肿瘤医院护士消极情绪和心理资本对个体成就感的影响
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摘要
目的探讨肿瘤医院护士消极情绪、心理资本和个人成就感三者关系模型。方法于2018年5月份选取浙江省肿瘤医院的护士207名,采取方便抽样方法,使用一般资料调查问卷、正性负性情绪量表、职业倦怠量表、心理资本问卷进行调查,运用多重线性回归、中介效应进行分析。结果肿瘤医院护士的消极情绪、心理资本和个人成就感得分分别为(22.00±5.66)、(100.50±14.44)、(30.43±10.93)分。消极情绪和个人成就感呈负相关(r=-0.322,P <0.05),心理资本总分及各分量表得分和个人成就感得分呈正相关(r> 0,P <0.05),消极情绪和心理资本总分及个分量表得分呈负相关(r <0,P <0.05)。消极情绪直接效应不显著(P> 0.05),心理资本的中介效应(-0.231)大约为消极情绪直接效应(-0.060)的4倍(95%CI:-0.341,-0.142)。结论消极情绪可以负向预测个人成就感得分,心理资本能正向预测个人成就感得分,消极情绪通过心理资本的完全中介效应影响个人成就感得分。肿瘤医院护理管理者应采取多种措施帮助护士克服和缓解负性事件和负性情绪的影响,注重开发与培养护士的心理资本,积极打造良性的工作、学习环境,提升他们的个人成就感和职业价值观。
Objective To explore the relationship model between negative emotions, psychological capital and personal accomplishment in cancer hospitals. Methods In May 2018, 207 nurses from Zhejiang Cancer Hospital were selected by convenient sampling method. The survey was conducted using a general data questionnaire, positive and negative affect scale, Maslach Burnout Inventory, and psychological capital questionnaire, and multiple linear regression and mediating effects were used for analysis. Results The scores of negative emotion, psychological capital and personal accomplishment of nurses in the tumor hospital were(22.00±5.66),(100.50±14.44),(30.43±10.93) scores, respectively.Negative emotions and personal accomplish-ment were negatively correlated(r =-0.322, P < 0.05). The total scores of psychological capital and the scores of each subscale were positively correlated with the scores of individual accomplishments(r > 0, P < 0.05). The negative emotions and the total scores of psychological capital and the scores of subscales were negatively correlated(r < 0, P < 0.05). Not significant for the direct effect of negative emotion(P >0.05), the mediating effect of psychological capital(-0.231) was about four times(95%CI:-0.341,-0.142) that of the direct effect of negative emotion(-0.060). Conclusion Negative emotions can negatively predict individual achievement scores, and mental capital can positively predict individual achievement scores. Negative emotions affect individual achievement scores through the complete mediating effect of psychological capital. Cancer hospital nurse managers should take a variety of measures to help nurses overcome and mitigate the effects of negative and negative emotions.Focus on developing and cultivating the psychological capital of nurses, actively creating a benign work and learning environment, and enhancing their personal accomplishment and professional values.
Objective To explore the relationship model between negative emotions, psychological capital and personal accomplishment in cancer hospitals. Methods In May 2018, 207 nurses from Zhejiang Cancer Hospital were selected by convenient sampling method. The survey was conducted using a general data questionnaire, positive and negative affect scale, Maslach Burnout Inventory, and psychological capital questionnaire, and multiple linear regression and mediating effects were used for analysis. Results The scores of negative emotion, psychological capital and personal accomplishment of nurses in the tumor hospital were(22.00±5.66),(100.50±14.44),(30.43±10.93) scores, respectively.Negative emotions and personal accomplish-ment were negatively correlated(r =-0.322, P < 0.05). The total scores of psychological capital and the scores of each subscale were positively correlated with the scores of individual accomplishments(r > 0, P < 0.05). The negative emotions and the total scores of psychological capital and the scores of subscales were negatively correlated(r < 0, P < 0.05). Not significant for the direct effect of negative emotion(P >0.05), the mediating effect of psychological capital(-0.231) was about four times(95%CI:-0.341,-0.142) that of the direct effect of negative emotion(-0.060). Conclusion Negative emotions can negatively predict individual achievement scores, and mental capital can positively predict individual achievement scores. Negative emotions affect individual achievement scores through the complete mediating effect of psychological capital. Cancer hospital nurse managers should take a variety of measures to help nurses overcome and mitigate the effects of negative and negative emotions.Focus on developing and cultivating the psychological capital of nurses, actively creating a benign work and learning environment, and enhancing their personal accomplishment and professional values.
引文
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[14]陈海燕,李红政,王骞,等.军人正性负性情绪在情绪智力与生活满意度间的多重中介效应[J].中国心理卫生杂志,2018,32(2):155-159.
[15]何艺,宾捷,杨新辉,等.化疗期肺癌患者心理弹性与正负性情绪的相关性研究[J].解放军护理杂志,2018,35(11):29-31.
[16]秦玉婷,李玉丽,刘杰,等.护理本科生心理资本在儿童期创伤与述情障碍关系中的中介作用[J].中国心理卫生杂志,2018,32(6):531-536.
[17]周松.ICU护士情绪劳动、职业价值观与工作倦怠的关系研究[D].南昌:南昌大学,2018.
[18]肖晓玲,胡秋秋,刘玉萍,等.护士职业获益感及其对职业倦怠影响的研究[J].中国护理管理,2014,14(1):56-60.
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[20]周立臣.某县医院护理人员职业倦怠现状及其影响因素研究[D].长春:吉林大学,2017.
[21]王卫兰.主管工作-家庭冲突对辱虐管理的影响研究:基于情感事件理论的分析[D].南宁:广西大学,2017.
[22] Amber K,Worthington,Roxanne L,et al. Spirituality,illness unpredictability,and math anxiety effects on negative affect and affect-management coping for individuals diagnosed with alpha-1 antitrypsin deficiency[J]. Health Commun,2018,33(4):363-371.
[23]沈清玉,刘琪希.某医院护士职业倦怠的调查及分析[J].中外医学研究,2017,15(14):66-67.
[24] Jones MC,Smith K,Herber O,et al. Intention,beliefs and mood assessed using electronic diaries predicts attendance at cardiac rehabilitation:An observational study[J].Int J Nurs Stud,2018,88:143-152.
[25]朱俊鹏,仇雅菊,廖峥娈,等.医务人员焦虑和抑郁状况及其影响因素分析[J].中国现代医生,2017,55(36):94-97.
[26] Krajewski W,Mazur M,Poterek A,et al. Assessment of pain manage-ment,acceptance of illness,and adjustment to life with cancer in patients with nonmuscle invasive bladder cancer[J]. Biomed Res Int,2018,22:7598632.
[2] Treglown L,Zivkov K,Zarola A. Intention to quit and the role of dark personality and perceived organizational support:a moderation and mediation model[J]. PLoS One,2018,13(3):e0195155.
[3]李焕焕,邢庄婕,李媛,等.护士留职意愿干预的研究进展[J].中华护理杂志,2017,52(8):1007-1009.
[4] NowackaA,Piskorz A,Wolfshaut-Wolak R,et al. Selected socio-demographic and occupational factors of burnout syndrome in nurses employed in medical facilities in Ma-覥opolska—Preliminary Results[J]. Int J Environ Res Public Health,2018,15(10):2083.
[5] Mehrabian F,Baghizadeh K,Alizadeh I. The relationship between empower-ment,occupational burnout,and job stress among nurses in Rasht Medical Education Centers:A dataset[J]. Data Brief,2018,20:1093-1098.
[6] Zhang W,Meng H,Yang S,et al. The influence of professional identity,job satisfaction,and work engagement on turnover intention among township health inspectors in China[J]. Int J Environ Res Public Health,2018,15(5):988.
[7] Middleton N,Andreou P,Karanikola M,et al. Investigation into the metric properties of the workplace social capital questionnaire and its association with self-rated health and psychological distress amongst Greek-Cypriot registered nurses:cross-sectional descriptive study[J]. BMC Public Health,2018,18:1061.
[8]陈霞,胡娟,摆婷,等.护士心理资本对职业倦怠、离职意愿的影响研究[J].护理研究,2017,31(8):941-944.
[9] Estiri M,Nargesian A,Dastpish F,et al. The impact of psychological capital on mental health among Iranian nurses:considering the mediating role of job burnout[J].Springerplus. 2016,5(1):1377.
[10]包桉冰.手术室护士心理资本与职业倦怠现况及影响因素的研究[D].南京:南京中医药大学,2018.
[11] Bauernhofer K,Bassa D,Canazei M,et al. Subtypes in clinical burnout patients enrolled in an employee rehabilitation program:differences in burnout profiles,depression,and recovery/resources-stress balance[J]. BMC Psychiatry,2018,18:10.
[12] Sestili C,Scalingi S,Cianfanelli S,et al. Reliability and use of copenhagen burnout inventory in italian sample ofuniversity professors[J]. Int J Environ Res Public Health,2018,15(8):1708.
[13]李佳欢,孙继伟,柴娜,等.情绪调节在护士职业压力与职业倦怠间的中介效应[J].中国实用护理杂志,2017,33(22):144-148.
[14]陈海燕,李红政,王骞,等.军人正性负性情绪在情绪智力与生活满意度间的多重中介效应[J].中国心理卫生杂志,2018,32(2):155-159.
[15]何艺,宾捷,杨新辉,等.化疗期肺癌患者心理弹性与正负性情绪的相关性研究[J].解放军护理杂志,2018,35(11):29-31.
[16]秦玉婷,李玉丽,刘杰,等.护理本科生心理资本在儿童期创伤与述情障碍关系中的中介作用[J].中国心理卫生杂志,2018,32(6):531-536.
[17]周松.ICU护士情绪劳动、职业价值观与工作倦怠的关系研究[D].南昌:南昌大学,2018.
[18]肖晓玲,胡秋秋,刘玉萍,等.护士职业获益感及其对职业倦怠影响的研究[J].中国护理管理,2014,14(1):56-60.
[19]江艳华.民营医院护士职业认同、职业倦怠和离职意愿关系研究[D].芜湖:皖南医学院,2018.
[20]周立臣.某县医院护理人员职业倦怠现状及其影响因素研究[D].长春:吉林大学,2017.
[21]王卫兰.主管工作-家庭冲突对辱虐管理的影响研究:基于情感事件理论的分析[D].南宁:广西大学,2017.
[22] Amber K,Worthington,Roxanne L,et al. Spirituality,illness unpredictability,and math anxiety effects on negative affect and affect-management coping for individuals diagnosed with alpha-1 antitrypsin deficiency[J]. Health Commun,2018,33(4):363-371.
[23]沈清玉,刘琪希.某医院护士职业倦怠的调查及分析[J].中外医学研究,2017,15(14):66-67.
[24] Jones MC,Smith K,Herber O,et al. Intention,beliefs and mood assessed using electronic diaries predicts attendance at cardiac rehabilitation:An observational study[J].Int J Nurs Stud,2018,88:143-152.
[25]朱俊鹏,仇雅菊,廖峥娈,等.医务人员焦虑和抑郁状况及其影响因素分析[J].中国现代医生,2017,55(36):94-97.
[26] Krajewski W,Mazur M,Poterek A,et al. Assessment of pain manage-ment,acceptance of illness,and adjustment to life with cancer in patients with nonmuscle invasive bladder cancer[J]. Biomed Res Int,2018,22:7598632.