职业生涯韧性在ICU护士工作压力与职业成功之间的中介效应分析

Mediating effects of career resilience between work stress and career success in ICU nurses

目的:分析ICU护士工作压力、职业生涯韧性与职业成功之间的相关性及职业生涯韧性在ICU护士工作压力与职业成功之间的中介作用,为促进ICU护士职业发展提供参考。方法:选用一般情况调查表、护士工作压力量表、护士职业生涯韧性量表和护士职业成功量表,于2022年1月—3月对西安市4所三级甲等医院的201名ICU护士开展问卷调查。采用结构方程模型对ICU护士工作压力、职业生涯韧性、职业成功三者之间的路径作用关系进行探索。结果:ICU护士工作压力得分为(119.84±19.17)分,职业生涯韧性得分为(70.43±18.32)分,职业成功得分为(89.67±21.51)分;ICU护士工作压力与护士职业生涯韧性(r=-0.347,P<0.001)及护士职业成功(r=-0.156,P<0.001)呈负相关,护士职业生涯韧性与护士职业成功呈正相关(r=0.356,P<0.001);职业生涯韧性在ICU护士工作压力与职业成功之间存在部分中介效应,中介效应占总效应的42.86%,P<0.05。结论:职业生涯韧性在ICU护士工作压力与职业成功之间起部分中介作用,护理管理者和ICU护士需要重视工作压力状况,充分认识到职业生涯韧性在工作压力和职业成功之间的中介作用,积极促进ICU护士职业生涯韧性的提升,从而减少工作压力带来的负面影响,促进护理人员职业成功。

Objective:To explore the relationships among work stress,career resilience,and career success in ICU nurses,and to examine the mediating role of career resilience in the relationship between work stress and career success in ICU nurses.Methods:A questionnaire survey was conducted from January to March 2022 in 201 ICU nurses from four tertiary grade A hospitals in Xi'an by the general information sheet,the Work Stress Scale,the Career Resilience Scale,and the Career Success Scale.The structural equation model was used to explore the mediating role of career resilience between work stress and career success.Results:The mean score was 119.84±19.17 for work stress,70.43±18.32 for career resilience,and 89.67±21.51 for career success in ICU nurses;The work stress of ICU nurses was negatively correlated with the career resilience(r=-0.347,P<0.001)and career success(r=-0.156,P<0.001),while the career resilience was positively correlated with the career success(r=0.356,P<0.001);Career resilience had a partial mediating effect between work stress and career success in ICU nurses,accounting for 42.86%of the total effect.Conclusion:Career resilience had a partial mediating effect between work stress and career success.Nurse managers and ICU nurses need to recognize the role of career resilience and promote nurses'career resilience,thereby reducing the negative impact of work stress and promoting the career success of nurses.