四川省三级甲等医院外科护士变革型领导、组织承诺与工作沉浸间的相关分析

摘要/Abstract

摘要： 目的调查四川省三级甲等医院外科护士变革型领导、组织承诺与工作沉浸的现状,分析组织承诺的中介效应。方法采用横断面研究设计,于2022年7—8月选取四川省8所三级甲等医院346名外科护士为调查对象,采用一般资料调查表、变革型领导量表、组织承诺量表及工作沉浸量表进行调查,采用AMOS 22.0进行组织承诺在变革型领导与工作沉浸中的中介效应分析。结果三级甲等医院外科护士变革型领导得分为（85.61±19.18）分,组织承诺得分为（80.19±19.18）分,工作沉浸得分为（40.92±10.91）分。差异性分析显示,不同性别、教育水平、工作年限、岗位类别及是否承担临床教学任务的外科护士变革型领导得分比较,差异均有统计学意义（均P<0.05）;不同性别、教育水平、工作年限、人事关系、岗位类别、是否专科护士及是否承担临床教学任务的外科护士组织承诺得分比较,差异均有统计学意义（均P<0.05）;不同性别、教育水平、工作年限、月均收入、是否专科护士及是否承担临床教学任务的外科护士工作沉浸得分比较,差异均有统计学意义（均P<0.05）。相关分析显示,三级甲等医院外科护士变革型领导、组织承诺各维度及总分与工作沉浸各维度及总分均呈正相关（均P<0.05）。中介效应分析显示,组织承诺在三级甲等医院外科护士变革型领导与工作沉浸间具有正向促进作用,其中介效应为0.104,占总效应的16.46%。结论四川省三级甲等医院外科护士工作沉浸处于中等水平,有待进一步采取针对性干预措施改善护士工作沉浸状态。其中组织承诺与变革型领导在改善护士工作沉浸中起重要作用,提高护士变革型领导和组织承诺有利于改善护士工作沉浸。

关键词: 外科, 护士, 变革型领导, 组织承诺, 工作沉浸, 中介效应

Abstract: Objective To investigate the status quo of transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province,analyze the mediating effect of organizational commitment. Methods A cross-sectional study was conducted to select 346 surgical nurses from eight grade-A tertiary hospitals in Sichuan Province from July to August 2022. The general information questionnaire,transformational leadership scale,organizational commitment scale and work immersion scale were used to collect survey data. AMOS 22.0 was used to analyze the mediating effect of organizational commitment in transformational leadership and work immersion. Results The scores of transformational leadership,organizational commitment and work immersion of surgical nurses ingrade-A tertiary hospitals were （85.61±19.18）,（80.19±19.18） and （40.92±10.91）points,respectively. The difference analysis showed that there were statistically significant differences in the scores of transformational leadership among surgical nurses with different gender,education level,working years,job category and whether they undertook clinical teaching tasks（all P<0.05）. There were statistically significant differences in the scores of organizational commitment among surgical nurses with different genders,education levels,working years,personnel relations,job categories,whether they were specialist nurses,and whether they undertook clinical teaching tasks（all P<0.05）. There were statistically significant differences in the scores of work immersion among surgical nurses with different gender,education level,working years,average monthly income,whether they were specialist nurses or not,and whether they undertook clinical teaching tasks（all P<0.05）. The correlation analysis showed that the dimensions scoresand total scores of transformational leadership and organizational commitment were positively correlated with the dimensions scoresand total scores of work immersion in surgical nurses ingrade-A tertiary hospitals（all P<0.05）. The mediating effect analysis showed that organizational commitment had a positive effect on the relationship between transformational leadership and work immersion of surgical nurses ingrade-A tertiary hospitals,and mediating effect was 0.104,accounting for 16.46% of the total effect. Conclusion The work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province is at a medium level,and further targeted interventions are needed to improve nurses' work immersion status. Among them,organizational commitment and transformational leadership play an important role in improving nurses' work immersion.Improving nurses' transformational leadership and organizational commitment is conducive to improving nurses' work immersion.

Key words: Surgery, Nurses, Transformational leadership, Organizational commitment, Work immersion, Mediating effect

中图分类号:

R181.3⁺1

邓小娇, 徐兴英, 卢怡, 孙娟, 杨丽华, 王小为. 四川省三级甲等医院外科护士变革型领导、组织承诺与工作沉浸间的相关分析. [J]职业与健康, 2023, 39(21): 2923-2927.

DENG Xiaojiao, XU Xingying, LU Yi, SUN Juan, YANG Lihua, WANG Xiaowei. Correlation analysis on transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2023, 39(21): 2923-2927.

参考文献

[1] 胡哲,赵益,杨阳,等.213名护士工作沉浸感与工作满意度相关性分析[J].护理学报,2019,26(5):41-44.
[2] 周丹,王静,卜元园,等.护士工作沉浸体验及工作旺盛感与创新行为的关系[J].护理学杂志,2021,36(12):1-4.
[3] 侯忠妍,王雪静.南京市5家三级甲等医院外科护士恢复体验、心理资本对职业倦怠的影响[J].职业与健康,2022,38(17):2309-2314.
[4] 高倩,王明欣,周春姣,等.压力知觉和隐性缺勤在三级甲等医院外科护士工作-家庭冲突和职业倦怠间的链式中介作用[J].职业与健康,2022,38(16):2177-2181.
[5] COUN M J H,EDELBROEK R,PETERS P,et al.Leading innovative work-behavior in times of covid-19:relationship between leadership style,innovative work-behavior,work-related flow,and it-enabled presence awareness during the first and second wave of the COVID-19 pandemic[J].Front Psychol,2021,12:717345.
[6] 肖孟鹃,赵天霞,文艳红.四川省8所三级甲等医院呼吸内科医务人员变革型领导风格?职业嵌入现状及其对职业倦怠的影响[J].职业与健康,2022,38(14):1887-1892.
[7] BAIRD K M,TUNG A,YU Y.Employee organizational commitment and hospital performance[J].Health Care Manage Rev,2019,44(3):206-215.
[8] 彭晶. 酒店变革型领导对员工工作沉浸的影响研究[D].长沙:湖南师范大学,2016.
[9] 卓子欣,蔡文伯.幼儿园园长领导风格对幼儿教师组织承诺和创造力影响的实证研究[J].陕西学前师范学院学报,2021,37(3):85-95.
[10] 李超平,时勘.变革型领导的结构与测量[J].心理学报,2005(6):97-105.
[11] 凌文辁,张治灿,方俐洛.中国职工组织承诺研究[J].中国社会科学,2001(2):90-102,206.
[12] 祝丽怜. 员工工作沉浸及其对工作绩效的影响[D].武汉:华中科技大学,2013.
[13] 朱崇宽,张园园.护士角色宽度自我效能现状及影响因素分析[J].护理学杂志,2021,36(23):58-61.
[14] 薛会元,宋科,朱可可,等.郑州市三甲医院护士长科研能力与职业认同相关性分析[J].河南医学研究,2021,30(23):4271-4276.
[15] 张梦,张萍,刘于.护理变革型领导能力的培养研究进展[J].当代护士(下旬刊),2021,28(10):49-52.
[16] 张梦霞,汪晖,尹世玉,等.湖北省18所三级甲等医院护士长变革型领导力调查[J].护理学杂志,2021,36(3):74-77.
[17] 张政,秦德春.护士组织承诺现状调查研究[J].护理管理杂志,2019, 19(3):192-195.
[18] 王思钰,刘昊,吕冬梅,等.护士长工作嵌入、组织承诺与角色绩效的关系研究[J].中国医院管理,2019,39(7):66-68.
[19] 王艺园,王伟,王艳梅,等.临床护理人员组织承诺水平及影响因素分析[J].中国卫生资源,2022,25(2):199-204,216.
[20] 胡哲,赵益,杨阳,等.213名护士工作沉浸感与工作满意度相关性分析[J].护理学报,2019,26(5):41-44.
[21 ] 李远珍,王聪智,汪苗,等.安徽省三级甲等医院护士的患者安全态度现状及影响因素分析[J].中国循证医学杂志,2020,20(1):13-16.
[22] 盛路平,夏燕,许祥华.手术室护士工作沉浸状况及其相关性分析[J].全科护理,2022,20(10):1421-1424.
[23] 兰佳庆,魏继平,冯玉荣,等.变革型领导行为与护理人员组织承诺的关系研究[J].中国实用护理杂志,2014,30(7):70-72.
[24] 于小桂,侯爱和,李桂兰,等.护士组织承诺与工作沉浸的相关性研究[J].护理学报,2015,22(8):4-7.
[25] 冯婷,胡雪慧,苏景宽.军队医院护士长变革型领导行为与聘用护士的团队凝聚力及团队绩效的关系[J].广西医学,2020,42(23):3135-3138.
[26] 方茜,蒋维连,柏晓玲,等.护士感知的组织氛围对护士工作沉浸的影响[J].中国实用护理杂志,2016,32(2):146-149.