工作投入和工作满意度在护士体面劳动感知与离职意愿之间的链式中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (15): 2047-2052.

工作投入和工作满意度在护士体面劳动感知与离职意愿之间的链式中介作用

陈雅倩¹, 马尉蓝¹, 李随¹, 薛博文², 李鑫¹, 封亚萍³

1.杭州师范大学护理学院,浙江杭州 311121;
2.浙江大学医学院附属精神卫生中心/杭州市第七人民医院,浙江杭州 310013;
3.杭州师范大学附属医院护理部,浙江杭州 310015

收稿日期:2024-10-05 修回日期:2024-10-16 出版日期:2025-08-15 发布日期:2025-12-12
通信作者: 封亚萍,主任护师,E-mail：fengyaping3433@163.com
作者简介:陈雅倩,女,在读硕士研究生,研究方向为护理心理。

Chain mediation of work engagement and job satisfaction between nurses' perceptions of decent work and turnover intention

CHEN Yaqian¹, MA Weilan¹, LI Sui¹, XUE Bowen², LI Xin¹, FENG Yaping³

1. School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang 311121, China;
2. Affiliated Mental Health Center, Zhejiang University School of Medicine/Hangzhou Seventh People's Hospital, Hangzhou, Zhejiang 310013, China;
3. Department of Nursing, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang 310015, China

Received:2024-10-05 Revised:2024-10-16 Online:2025-08-15 Published:2025-12-12
Contact: FENG Yaping,Chief nurse,E-mail：fengyaping3433@163.com

摘要/Abstract

摘要： 目的了解工作投入和工作满意度在护士体面劳动感知与离职意愿之间多重中介作用。方法 2023年7—8月,使用方便抽样选取杭州市3家三级甲等医院的460名护士作为研究对象,采用一般资料调查问卷、体面劳动感知量表、Utrecht工作投入量表、明尼苏达满意度量表和离职意愿量表进行调查,构建并检验链式中介效应。结果杭州市3家三级甲等医院460名护士的体面劳动感知得分为（53.42±10.63）分,工作投入得分为（51.17±16.27）分,工作满意度得分为（71.95±13.68）分,离职意愿得分为（14.07±3.83）分。护士体面劳动感知、工作投入、工作满意度与离职意愿呈显著负相关（r=-0.432、-0.435和-0.495,均P<0.01）,体面劳动感知与工作投入、工作满意度呈正相关（r=0.590和0.728,均P<0.01）,工作投入与工作满意度呈正相关（r=0.728,P<0.01）。中介效应分析显示,工作投入在体面劳动感知与离职意愿之间起部分中介作用,中介效应值为-0.024（95%CI：-0.054~0.003）,占总效应的15.4%;工作满意度在体面劳动感知与离职意愿之间的部分中介效应不显著,效应值为-0.043（95%CI：-0.069~-0.019）,占总效应的27.6%;工作投入和工作满意度在体面劳动感知与离职意愿之间起链式中介作用,效应值为-0.035（95%CI：-0.053~-0.015）,占总效应的22.4%。结论护士体面劳动感知不仅直接影响护士离职意愿,还可以通过工作投入与工作满意度的链式中介作用影响其离职意愿。

关键词: 护士, 体面劳动感知, 工作投入, 工作满意度, 离职意愿, 链式中介效应

Abstract: Objective To investigate the multiple mediating roles of work engagement and job satisfaction between nurses' perceptions of decent work and turnover intention. Methods From July to August 2023,460 nurses from three grade-A tertiary hospitals in Hangzhou were selected as research subjects using convenience sampling. A general information questionnaire,decent labor perception scale,Utrecht work engagement scale,Minnesota satisfaction scale,and turnover intention scale were used for the survey to construct and test the chain mediation effect. Results The perceptions of decent work score of 460 nurses from three grade-A tertiary hospitals in Hangzhou was （53.42±10.63）points,the work engagement score was （51.17±16.27）points,the job satisfaction score was （71.95±13.68）points,and the turnover intention score was （14.07±3.83）points. Nurses' perception of decent work,work engagement,and job satisfaction were significantly negatively correlated with their turnover intention（r=-0.432,-0.435,-0.495,all P<0.01）. Perception of decent work was positively correlated with work engagement and job satisfaction（r=0.590,0.728,both P<0.01）,and work engagement was positively correlated with job satisfaction（r=0.728,P<0.01）. The mediation effect analysis showed that work engagement played a partially mediating role between the perception of decent work and turnover intention,with a mediation effect value of -0.024（95%CI：-0.054-0.003）,accounting for 15.4% of the total effect. The partial mediation effect of work satisfaction between perception of decent work and turnover intention was not significant,with an effect value of -0.043（95%CI：-0.069--0.019）,accounting for 27.6% of the total effect. Work engagement and job satisfaction played a chain mediating role between perception of decent work and turnover intention,with an effect value of -0.035（95%CI：-0.053- -0.015）,accounting for 22.4% of the total effect. Conclusion Nurses' perception of decent work can not only directly affect their turnover intention,but also affect their turnover intention through a chain mediation effect of work engagement and job satisfaction.

Key words: Nurses, Perception of decent work, Work engagement, Job satisfaction, Turnover intention, Chain mediation effect

中图分类号:

R181.3

陈雅倩, 马尉蓝, 李随, 薛博文, 李鑫, 封亚萍. 工作投入和工作满意度在护士体面劳动感知与离职意愿之间的链式中介作用. [J]职业与健康, 2025, 41(15): 2047-2052.

CHEN Yaqian, MA Weilan, LI Sui, XUE Bowen, LI Xin, FENG Yaping. Chain mediation of work engagement and job satisfaction between nurses' perceptions of decent work and turnover intention. [J]OCCUPATION AND HEALTH, 2025, 41(15): 2047-2052.

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