心理脱离在急诊科护士不合规任务与工作家庭冲突之间的中介作用

摘要/Abstract

摘要： 目的调查急诊科护士不合规任务、心理脱离和工作家庭冲突现状,研究心理脱离在不合规任务和工作家庭冲突间的中介作用,为降低急诊科护士工作家庭冲突水平提供参考。方法于2024年4—6月采用随机抽样法抽取山东省10家三级甲等医院急诊科护士为研究对象,采用不合规任务量表、心理脱离量表和工作家庭冲突量表对其进行调查并分析。结果急诊科护士不合规任务得分为（29.72±4.58）分,心理脱离得分为（9.26±2.12）分,工作家庭冲突得分为（63.45±16.58）分。单因素分析结果显示,不同性别、年龄、职称、工作年限、平均月收入、婚姻状况、每月夜班次数及编制情况的急诊科护士不合规任务得分比较,差异均有统计学意义（均P<0.05）;不同性别、年龄、职称、工作年限、平均月收入、婚姻状况及每月夜班次数的急诊科护士心理脱离得分比较,差异均有统计学意义（均P<0.05）;不同年龄、职称、工作年限、平均月收入及每月夜班次数的急诊科护士工作家庭冲突得分比较,差异均有统计学意义（均P<0.05）。急诊科护士不合规任务和工作家庭冲突呈正相关（r=0.636,P<0.01）,心理脱离与工作家庭冲突呈负相关（r=-0.554,P<0.01）;不合规任务与心理脱离呈负相关（r= -0.584,P<0.01）。心理脱离在急诊科护士不合规任务和工作家庭冲突间起部分中介作用,中介效应为0.274,占总效应的46.92%。结论心理脱离在急诊科护士不合规任务和工作家庭冲突间发挥部分中介作用,在降低急诊科护士不合规任务水平的基础上提高其心理脱离水平,有助于减轻工作家庭冲突。

关键词: 急诊科护士, 不合规任务, 心理脱离, 工作家庭冲突, 中介作用

Abstract: Objective To investigate the status of non-compliant tasks,psychological detachment and work-family conflict in emergency department nurses,study the mediating role of psychological detachment between non-compliant tasks and work-family conflict,and provide reference for reducing the level of work-family conflict among nurses in emergency department. Methods From April to June 2024,nurses in the emergency department of 10 grade-A tertiary hospitals in Shandong Province were selected by the random sampling method as the research subjects. The non-compliant tasks scale,psychological detachment scale and work-family conflict scale were used to investigate and analyze them. Results The scores of non-compliant tasks,psychological detachment and work-family conflict of emergency department nurses were (29.72±4.58),(9.26±2.12) and (63.45±16.58)points,respectively. The results of univariate analysis showed that there were statistically significant differences in the scores of non-compliance tasks among nurses in emergency department in terms of gender,age,professional title,working years,average monthly income,marital status,number of night shifts per month and employment form(all P<0.05). There were statistically significant differences in the scores of psychological detachment among emergency department nurses with different gender,age,professional title,working years,average monthly income,marital status and the number of night shifts per month(all P<0.05). There were statistically significant differences in the scores of work-family conflict among emergency department nurses with different age,professional title,working years,average monthly income and the number of night shifts per month(all P<0.05). There was a positive correlation between non-compliant tasks and work-family conflict of emergency department nurses(r=0.636,P<0.01),a negative correlation between psychological detachment and work-family conflict(r=-0.554,P<0.01),and a negative correlation between non-compliant tasks and psychological detachment(r=-0.584,P<0.01). The psychological detachment played a partial mediating role between non-compliant tasks and work-family of emergency department nurses,with a mediating effect of 0.274,accounting for 46.92% of the total effect. Conclusion The psychological detachment plays a mediating role between non-compliant tasks and work-family conflict of emergency department nurses,and improving the psychological detachment level of emergency department nurses on the basis of reducing the level of non-compliant tasks can help alleviate work-family conflict.

Key words: Emergency department nurses, Non-compliant tasks, Psychological disengagement, Work-family conflict, Mediating role

中图分类号:

R192.6

王玲玲, 丁慧, 张来民, 刘丽娟, 周青新, 刁春梅. 心理脱离在急诊科护士不合规任务与工作家庭冲突之间的中介作用. [J]职业与健康, 2025, 41(21): 2933-2937.

WANG Lingling, DING Hui, ZHANG Laimin, LIU Lijuan, ZHOU Qingxin, DIAO Chunmei. Mediating role of psychological detachment between non-compliant tasks and work-family conflict in emergency department nurses. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2933-2937.

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