工作重塑与工作繁荣在临床护士组织支持感与创新行为间的链式中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (12): 1630-1635.

工作重塑与工作繁荣在临床护士组织支持感与创新行为间的链式中介作用

蒋元源¹, 沈周敏², 李嫔¹, 龙维念¹, 蔡益民²

1.湖南师范大学医学部护理学院,湖南长沙 410013;
2.湖南省人民医院（湖南师范大学附属第一医院）护理部,湖南长沙 410005

收稿日期:2024-10-27 修回日期:2024-11-03 出版日期:2025-06-15 发布日期:2025-12-11
通信作者: 蔡益民,主任护师,E-mail：158460107@qq.com
作者简介:蒋元源,女,在读硕士研究生,研究方向为临床护理。

Chain mediating effect of job crafting and thriving at work on nursing organizational support and innovative behavior

JIANG Yuanyuan¹, SHEN Zhoumin², LI Pin¹, LONG Weinian¹, CAI Yimin²

1. School of Nursing, Hunan Normal University Health Science Center, Changsha, Hunan 410013, China;
2. Department of Nursing, Hunan Provincial People's Hospital（The First Affiliated Hospital of Hunan Normal University）, Changsha, Hunan 410005, China

Received:2024-10-27 Revised:2024-11-03 Online:2025-06-15 Published:2025-12-11
Contact: CAI Yimin,Chief nurse,E-mail：158460107@qq.com

摘要/Abstract

摘要： 目的探讨工作重塑与工作繁荣在临床护士组织支持感和创新行为间的链式中介作用,为管理者实施干预策略,提升临床护士创新行为提供科学、有效的理论依据。方法采用便利抽样法,于2024年1—4月选取湖南省长沙市4所三级甲等医院553名临床护士作为研究对象,采用自制一般资料问卷、组织支持感量表、工作重塑量表、工作繁荣量表和创新行为量表对临床护士进行调查,并对数据进行分析。结果临床护士组织支持感总分为（41.52±9.29）分,工作重塑总分为（60.89±9.95）分,工作繁荣总分为（42.21±7.36）分,创新行为总分为（30.19±5.24）分。临床护士组织支持感、工作重塑、工作繁荣与创新行为均呈正相关（均P<0.05）。临床护士组织支持感对创新行为的直接效应值为0.203（P<0.05）,组织支持感可以正向预测工作重塑[路径系数为0.325（P<0.05）]和工作繁荣[路径系数为0.205（P<0.05）],工作重塑和工作繁荣对临床护士组织支持感与创新行为间的中介效应显著,中介总效应值为0.084。主要存在3条中介效应链,分别占总效应的20.09%、10.69%和5.24%。结论临床护士创新行为处于中等水平,组织支持感可以分别通过工作重塑与工作繁荣的中介作用和链式中介作用影响临床护士的创新行为。

关键词: 临床护士, 创新行为, 工作繁荣, 工作重塑, 组织支持感, 链式中介

Abstract: Objective To explore the chain mediating role of job crafting and thriving at work on the sense of organizational support and innovative behavior of clinical nurses,and to provide scientific and effective theoretical basis for managers to implement intervention strategies and improve the innovative behavior of clinical nurses. Methods Convenience sampling was used to select 553 clinical nurses from four grade-A tertiary hospitals in Changsha of Hunan Province from January to April 2024 as the research subjects. A self-made general information questionnaire,perceived organizational support scale,job crafting scale,work thriving scale,and innovation behavior scale were used to survey the clinical nurses,and the data were analyzed Results The total score of clinical nurses' organizational support was （41.52±9.29）points,the total score of job crafting was （60.89±9.95）points,the total score of thriving at work was （42.21±7.36）points,and the total score of innovative behavior was （30.19±5.24）points. Clinical nurses' organizational support,job crafting,thriving at work were positively correlated with innovative behaviors（all P<0.05）. The direct effect value of perceived organizational support on innovative behavior among clinical nurses was 0.203（P<0.05）. Perceived organizational support could positively predict job crafting（path coefficient=0.325,P<0.05） and work thriving（path coefficient=0.205,P<0.05）. Job crafting and work thriving significantly mediated the relationship between perceived organizational support and innovative behavior among clinical nurses,with a total mediating effect value of 0.084. There were mainly three intermediary effect chains,accounting for 20.09%,10.69%,and 5.24% of the total effect,respectively. Conclusion The innovative behavior of clinical nurses is at a moderate level,and organizational support can affect their innovative behavior through the mediating effects of job reshaping and job prosperity,as well as a chain mediating effect.

Key words: Clinical nurse, Innovative behavior, Thriving at work, Job crafting, Perceived organizational support, Chain intermediary

中图分类号:

R192.6

蒋元源, 沈周敏, 李嫔, 龙维念, 蔡益民. 工作重塑与工作繁荣在临床护士组织支持感与创新行为间的链式中介作用. [J]职业与健康, 2025, 41(12): 1630-1635.

JIANG Yuanyuan, SHEN Zhoumin, LI Pin, LONG Weinian, CAI Yimin. Chain mediating effect of job crafting and thriving at work on nursing organizational support and innovative behavior. [J]OCCUPATION AND HEALTH, 2025, 41(12): 1630-1635.

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