工作连通行为对护理人员工作生活质量的影响

摘要/Abstract

摘要： 目的了解深圳市三级医院护理人员工作连通行为、心理脱离、工作家庭边界控制感和工作生活质量现状,并探索工作连通行为对护理人员工作生活质量的影响：心理脱离和工作家庭边界控制感的多重中介作用。方法 2020年6—9月采用一般情况调查、工作性通信工具使用量表、心理脱离量表、边界控制感问卷及工作相关生活质量量表对深圳市3所三级医院共378名临床护理人员进行问卷调查,并对数据进行分析。结果深圳市3所三级医院378名护理人员工作连通行为总分为（11.31±2.88）分;心理脱离总分为（7.51±2.96）分,工作家庭边界控制感得分为（22.77±4.77）分,工作生活质量得分为（108.74±18.10）分。护理人员工作连通行为与心理脱离、工作家庭边界控制感、工作生活质量均呈负相关（r=-0.387、-0.313、-0.281,均P<0.01）;心理脱离与工作家庭边界控制感、工作生活质量呈正相关（r=0.163、0.360,均P<0.01）;工作家庭边界控制感与工作生活质量呈正相关（r=0.282,P<0.01）。连通行为不仅对工作生活质量有直接负向的预测作用（直接效应为0.31,占总效应的40.26%）,而且还能分别通过心理脱离和工作家庭边界控制感间接对工作生活质量进行预测（间接效应分别为0.22、0.24,占总效应分别为28.57%、31.17%）,其中工作连通行为对心理脱离有负向预测作用（β=-0.44,P<0.01）,心理脱离对工作生活质量有正向预测作用（β=0.49,P<0.01）;工作连通行为对工作家庭边界控制感有负向预测作用（β=-0.39,P<0.01）,工作家庭边界控制感对工作生活质量有正向预测作用（β=0.61,P<0.01）。结论心理脱离和工作家庭边界控制感在工作连通行为对护理人员工作生活质量的影响中有多重中介作用。提示护理管理者应适当使用非工作时间工作相关的手机使用频率。其次,护理人员可以尝试主动参与工作以外的业余活动,以获得放松身心,进而以更好的状态投入工作和提高工作生活质量。

关键词: 工作连通行为, 心理脱离, 工作家庭边界控制感, 工作生活质量

Abstract: Objective To explore the status of work connectivity behavior,psychological detachment,perceived work-family boundary control,and work-related quality of life among nurses in grade-A tertiary hospitals of Shenzhen City,explore the impact of work connectivity behavior on quality of work and life of nurses,as well as the multiple mediating effects of psychological detachment and work-family boundary control. Methods From June to September 2020,378 clinical nursesfrom threegrade-A tertiary hospitals of Shenzhen City were investigated by the general situation survey,work communication tool use scale,psychological detachment scale,sense of boundary control questionnaire,and work related quality of life scale,and the data were analyzed. Results The total scores of work connectivity behavior,psychological detachment,perceived work-family boundary control,and work-related quality of life among nurses in three grade-A tertiary hospitals of Shenzhen City were （11.31±2.88）,（7.51±2.96）,（22.77±4.77） and （108.74±18.10）points,respectively. The work connectivity behavior of nurses was negatively correlated with psychological detachment,work-family boundary control,and work-related quality of life（r=-0.387,-0.313,-0.281,all P<0.01）.The psychological detachment was positively correlated with perceived work-family boundary control,and work-related quality of life（r=0.163,0.360,both P<0.01）. The perceived work-family boundary control was positively correlated with work-related quality of life（r=0.282,P<0.01）. The connectivity behaviornot only had a direct negative predictive effect on work-related quality of life（the direct effect was 0.31,accounting for 40.26% of the total effect）,but also indirectly affected work-related quality of life through psychological detachment andperceived work-family boundary control respectively（indirect effects were 0.22 and 0.24,accounting for 28.57% and 31.17% of total effects respectively）. The work connectivity behavior had a negative predictive effect on psychological detachment（β=-0.44,P<0.01）,and psychological detachment had a negative predictive effect on work-related quality of life（β=0.49,P<0.01）. The work connectivity behavior had a negative predictive effect onperceived work-family boundary control（β=-0.39,P<0.01）,and perceived work-family boundary control had a negative predictive effect onwork-related quality of life（β=-0.39,P<0.01）. Conclusions The psychological detachment and perceived work-family boundary control have multiple mediating effects on the impact of work connectivity behavior on the work-related quality of life of nursing staff. It is suggested that the nursing manager should be reminded to appropriately use the frequency of mobile phone use related to off-hours work. Secondly,nursing staff can try to actively participate in leisure activities outside work,so as to obtain physical and mental relaxation,and then devote themselves to work and work life quality in a better state.

Key words: Work connectivity behavior, Psychological detachment, Perceived work-family boundary control, Work-related quality of life

中图分类号:

R192.6

谭杏, 熊海燕, 庞倩, 郑玉杰. 工作连通行为对护理人员工作生活质量的影响. [J]职业与健康, 2023, 39(10): 1364-1369.

TAN Xing, XIONG Hai-yan, PANG Qian, ZHENG Yu-jie. Impact of work connectivity behavior on quality of work and life of nurses. [J]OCCUPATION AND HEALTH, 2023, 39(10): 1364-1369.

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