关键词: 急诊科, 护士, 工余塑造, 职业召唤, 工作环境, 影响因素

Abstract: Objective To investigate the current situation of leisure crafting level among emergency department nurses in Shandong Province and analyze its influencing factors,providing new ideas for the training of emergency department nurses and reference and basis for nursing managers to formulate relevant intervention measures. Methods From May to June 2023,a convenience sampling method was adopted to select emergency department nurses from 10 hospitals in Shandong Province as the survey subjects. General information questionnaire,leisure crafting scale,the career calling scale and nurses working environment scale were used for questionnaire survey,and the data were analyzed. Results The leisure crafting score of nurses in emergency department was （32.42±8.08）points,the career calling score was （43.94±10.37）points,and the working environment score was （95.08±15.57）points. The total score of leisure crafting was positively correlated with the total score of career calling and nursing working environment and scores of all dimensions（r=0.513-0.956,all P<0.01）. Hospital grade,years of emergency nursing work, whether they were acute and critical care nurses,their attitude towards emergency nursing work,career calling and nursing work environment were the main influencing factors of nurses' leisure crafting level in emergency department,which could explain 53.0% of the total variation of regression equation. Conclusion The level of leisure crafting of nurses in emergency department in Shandong Province is at a moderate level. The higher the hospital grade,the shorter the working life of emergency nursing,as emergency and critical care specialist nurses,the more the nurses were interested in emergency nursing,and the higher the leisure crafting level was. Meanwhile,career calling and the working environment of nurses were also influencing factors for leisure crafting for emergency department nurses. Nursing managers should take targeted intervention measures,and try to stimulate nurses' occupational potential from the perspective of positive psychology,such as improving their occupational calling sense,creating a good department cultural atmosphere,and building a supportive professional environment to improve their leisure crafting level,so as to promote nurses' career development.

Key words: Emergency department, Nurse, Leisure crafting, Career calling, Work environment, Influencing factors