职业与健康 ›› 2025, Vol. 41 ›› Issue (14): 1946-1951.

• 论著 • 上一篇    下一篇

工作场所暴力对低年资护士职业认同的影响

刘波1, 蔡汶倩1, 孙悦1, 陈娇1, 吴德全1,2   

  1. 1.安徽医科大学护理学院,安徽 合肥 230032;
    2.安徽医科大学第二附属医院感染管理办公室,安徽 合肥 230601
  • 收稿日期:2024-10-22 修回日期:2024-11-18 出版日期:2025-07-15 发布日期:2025-12-12
  • 通信作者: 吴德全,主任护师,E-mail:2981288742@qq.com
  • 作者简介:刘波,男,在读硕士研究生,研究方向为护理管理。
  • 基金资助:
    安徽医科大学青苗培养项目(hlqm12024063); 安徽省教育厅省级质量工程项目(2022jyxm745)

Influence of workplace violence on professional identity of junior nurses

LIU Bo1, CAI Wenqian1, SUN Yue1, CHEN Jiao1, WU Dequan1,2   

  1. 1. School of Nursing,Anhui Medical University,Hefei,Anhui 230032,China;
    2. Infection Management Office,The Second Hospital of Anhui Medical University,Hefei,Anhui 230601,China
  • Received:2024-10-22 Revised:2024-11-18 Online:2025-07-15 Published:2025-12-12
  • Contact: WU Dequan,Chief nurse,E-mail:2981288742@qq.com

摘要: 目的 探讨低年资护士工作场所暴力、心理资本、情绪调节自我效能、职业\认同间的多重中介作用。方法 采用便利抽样法,于2023年11月—2024年2月,用一般资料调查问卷、工作场所暴力调查量表、护士心理资本量表、情绪调节自我效能量表、护士职业认同量表对安徽省皖北、皖中、皖南各1所三级甲等医院共计389名低年资护士进行调查,构建并检验链式中介模型。结果 低年资护士工作场所暴力总分为(4.39±3.86)分,心理资本总分为(77.15±19.23)分,情绪调节自我效能总分为(42.12±9.82)分,职业认同总分为(106.49±23.23)分。工作场所暴力、心理资本、情绪调节自我效能与职业认同均存在相关性,工作场所暴力与职业认同呈负相关(r=-0.572,P<0.01),心理资本与职业认同呈正相关(r=0.559,P<0.01),情绪调节自我效能与职业认同呈正相关(r=0.500,P<0.01)。中介效应分析结果显示,工作场所暴力对职业认同的间接效应为-0.357,其中心理资本和情绪调节自我效能的独立中介效应分别占30.83%和17.68%,心理资本和情绪调节自我效能的链式中介效应占7.20%。结论 心理资本、情绪调节自我效能在低年资护士工作场所暴力与职业认同间存在链式中介作用。管理者可以提供相应的个性化心理支持方案,同时引导低年资护士采取积极的情绪应对策略,进而提高护士职业认同水平。

关键词: 工作场所暴力, 职业认同感, 低年资护士, 心理资本, 情绪调节自我效能

Abstract: Objective To explore the multiple mediating effects among workplace violence,psychological capital,self-efficacy of emotional regulation and professional identity of junior nurses. Methods Convenience sampling was used to survey 389 junior nurses from one grade-A tertiary hospital each in northern,central,and southern Anhui Province from November 2023 to February 2024,using a general information questionnaire,workplace violence survey scale,nurse psychological capital scale,emotion regulation self-efficacy scale,and nurse professional identity scale,the chain intermediary model was constructed and tested. Results The total scores of workplace violence,psychological capital,emotional regulation self-efficacy and professional identity of junior nurses were (4.39±3.86),(77.15±19.23),(42.12±9.82) and (106.49±23.23)points,respectively. There was a correlation between workplace violence,psychological capital,emotional regulation self-efficacy and professional identity were all correlated.Workplace violence was negatively correlated with professional identity(r=-0.572,P<0.01),psychological capital was positively correlated with professional identity(r=0.559,P<0.01),and emotional regulation self-efficacy was positively correlated with professional identity(r=0.500,P<0.01). The results of the mediation effect analysis showed that the indirect effect of workplace violence on professional identity was -0.357,in which the independent mediating effect of psychological capital and emotional regulation self-efficacy accounted for 30.83% and 17.68%,respectively,and the chain mediating effect of psychological capital and emotional regulation self-efficacy accounted for 7.20%. Conclusion Psychological capital and self-efficacy of emotion regulation have a chain mediating effect between workplace violence and professional identity of junior nurses. Managers can provide corresponding personalized psychological support programs and guide junior nurses to adopt positive emotional coping strategies,so as to improve nurses' professional identity level.

Key words: Workplace violence, Professional identity, Junior nurses, Psychological capital, Emotion regulation self-efficacy

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