护士敬业度影响因素与心理安全感的相关性研究
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摘要
目的调查护士敬业度和心理安全感现状,分析二者之间相关性及敬业度的影响因素,为提升护士敬业度提供依据。方法 2018年8—9月,采用一般资料调查表、心理安全感量表(SQ)及盖洛普Q12调查表(GWA)对天津市3所三级甲等医院的414名护士进行问卷调查。结果敬业度总分为24.87±4.57,处于中等水平;护士心理安全感总分为54.76±7.17。护士心理安全感总分与敬业度总分之间呈正相关(r=0.446,P<0.01)。多元线性逐步回归分析显示,护龄、确定控制感和人际安全感是影响护士敬业度的主要因素,可解释总体变异的36.2%。结论护士心理安全感与敬业度之间有正性影响作用,护理管理者应重视护士尤其是低年资护士的心理安全感,以提升护士敬业度,从而提升护理质量并稳定护理梯队。
[Objective]To investigate the status quo of nurses' engagement and psychological security, analyze the correlation between them and the influencing factors of engagement, and provide the basis for improving nurses' engagement. [Methods] A questionnaire survey was conducted among 414 nurses in three grade-A tertiary hospitals in Tianjin using the General Information Questionnaire, Mental Safety Scale(SQ) and Gallup Q12 Questionnaire(GWA) from August to September 2018.[Results]The total score of engagement was 24.87 ±4.57, which was at a medium level. The total score of nurses' psychological security was54.76 ±7.17. There was a positive correlation between the total score of nurses' psychological security and the total score of engagement(r =0.446,P <0.01). Multivariate linear stepwise regression analysis showed that length of service, control and interpersonal safety were the main factors affecting nurses' engagement, which explained 36.2% of the overall variation.[Conclusion]There is a positive influence between nurses' psychological security and engagement. Nursing managers should pay attention to the psychological safety of nurses, especially junior nurses, in order to improve nurses' professionalism, thereby improving the quality of nursing care and stabilizing the nursing echelon.
[Objective]To investigate the status quo of nurses' engagement and psychological security, analyze the correlation between them and the influencing factors of engagement, and provide the basis for improving nurses' engagement. [Methods] A questionnaire survey was conducted among 414 nurses in three grade-A tertiary hospitals in Tianjin using the General Information Questionnaire, Mental Safety Scale(SQ) and Gallup Q12 Questionnaire(GWA) from August to September 2018.[Results]The total score of engagement was 24.87 ±4.57, which was at a medium level. The total score of nurses' psychological security was54.76 ±7.17. There was a positive correlation between the total score of nurses' psychological security and the total score of engagement(r =0.446,P <0.01). Multivariate linear stepwise regression analysis showed that length of service, control and interpersonal safety were the main factors affecting nurses' engagement, which explained 36.2% of the overall variation.[Conclusion]There is a positive influence between nurses' psychological security and engagement. Nursing managers should pay attention to the psychological safety of nurses, especially junior nurses, in order to improve nurses' professionalism, thereby improving the quality of nursing care and stabilizing the nursing echelon.
引文
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[20]曾珍,叶增杰,胡蕖,等.护士心理韧性对压力负荷、心理健康水平和职业获益感的中介效应[J].广东医学,2018,39(15):2352-2355.
[21]王姣,罗冬梅,张英伟,等.长沙市临床护士职业紧张与心理安全感的现状及其相关性[J].职业与健康,2016,32(12):1623-1625.
[22]ZEYTINOGLU IU,DENTON M,PLENDERLEITH JM.Flexible employment and nurses'intention to leave the profession:The role of support at work[J].Health Policy,201l,99(2):149-157.
[2]MAY DR,GILSON RL,HARTER LM.The Psychological Conditions of Meaningfulness,Safety and Availability and the Engagement of the Human Spirit at Work[J].J Occup Organ Psych,2004,7(1):11-37.
[3]徐雁,孟庆慧,范晓婷,等.山东省三甲医院护士工作敬业度与职业价值观的相关性研究[J].中国实用护理杂志,2014,30(35):25-28.
[4]刘芬.企业知识型员工敬业度与工作绩效的关系研究[D].济南:山东大学,2012:23-26
[5]李珂珂.医务人员工作敬业度的初步研究[D].重庆:重庆师范大学,2011:49-50
[6]丛中,安莉娟.安全感量表的初步编制及信度、效度检验[J].中国心理卫生杂志,2004,18(2):97-99.
[7]BROECK A,VANSTEENKISTE M,WITTE HD.Explaining the relationships between job characteristics,burnout,and engagement:The role of basic psychological need satisfaction[J].Work&Stress,2008,22(3):277-294.
[8]严明琦,康磊.团队心理安全与临床护士职业应对效能感的相关性研究[J].护理学杂志,2017,32(22):59-61.
[9]王姣,张英伟,王青青,等.长沙市三级甲等医院护士工作能力和心理安全感现状及其影响因素[J].护理研究:上旬版,2016,30(9):3161-3164.
[10]SONNENTA S.Recovery work engagement,and proactive behavior:a new look at the interface between nonwork and work[J].J Appl Psychol,2003(88):518-528.
[11]王小燕,钱湘云,黄红霞.临床一线护士安全感调查分析[J].中华现代护理杂志,2014,20(4):437-439.
[12]林静,刘强.三级医院护患关系的调查与讨论[J].辽东学院学报(自然科学版),2015,22(2):129-132.
[13]景颖颖,唐丽春,万婕.护护关系及其影响因素研究[J].护理管理杂志,2017,17(11):769-772.
[14]舒春梅,赵庆华.三级综合医院医护合作现状调查及影响因素分析[J].护理学杂志,2016,31(19):48-52.
[15]王凝,王申,刘晓慧.天津市护士工作环境、敬业度现状及其相关性分析[J].护理研究,2017,31(9):1061-1064.
[16]李美茹,程彬.护理管理者变革型领导行为与护理人员敬业度的相关性研究[J].护理研究:下旬版,2016,30(3):294-296.
[17]徐旭东,金奕,李淑兰,等.急诊科护士工作敬业度现状及影响因素研究[J].中国实用护理杂志,2016,32(31):2461-2464.
[18]黄永明.三峡库区某县级医院护士心理安全感调查[J].科学咨询,2014(20):19-20.
[19]包英群,郑元连.急诊科护理人员心理弹性与社会支持、心理健康状况的相关性研究[J].医院管理论坛,2018,35(9):35-38,49.
[20]曾珍,叶增杰,胡蕖,等.护士心理韧性对压力负荷、心理健康水平和职业获益感的中介效应[J].广东医学,2018,39(15):2352-2355.
[21]王姣,罗冬梅,张英伟,等.长沙市临床护士职业紧张与心理安全感的现状及其相关性[J].职业与健康,2016,32(12):1623-1625.
[22]ZEYTINOGLU IU,DENTON M,PLENDERLEITH JM.Flexible employment and nurses'intention to leave the profession:The role of support at work[J].Health Policy,201l,99(2):149-157.