四川省三级甲等医院外科护士工作投入在工作疏离感与职业生涯成功间的中介作用

Mediating effect of work engagement on job alienation and career success of surgical nurses in grade-A tertiary hospitals in Sichuan Province

目的调查四川省三级甲等医院外科护士工作疏离感、工作投入及职业生涯成功的现状,并探讨工作投入在工作疏离感与职业生涯成功间的中介作用。方法采用横断面研究设计,于2023年1—3月采用便利抽样法选取四川省8所三级甲等医院217名外科护士为调查对象,采用一般资料调查表、工作疏离感量表、职业生涯成功量表及工作投入量表进行数据收集,并对数据进行分析。结果四川省8所三级甲等医院外科护士工作投入得分为(54.61±11.22)分,工作疏离感得分为(49.23±10.73)分,职业生涯成功得分为(33.74±7.66)分。不同年龄、月均收入、文化程度、职称、合同类型、是否为专科护士的外科护士工作投入得分比较,差异均有统计学意义(均P<0.05);不同婚姻状况、月均收入、合同类型、职称、是否为专科护士的外科护士工作疏离感得分比较,差异均有统计学意义(均P<0.05);不同婚姻状况、职称、文化程度、合同类型、月均收入、是否为专科护士的外科护士职业生涯成功得分比较,差异均有统计学意义(均P<0.05)。三级甲等医院外科护士工作投入总分及其各维度得分与职业生涯成功总分及其各维度得分均呈正相关(均P<0.05);工作疏离感总分及其各维度得分与职业生涯成功总分及其各维度得分均呈负相关(均P<0.05);工作投入总分及其各维度得分与工作疏离感总分及其各维度得分均呈负相关(均P<0.05)。工作投入在四川省三级甲等医院外科护士工作疏离感与职业生涯成功间起部分中介作用,中介效应为-0.084,中介效应占总效应的14.76%。结论四川省8所三级甲等医院外科护士职业生涯成功水平有待进一步提高,工作投入在工作疏离感与职业生涯成功间起部分中介作用,提高护士工作投入水平可降低其工作疏离感,从而促进其职业生涯成功的提升。

Objective To investigate the status quo of job alienation,work engagement and career success of surgical nurses in grade-A tertiary hospitals in Sichuan Province,and to explore the mediating effect of work engagement in the relationship between job alienation and career success.Methods A cross-sectional study design was adopted,a convenience sampling method was used to select 217 surgical nurses from 8 grade-A tertiary hospitals in Sichuan Province from January to March 2023.The data were collected using general information questionnaire,job alienation scale,career success scale and work engagement scale,and the data were analyzed.Results The scores of work engagement,job alienation and career success of surgical nurses in 8 grade-A tertiary hospitals in Sichuan province were(54.61±11.22),(49.23±10.73)and(33.74±7.66)points,respectively.There were statistically significant differences in work engagement scores of surgical nurses with different ages,average monthly income,educational level,professional title,contract type and whether they were specialized nurses(all P<0.05).There were significant differences in the job alienation scores of surgical nurses with different marital status,average monthly income,contract type,professional title and whether they were specialized nurses(all P<0.05).There were significant differences in the career success scores of surgical nurses with different marital status,professional title,educational level,contract type,average monthly income and whether they were specialized nurses(all P<0.05).The total score of career success and its dimensions among surgical nurses in grade-A tertiary hospitals were positively correlated with the total score of work engagement and its dimensions(all P<0.05),and negatively correlated with the total score of job alienation and its dimensions(all P<0.05).The total score of work engagement and its dimensions were negatively correlated with the total score of work alienation and its dimensions(all P<0.05).Work engagement partially mediates the relationship between job alienation and career success among surgical nurses in grade-A tertiary hospitals in Sichuan Province,with a mediation effect of-0.084,accounting for 14.76%of the total effect.Conclusion The career success level of surgical nurses in 8 grade-A tertiary hospitals in Sichuan Province needs to be further improved.Work engagement plays a partial mediating role between job alienation and career success.Increasing the level of work engagement of nurses can reduce their job alienation and promote their career success.