source scale,the work shape scale,and the career resilience questionnaire.And the data were analyzed.Results The work stress score of 224 obstetric nurses was(75.40±14.73)points,the work shaping score was(83.42±13.90)points,and the career resilience score was(121.04±23.98)points.The comparison of work stress scores among obstetric nursing staff with different professional titles,hospital levels,monthly income,and monthly night shifts showed statistical significance(all P<0.05).The work shaping scores of obstetric nursing staff in different hospital categories,monthly income,and monthly night shifts were compared,and the differences were statistically significant(all P<0.05).The work stress of obstetric nursing staff was negatively correlated with career resilience and work shaping(r=-0.398,-0.279,both P<0.01),and career resilience was positively correlated with work shaping(r=0.494,P<0.01).After adding the mediating variable career resilience to the regression analysis results,the explanatory power of the regression model on work shaping increased from 17.8% to 35.2%.Career resilience played a partial mediating role between work stress and work shaping,with a mediating effect of 25.7%.Conclusion The work stress of obstetric nursing staff in the western Guangxi region is at a moderate to high level,and work stress can directly predict work shaping negatively.However,the relationship between work stress and work shaping is partially mediated by career resilience,which itself has a positive predictive effect on work shaping.