基于工作要求-资源模型探讨护士工作嵌入的研究进展

职业与健康 ›› 2026, Vol. 42 ›› Issue (1): 135-139.

基于工作要求-资源模型探讨护士工作嵌入的研究进展

侯卫华¹^,², 王桂梅¹, 马骊¹, 尹小兵¹()

1.同济大学附属第十人民医院护理部，上海 200072
2.河南大学护理与健康学院，河南开封 475000

收稿日期:2025-05-12 修回日期:2025-06-10 出版日期:2026-01-01 发布日期:2026-02-03
通信作者: 尹小兵，E-mail：yinxiaobing@hotmail.com
作者简介:侯卫华，女，在读硕士研究生，研究方向为重症护理和护理教育。
基金资助:
上海市申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC22023243)

Research progress of nurses' job embeddedness based on job demands-resources model

HOU Weihua¹^,², WANG Guimei¹, MA Li¹, YIN Xiaobing¹()

1. Nursing Department of the Tenth People's Hospital Affiliated to Tongji University，Shanghai 200072，China
2. Henan University College of Nursing and Health，Kaifeng，Henan 475000，China

Received:2025-05-12 Revised:2025-06-10 Online:2026-01-01 Published:2026-02-03

摘要/Abstract

摘要：

工作嵌入作为预测员工离职的关键变量，已经成为管理领域的研究热点。而工作要求-资源（job demands-resources，JD-R）模型则可从压力源角度解释员工的职业体验，本文主要基于JD-R模型从临床护士工作嵌入测评工具、研究现状、影响因素及管理策略4个方面进行综述，以期为护理管理者制定综合管理措施、提升护士职业幸福感、稳定护理工作队伍提供参考依据。

关键词: 临床护士, 工作要求-资源模型, 工作嵌入, 测评工具, 影响因素, 管理策略

Abstract:

As a key variable to predict employee turnover，job embeddedness has become a hot research topic in the field of management. On the other hand，job demand-resources（JD-R） model can explain employees' career experience from the perspective of stressors. Based on the JD-R model，this article mainly reviews clinical nurses' work embedding assessment tools，research status，influencing factors and management strategies of clinical nursing，in order to provide reference for nursing managers to formulate comprehensive management measures，improve nurses' professional happiness and stabilize nursing work team.

Key words: Clinical nurse, Job demands-resources model, Job embeddedness, Evaluation tool, Influencing factor, Management strategy

中图分类号:

R192.6

侯卫华, 王桂梅, 马骊, 尹小兵. 基于工作要求-资源模型探讨护士工作嵌入的研究进展. [J]职业与健康, 2026, 42(1): 135-139.

HOU Weihua, WANG Guimei, MA Li, YIN Xiaobing. Research progress of nurses' job embeddedness based on job demands-resources model. [J]OCCUPATION AND HEALTH, 2026, 42(1): 135-139.

参考文献 37

[1]	ZENG L, CHEN Q, FAN S, et al. Factors influencing the professional identity of nursing interns:A cross-sectional study[J]. BMC Nurs, 2022, 21(1):200-207.
[2]	方鹏骞. 中国医疗卫生事业发展报告(2015)——中国公立医院改革与发展专题[M]. 北京: 人民出版社, 2016.
[3]	MITCHELL T R, HOLTOM B C, LEE T W, et al. Why people stay:Using job embeddedness to predict voluntary turnover[J]. Acad Manage J, 2001, 44(6):1102-1121.
[4]	FASBENDER U, VAN DER HEIJDEN B,GRIMSHAW S.Job satisfaction,job stress and nurses' turnover intentions:The moderating roles of on-the-job and off-the-job embeddedness[J]. J Adv Nurs, 2019, 75(2):327-337.
[5]	CHOI J S, KIM K M. Job embeddedness factors as a predictor of turnover intention among infection control nurses in Korea[J]. Am J Infect Control, 2015, 43(11):1213-1217.
[6]	DEMEROUTI E, BAKKER A B, NACHREINER F, et al. The job demands-resources model of burnout[J]. J Appl Psychol, 2001, 86(3):499-512.
[7]	BAKKER A B, DEMEROUTI E. The Job Demands-Resources model:state of the art[J]. J Manag Psychol, 2007, 22(3):309-328.
[8]	钱英. 三级医院护士留职策略研究[D]. 杭州: 浙江大学, 2017.
[9]	LEE T W, MITCHELL T R, SABLYNSKI C J, et al. The effects of job embeddedness on organizational citizenship,job performance,volitional absences,and voluntary turnover[J]. Acad Manage J, 2004, 47(5):711-722.
[10]	CROSSLEY C D, BENNETT R J, JEX S M, et al. Development of a global measure of job embeddedness and integration into a traditional model of voluntary turnover[J]. J Appl Psychol, 2007, 92(4):1031-1042.
[11]	陈思萍, 穆艳, 金爽, 等. 规范化培训护士培训负荷与工作嵌入水平的相关性研究[J]. 天津护理, 2024, 32(2):154-158.
[12]	赵方, 张俊梅, 刘荣勋, 等. 男护士体面劳动感与工作嵌入的相关性分析[J]. 护理学杂志, 2023, 38(6):88-91.
[13]	FAN S, ZHOU S, MA J, et al. The role of the nursing work environment,head nurse leadership and presenteeism in job embeddedness among new nurses:A cross-sectional multicentre study[J]. BMC Nurs, 2024, 23(1):159-169.
[14]	EL-SAYED A A I, ASAL M G R, SHAHEEN R S, et al. Job embeddedness and missed nursing care at the operating theatres:The mediating role of polychronicity[J]. BMC Nurs, 2023, 22(1):458-471.
[15]	YUN M S, LEE M, CHOI E H. Job crafting, positive psychological capital,and social support as predictors of job embeddedness on among clinical nurses-a structural model design[J]. BMC Nurs, 2024, 23(1):192-202.
[16]	KIM H J, PARK D. Effects of nursing professionalism and self-efficacy on job embeddedness in nurses[J]. Heliyon, 2023, 9(6):e16991.
[17]	CHOI S Y, LEE M A. Effects of job embeddedness and nursing professionalism on intent to stay in hospital nurses[J]. J Korean Acad Nurs Adm, 2018, 24(3):234-244.
[18]	VARDAMAN J M, ROGERS B L, MARLER L E. Retaining nurses in a changing health care environment:The role of job embeddedness and self-efficacy[J]. Health Care Manage Rev, 2020, 45(1):52-59.
[19]	SONG Z, YAO X, WANG J, et al. Factors influencing the job embeddedness of new graduate nurses:A multicentre cross-sectional study[J]. J Adv Nurs, 2025, 81(11):7030-7039.
[20]	张蓉蓉, 肖泽梅. 临床护士工作嵌入现状及影响因素研究[J]. 护理管理杂志, 2022, 22(1):58-62,71.
[21]	白联缔, 曹慧娜, 山红, 等. 上海浦东地区二级甲等医院低年资护士工作嵌入的影响因素[J]. 护理管理杂志, 2016, 16(11):774-777.
[22]	ALLEN D G, PELTOKORPI V, RUBENSTEIN A L. When "embedded" means "stuck":Moderating effects of job embeddedness in adverse work environments[J]. J Appl Psychol, 2016, 101(12):1670-1686.
[23]	汪晨, 金瑛. 杭州市三级甲等医院急诊科护士工作嵌入现状及影响因素分析[J]. 军事护理, 2024, 41(3):10-13.
[24]	杨慧, 周丽梅, 吕荣德, 等. 感染科护士组织氛围在工作生活质量和工作嵌入间的中介效应分析[J]. 职业与健康, 2024, 40(9):1219-1224.
[25]	余遥, 魏小龙, 陈晶. 麻醉科护士工作嵌入现状及相关因素分析[J]. 护理学杂志, 2022, 37(3):35-38.
[26]	ZHOU X, WU Z, LIANG D, et al. Nurses' voice behaviour:The influence of humble leadership,affective commitment and job embeddedness in China[J]. J Nurs Manag, 2021, 29(6):1603-1612.
[27]	WONG C, WALSH E J, BASACCO K N, et al. Authentic leadership and job satisfaction among long-term care nurses[J]. Leadersh Health Serv, 2020, 33(3):247-263.
[28]	LUTHANS F, AVOLIO B J, AVEY J B, et al. Positive psychological capital:Measurement and relationship with performance and satisfaction[J]. Pers Psychol, 2007, 60(3):541-572.
[29]	杨银香, 傅国宁, 王杰. 新入职护士职业嵌入现状及其影响因素分析[J]. 当代护士(下旬刊), 2024, 31(1):129-133.
[30]	张帆, 刘团会, 徐兆宁, 等. 自我复原力在新入职护士知觉压力与职业承诺间的调节效应分析[J]. 中华护理教育, 2024, 21(2):159-164.
[31]	李威, 曹静, 王玉英, 等. ICU护士工作嵌入现状及影响因素分析[J]. 中国护理管理, 2020, 20(2):229-233.
[32]	赵孟淑, 孙雪影, 王国州, 等. 护士结构授权、职业获益感与工作嵌入的关系研究[J]. 中国实用护理杂志, 2019, 35(3):234-237.
[33]	金婷婷, 周尧英, 章雷钢. 工作嵌入与职业认同在授权型领导感知与护士职业使命感间中介作用[J]. 中华护理教育, 2021, 18(1):87-91.
[34]	DECHAWATANAPAISAL D. Nurses' turnover intention:The impact of leader-member exchange,organizational identification and job embeddedness[J]. J Adv Nurs, 2018, 74(6):1380-1391.
[35]	LEE H J, LEE S K. Effects of job embeddedness and nursing working environment on turnover intention among trauma centre nurses:A cross-sectional study[J]. J Nurs Manag, 2022, 30(7):2915-2926.
[36]	蔡雪, 宋开兰, 张炎. 护理管理者实施变革型领导的研究现状[J]. 护理研究, 2016, 30(28):3460-3463.
[37]	刘丽娟, 韩扬扬, 赵玉荣, 等. 规范化培训护士临床归属感现状及其与工作嵌入的相关性研究[J]. 护理研究, 2021, 35(15):2772-2775.