护士工作控制感的研究进展

摘要/Abstract

摘要：

工作控制感是指在工作中对任务、资源及环境的自主调节能力，强调个体对工作内容和流程的掌控程度，作为护士重要的工作资源，与其工作体验和职业发展密切相关。本文对工作控制感的概念、测量工具、护士工作控制感的现状、影响因素及作用结果进行综述，得出其水平受多重因素影响，包括情绪智力、心理授权、习得性智谋等个人因素；工作场所暴力、领导者风格等组织社会因素；以及工作家庭冲突等，上述因素作用于护士的组织行为、工作体验、工作家庭平衡状态。由此提出从工作内容安排、领导风格转变和培训活动设计3方面的策略，旨在为加强护士的工作控制感、改善护士的工作体验、促进医疗服务质量提升提供参考。

关键词: 护士, 工作控制感, 护理管理, 综述文献

Abstract:

Job control refers to the ability to independently adjust tasks，resources and environment at work，emphasizing the degree of individual control over work content and process. As an important work resource for nurses，it is closely related to their work experience and career development. This article reviews the concept，measuring tools，current situation，influencing factors and effect results of nurses' job control. It is concluded that the level of nurses' job control is affected by multiple factors，including emotional intelligence，psychological empowerment，learned resourcefulness and other personal factors，and organizational social factors such as workplace violence and leadership style，as well as the work family conflict. The above factors affect nurses' organizational behavior，work experience and work-family balance. Therefore，this paper proposes three strategies：work content arrangement，leadership style change and training activity design，aiming to provide reference for strengthening nurses' job control，improving nurses' work experience and promoting the improvement of medical service quality.

Key words: Nurse, Job control, Nursing management, Review literature

中图分类号:

R192.6

王暘婧, 熊莉娟, 王钰涵, 郭雪琴, 刘硕怡. 护士工作控制感的研究进展. [J]职业与健康, 2026, 42(3): 423-427.

WANG Yangjing, XIONG Lijuan, WANG Yuhan, GUO Xueqin, LIU Shuoyi. Research progress on job control of nurses. [J]OCCUPATION AND HEALTH, 2026, 42(3): 423-427.

参考文献 47

[1]	LIM J Y, KIM G M, KIM E J. Factors associated with job stress among hospital nurses:A meta-correlation analysis[J]. Int J Env Res Pub He, 2022, 19(10):1-15. DOI URL
[2]	KIM S, KWON K, WANG J. Impacts of job control on overtime and stress:Cases in the united states and south korea[J]. Int J Hum Resour Man, 2022, 33(7):1352-1376. DOI URL
[3]	DE CLERCQ D, SUN W, BELAUSTEGUIGOITIA I. When is job control most useful for idea championing? Role conflict and psychological contract violation effects[J]. J Manage Organ, 2021, 27(2):382-396.
[4]	MORENO-PIMENTEL A G, MENESES M A, MARTIN-CASAS P, et al. Impact of social and occupational factors over job control[J]. Med Lav, 2019, 110(3):226-233.
[5]	CHO S, JU Y, PAEK D, et al. The combined effect of long working hours and low job control on self-rated health an interaction analysis[J]. J Occup Environ Med, 2018, 60(5):475-480. DOI URL
[6]	TOO L S, LEACH L, BUTTERWORTH P. Is the association between poor job control and common mental disorder explained by general perceptions of control? Findings from an Australian longitudinal cohort[J]. Scand J Work Environ Health, 2020, 46(3):311-320. DOI URL
[7]	罗慧, 田凌云, 赵越, 等. 临床护士隐性缺勤现状及影响因素分析[J]. 护理学杂志, 2024, 39(6):12-16.
[8]	段莉, 高云峰, 耿艳霞, 等. 新毕业护士角色转换压力对其护理职业承诺的影响[J]. 解放军护理杂志, 2019, 36(3):51-54.
[9]	REN M H, ZOU S Q, ZHU S Y, et al. The effects of scarcity mindset on envy:The mediating role of the sense of control[J]. Curr Psychol, 2024, 43(8):7612-7627. DOI
[10]	杨焕, 赵新元, 黄桂, 等. 年长员工主观年龄对利他行为的影响:控制感的中介作用和组织支持的调节作用[J]. 中国人力资源开发, 2023, 40(6):90-104.
[11]	MCLANEY M A, HURRELL J J. Control,stress,and job satisfaction in Canadian nurses[J]. Work Stress, 1988, 2(3):217-224. DOI URL
[12]	JACKSON P R, WALL T D, MARTIN R, et al. New measures of job control,cognitive demand,and production responsibility[J]. J Appl Psychol, 1993, 78(5):753-762. DOI URL
[13]	HANSEZ I. The "Working conditions and control questionnaire"(WOCCQ):Towards a structural model of subjective stress[J]. Eur Rev Appl Psychol, 2008, 58(4):253-262. DOI URL
[14]	贾涛. 工作授能对临床护士自我效能和工作控制感影响的研究分析[D]. 成都: 四川大学, 2007.
[15]	张颖, 胡俊霞, 王娜, 等. 昆明市3家三级甲等医院低年资护士职业延迟满足与工作控制感在内在动机与工作投入间的中介作用[J]. 职业与健康, 2022, 38(6):782-787.
[16]	陈芳, 王冬华. 三级甲等医院护士工作控制感现状及影响因素研究[J]. 卫生职业教育, 2020, 38(22):133-135.
[17]	董婷, 马灵草, 戴晗青. 护士情绪智力与工作控制感的相关性研究[J]. 全科护理, 2020, 18(20):2599-2602.
[18]	陈芳, 李妙, 李青锋, 等. 医院护士行为目标达成度与工作控制感的相关性研究[J]. 解放军护理杂志, 2019, 36(7):19-23.
[19]	WEN F L, WANG L, FANG Z Y, et al. The chinese version of the work control scale for nurses:Modifying the translation and psychometric testing[J]. Asian Nurs Res, 2020, 14(2):122-128. DOI URL
[20]	闫德修, 包玲, 章雅青. 工作控制在变革型领导和护士创新行为间的中介作用[J]. 中华护理教育, 2021, 18(9):849-854.
[21]	VAN YPEREN N W, HAGEDOORN M. Do high job demands increase intrinsic motivation or fatigue or both? The role of job control and job social support[J]. Acad Manage J, 2003, 46(3):339-348. DOI URL
[22]	严亚玲, 陈剑函, 郭壹凡. 工作压力源在广州市三甲医院行政管理人员工作控制感与职业倦怠间的中介效应[J]. 中国医院, 2022, 26(9):50-52.
[23]	KARASEK R, BRISSON C, KAWAKAMI N, et al. The job content questionnaire(JCQ):An instrument for internationally comparative assessments of psychosocial job characteristics[J]. J Occup Health Psychol, 1998, 3(4):322-355. DOI URL
[24]	巩健, 王静, 张艳艳, 等. 重症监护病房护士工作重塑与转岗倾向的关系研究:一个有调节的中介模型[J]. 军事护理, 2023, 40(3):70-74.
[25]	YANG M H, JHAN C J, HSIEH P, et al. A study on the correlations between musculoskeletal disorders and work-related psychosocial factors among nursing aides in long-term care facilities[J]. Int J Env Res Pub He, 2022, 19(1):1-10. DOI URL
[26]	LI X Y, ZHANG Y Q, YAN D X, et al. Nurses' intention to stay:The impact of perceived organizational support,job control and job satisfaction[J]. J Adv Nurs, 2020, 76(5):1141-1150. DOI URL
[27]	丁晓彤, 李惠萍, 杨娅娟, 等. 护士长工作家庭冲突、工作控制感与工作满意度调查及其关系研究[J]. 现代预防医学, 2017, 44(13):2396-2400.
[28]	PIEN L C, CHENG W J, CHOU K R, et al. Effect of work-family conflict,psychological job demand,and job control on the health status of nurses[J]. Int J Env Res Pub He, 2021, 18(7):1-9. DOI URL
[29]	丁晓彤, 李惠萍, 杨娅娟, 等. 护士工作控制感及其影响因素分析[J]. 安徽医药, 2019, 23(7):1365-1368.
[30]	张莉, 杨益, 黄阿美, 等. 新疆地区护理人员工作控制感现状研究[J]. 新疆医科大学学报, 2018, 41(2):249-252.
[31]	AL-HAMDAN Z M, ALYAHIA M, AL-MAAITAH R, et al. The relationship between emotional intelligence and nurse-nurse collaboration[J]. J Nurs Scholarsh, 2021, 53(5):615-622. DOI URL
[32]	王红, 陈霞, 李思琦, 等. 情绪智力在乌鲁木齐市实习护生职业获益感与工作适应障碍间的中介作用[J]. 职业与健康, 2022, 38(17):2396-2399.
[33]	张倩倩, 许雅, 叶希希, 等. 护理人员心理授权水平与工作控制感的关系及性别差异分析[J]. 医院管理论坛, 2019, 36(4):63-65.
[34]	YEH T F, CHANG Y C, FENG W H, et al. Effect of workplace violence on turnover intention:The mediating roles of job control,psychological demands,and social support[J]. Inquiry, 2020, 57(1):1-11. DOI URL
[35]	MCKENNA J, JESKE D. Ethical leadership and decision authority effects on nurses' engagement,exhaustion,and turnover intention[J]. J Adv Nurs, 2021, 77(1):198-206. DOI URL
[36]	郭雪琴, 熊莉娟. 护士工作家庭冲突的研究进展[J]. 全科护理, 2022, 20(28):3919-3922.
[37]	戴薇, 叶红芳, 刘清媛. 工作控制感视角下护士创新行为的研究进展[J]. 职业与健康, 2023, 39(10):1412-1415.
[38]	ZHAO G L, YIN C X. Impact of job control on hospital workers' safety performance:A moderated mediation analysis of the influences of hospital safety climate and social support[J]. Nurs Open, 2023, 10(2):781-789. DOI URL
[39]	谭杏, 熊海燕, 庞倩, 等. 工作连通行为对护理人员工作生活质量的影响[J]. 职业与健康, 2023, 39(10):1364-1369.
[40]	HUTH K B S, CHUNG-YAN G A. Quantifying the evidence for the absence of the job demands and job control interaction on workers' well-being:A bayesian meta-analysis[J]. J Appl Psychol, 2023, 108(6):1060-1072. DOI URL
[41]	KUBICEK B, KORUNKA C, TEMENT S. Too much job control? Two studies on curvilinear relations between job control and eldercare workers' well-being[J]. Int J Nurs Stud, 2014, 51(12):1644-1653. DOI PMID
[42]	SHE J C, ZHANG R X, LI Y N, et al. Effect of ethical leadership on nurses' organizational silence:The mediating role of organizational justice[J]. J Nurs Manage, 2023(1):1-10.
[43]	PAKIZEKHO S, BARKHORDARI-SHARIFABAD M. The relationship between ethical leadership,conscientiousness,and moral courage from nurses' perspective.[J]. BMC Nurs, 2022, 21(1):1-8. DOI
[44]	彭叶莲. 医护一体化管理模式对临床护士自我效能及工作控制感的影响[J]. 护理实践与研究, 2016, 13(13):94-96.
[45]	王凌雯, 卜秀梅, 孙诗涵, 等. 护士情绪智力影响因素及干预策略的研究进展[J]. 全科护理, 2023, 21(6):759-763.
[46]	阿婷婷, 庄冬梅, 胡少华. 急诊科护士正念自我照护分型及影响因素分析[J]. 护理学杂志, 2024, 39(7):22-25.
[47]	姜媛, 田丽, 薛璐璐. 中学生自我调节学习与心理健康:学业控制感和人际关系的作用[J]. 心理与行为研究, 2020, 18(6):798-804.