临床一线护士职场精神力和主动性行为在职业召唤与职业高原间的链式中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (10): 1367-1372.

临床一线护士职场精神力和主动性行为在职业召唤与职业高原间的链式中介作用

钱雪梅¹, 顾咏梅¹, 姚锡玲², 沈玉洁³

1.南通大学附属海安市人民医院重症医学科,江苏南通 226600;
2.南通大学公共卫生学院,江苏南通 226007;
3.南通大学第二附属医院眼科护理部,江苏南通 226006

收稿日期:2024-07-29 修回日期:2024-08-25 出版日期:2025-05-15 发布日期:2025-12-18
作者简介:钱雪梅,女,主管护师,主要从事重症医学临床护理与管理工作。
基金资助:
江苏省自然科学基金（J20230026）

Chain mediating effects of workplace spirituality and proactive behavior on occupational calling and occupational plateau of clinical front-line nurses

QIAN Xuemei¹, GU Yongmei¹, YAO Xiling², SHEN Yujie³

1. Department of Critical Medicine,Haian People's Hospital Affiliated to Nantong University,Nantong,Jiangsu 226600,China;
2. School of Public Health,Nantong University,Nantong,Jiangsu 226007,China;
3. Nursing Department of Ophthalmology,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu 226006,China

Received:2024-07-29 Revised:2024-08-25 Online:2025-05-15 Published:2025-12-18

摘要/Abstract

摘要： 目的了解临床一线护士职业召唤、职场精神力、主动性行为与职业高原现状及关系。方法 2023年11月—2024年2月,利用便利抽样法,选取南通市6所三级综合医院的479名临床一线护士作为调查对象。利用包含自制资料调查表、职业召唤量表、职场精神力量表、主动表现行为测评表和职业高原量表等内容的“问卷星”进行调查,并对数据进行分析。结果临床一线护士职业召唤得分为（37.78±5.47）分,职场精神力得分为（108.39±10.62）分,主动性行为得分为（36.43±3.58）分,职业高原得分为（54.75±9.53）分。职业召唤、职场精神力、主动性行为与职业高原均呈负相关（均P<0.01）。职场精神力在职业召唤与职业高原间起部分中介作用,中介效应为-0.127,占总效应的19.4%;主动性行为在职业召唤与职业高原间起部分中介作用,中介效应为-0.110,占总效应的16.8%;职场精神力、主动性行为在职业召唤与职业高原间起链式中介效应,链式中介效应为-0.076,占中介效应的11.6%。结论职业召唤不仅可直接影响临床一线护士职业高原,还可通过职场精神力和主动性行为的链式中介作用间接影响职业高原。

关键词: 临床一线护士, 职场精神力, 主动性行为, 职业召唤, 职业高原, 中介效应

Abstract: Objective To understand the current status and relationship of workplace spirituality,proactive behavior,occupational calling and occupational plateau among clinical front-line nurses. Methods From November 2023 to February 2024,a total of 479 front-line clinical nurses from six tertiary general hospitals in Nantong City were selected as survey subjects by convenience sampling method. The questionnaire star,which includes self-made data questionnaire,occupational calling scale,workplace spirituality scale,proactive behavior evaluation form and occupational plateau scale were used for the survey and the data were analyzed. Results The occupational calling score of clinical front-line nurses was （37.78±5.47）points,the workplace spirituality score was （108.39±10.62）points,the proactive behavior score was （36.43±3.58）points and the occupational plateau score was （54.75±9.53）points. Correlation analysis showed that occupational calling,workplace spirituality and proactive behavior were negatively correlated with occupational plateau（all P<0.01）. Workplace spirituality played a partial mediating role between occupational calling and occupational plateau,and the mediating effect was -0.127,accounting for 19.4% of the total effect. Proactive behavior played a partial mediating role between occupational calling and occupational plateau,and the mediating effect was -0.110,accounting for 16.8% of the total effect. Workplace spirituality and proactive behavior had a chain mediating effect between occupational calling and occupational plateau,and the chain mediating effect was -0.076,accounting for 11.6% of the total connection effect. Conclusion Occupational calling can not only directly affect the occupational plateau of clinical front-line nurses,but also indirectly affect the occupational plateau through the chain mediation effect of workplace spirituality and proactive behavior.

Key words: Clinical front-line nurses, Workplace spirituality, Proactive behavior, Occupational calling, Occupational plateau, Mediating effect

中图分类号:

R181.3⁺1

钱雪梅, 顾咏梅, 姚锡玲, 沈玉洁. 临床一线护士职场精神力和主动性行为在职业召唤与职业高原间的链式中介作用. [J]职业与健康, 2025, 41(10): 1367-1372.

QIAN Xuemei, GU Yongmei, YAO Xiling, SHEN Yujie. Chain mediating effects of workplace spirituality and proactive behavior on occupational calling and occupational plateau of clinical front-line nurses. [J]OCCUPATION AND HEALTH, 2025, 41(10): 1367-1372.

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