工作激情在急诊科护士的心理资本和职业幸福感间的中介效应

Mediating effect of work passion on association between psychological capital and occupational well-being among emergency department nurses

目的探讨急诊科护士工作激情在心理资本和职业幸福感之间起到的中介作用,为提高急诊科护士职业幸福感,进而为稳定急诊护理团队的建设提供参考依据。方法采用横断面调查的研究方法,于2023年8—9月选取上海市2家三级医院和2家二级医院的210名急诊科护士作为调查对象,采用《医务工作者职业幸福感量表》《护士心理资本量表》和《工作激情量表》进行调查,采用SPSS 24.0软件进行数据分析,再采用Process V3.3插件进行中介效应分析。结果回收有效问卷203份,有效回收率为96.7%。急诊科护士职业幸福感得分为(81.33±13.93)分,心理资本得分为(85.82±15.73)分,工作激情得分为(64.60±13.05)分。大学本科学历、自愿选择护理工作、身为独生子女、非规培护士的职业幸福感得分较高(均P<0.05)。职业幸福感得分有随着护理工龄的增长先升高后降低的趋势(P<0.05)。职业幸福感与工作激情、心理资本均呈正相关(r=0.751、0.685,均P<0.01),心理资本与工作激情呈正相关(r=0.601,P<0.01)。心理资本对急诊科护士职业幸福感有直接影响,直接效应占总效应的41.85%;同时工作激情在心理资本与职业幸福感中起中介作用,中介效应占总效应的58.15%。结论护理管理者可以通过增强急诊科护士的心理资本、调节急诊科护士的工作激情,提高急诊科护士的职业幸福感。

Objective To explore the mediating role of work passion in the association between psychological capital and occupational well-being among emergency department nurses,providing reference for enhancing their well-being and thereby contributing to the stability of the emergency nursing team.Methods A cross-sectional survey was conducted from August 2023 to September 2023 among 210 emergency department nurses from two top tertiary general hospitals and two secondary hospitals in Shanghai.The questionnaires of the Occupational Well-being Scale for Medical Workers,the Nurses’Psychological Capital Scale,and the Work Passion Scale were utilized for data collection.Data analysis was performed using SPSS 24.0 software,followed by mediation effect analysis with the Process V3.3 plugin.Results A total of 203 valid questionnaires were collected,with a response rate of 96.7%.The occupational well-being score of emergency department nurses was(81.33±13.93),the psychological capital score was(85.82±15.73),and the work passion score was(64.60±13.05).Nurses with a bachelor’s degree,voluntarily choosing nursing as a profession,as the only child of family,and receiving non-resident training scored higher in occupational well-being(all P<0.05);the scores of occupational well-being showed a trend of increasing with the years of nursing experience before decreasing(P<0.05).Occupational well-being was positively correlated with work passion and psychological capital(r=0.751,0.685,both P<0.01),and psychological capital was positively correlated with work passion(r=0.601,P<0.01).Psychological capital had a direct impact on the occupational well-being of emergency department nurses,accounting for 41.85%of the total effect,while work passion served as a mediator between psychological capital and occupational well-being,and the mediating effect accounted for 58.15%of the total effect.Conclusions Nursing managers can enhance the occupational well-being of emergency department nurses by strengthening their psychological capital and regulating their work passion.