规范化培训护士心理韧性在工作环境与职业生涯成功的中介效应

摘要/Abstract

摘要：

目的探讨规范化培训护士心理韧性、工作环境、职业生涯成功现状及其中介效应，旨在为规范化培训护士管理方针制定提供部分理论支持。方法 2023年12月，选择成都市2家三级医院规范化培训护士为调查对象，选择一般资料表、护士心理韧性量表、护理工作环境量表、职业生涯成功量表开展调查，并对数据进行统计分析。结果 215名规范化培训护士职业生涯成功总分为（34.71±6.77）分，心理韧性总分为（80.93±14.21）分，工作环境总分为（92.26±10.12）分。单因素分析显示，不同月工资、是否接受心理培训的规范化培训护士工作环境得分比较，差异均有统计学意义（均P<0.05）；不同性别、年龄、学历、月工资、是否接受心理培训的规范化培训护士心理韧性得分比较，差异均有统计学意义（均P<0.05）；不同学历、月工资、是否接受心理培训的规范化培训护士职业成功得分比较，差异均有统计学意义（均P<0.05）。中介效应分析显示，心理韧性在规范化培训护士工作环境与职业生涯成功间具备中介效应，占比为33.85%。结论针对规范化培训护士，护理管理者应积极改善其执业与实践环境，提升心理韧性水平，激发规范化培训护士职业生涯成功，促进个人与护理队伍的稳定发展。

关键词: 护士, 工作环境, 心理韧性, 职业生涯成功, 中介效应, 相关因素

Abstract:

Objective To explore the current status of career success among standardized training nurses and the mediating effect of related factors，in order to provide theoretical support for the development of management policies for this group. Methods In December 2023，standardized training nurses from two tertiary hospitals in Chengdu City were selected as study participants. Data were collected using the nurses' psychological resilience scale，the nursing work environment scale，and the career success scale. Statistical analysis were conducted to evaluate the results. Results Among the 215 standardized training nurses surveyed，the mean score for career success was （34.71±6.77）points，psychological resilience was （80.93±14.21）points，and work environment was （92.26±10.12）points. Univariate analysis indicated that monthly salary and whether the nurse had received psychological training were significantly associated with the differences in work environment scores（all P<0.05）. Gender，age，education level，monthly salary， and psychological training were significantly associated with the differences in psychological resilience scores（all P<0.05）. Education level，monthly salary and psychological training also showed significant differences in career success scores（all P<0.05）. Mediation analysis revealed that psychological resilience played a mediating role in the relationship between work environment and career success，accounting for 33.85% of the total effect. Conclusion Nursing managers should focus on improving the practice environment and enhancing psychological resilience of standardized training nurses to foster their career success，and promoting the stable development of both individual nurses and the nursing workforce.

Key words: Nurses, Work environment, Psychological resilience, Career success, Mediating effect, Related factors

中图分类号:

R192.6

杨思敏, 杨璐, 王翠, 彭雪萍. 规范化培训护士心理韧性在工作环境与职业生涯成功的中介效应. [J]职业与健康, 2026, 42(6): 796-800.

YANG Simin, YANG Lu, WANG Cui, PENG Xueping. Mediating role of psychological resilience in the relationship between work environment and career success among standardized training nurses. [J]OCCUPATION AND HEALTH, 2026, 42(6): 796-800.

图/表 5

参考文献 21

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变量	职业满意度	组织内竞争力	组织外竞争力	职业成功	力量	乐观	坚韧	心理韧性	职业发展	领导与管理	医护关系	认可氛围	专业自主	基本保障	充足人力	工作环境
职业满意度	1.000
组织内竞争力	0.774^a	1.000
组织外竞争力	0.590^a	0.714^a	1.000
职业成功	0.907^a	0.920^a	0.845^a	1.000
力量	0.665^a	0.672^a	0.650^a	0.743^a	1.000
乐观	0.661^a	0.683^a	0.668^a	0.751^a	0.878^a	1.000
坚韧	0.610^a	0.629^a	0.628^a	0.697^a	0.812^a	0.896^a	1.000
心理韧性	0.688^a	0.701^a	0.680^a	0.773^a	0.935^a	0.968^a	0.945^a	1.000
职业发展	0.542^a	0.586^a	0.447^a	0.589^a	0.515^a	0.543^a	0.491^a	0.549^a	1.000
领导与管理	0.496^a	0.578^a	0.483^a	0.578^a	0.544^a	0.567^a	0.541^a	0.584^a	0.631^a	1.000
医护关系	0.568^a	0.577^a	0.490^a	0.613^a	0.664^a	0.673^a	0.660^a	0.704^a	0.494^a	0.509^a	1.000
认可氛围	0.519^a	0.558^a	0.419^a	0.560^a	0.597^a	0.618^a	0.622^a	0.651^a	0.515^a	0.524^a	0.710^a	1.000
专业自主	0.576^a	0.613^a	0.496^a	0.630^a	0.588^a	0.626^a	0.629^a	0.654^a	0.536^a	0.585^a	0.642^a	0.651^a	1.000
基本保障	0.473^a	0.550^a	0.444^a	0.545^a	0.470^a	0.528^a	0.506^a	0.533^a	0.499^a	0.500^a	0.516^a	0.534^a	0.550^a	1.000
充足人力	0.539^a	0.565^a	0.437^a	0.578^a	0.485^a	0.546^a	0.526^a	0.556^a	0.494^a	0.496^a	0.527^a	0.506^a	0.566^a	0.627^a	1.000
工作环境	0.689^a	0.751^a	0.585^a	0.757^a	0.710^a	0.754^a	0.724^a	0.775^a	0.744^a	0.726^a	0.797^a	0.790^a	0.834^a	0.744^a	0.756^a	1.000

变量	职业满意度	组织内竞争力	组织外竞争力	职业成功	力量	乐观	坚韧	心理韧性	职业发展	领导与管理	医护关系	认可氛围	专业自主	基本保障	充足人力	工作环境
职业满意度	1.000
组织内竞争力	0.774^a	1.000
组织外竞争力	0.590^a	0.714^a	1.000
职业成功	0.907^a	0.920^a	0.845^a	1.000
力量	0.665^a	0.672^a	0.650^a	0.743^a	1.000
乐观	0.661^a	0.683^a	0.668^a	0.751^a	0.878^a	1.000
坚韧	0.610^a	0.629^a	0.628^a	0.697^a	0.812^a	0.896^a	1.000
心理韧性	0.688^a	0.701^a	0.680^a	0.773^a	0.935^a	0.968^a	0.945^a	1.000
职业发展	0.542^a	0.586^a	0.447^a	0.589^a	0.515^a	0.543^a	0.491^a	0.549^a	1.000
领导与管理	0.496^a	0.578^a	0.483^a	0.578^a	0.544^a	0.567^a	0.541^a	0.584^a	0.631^a	1.000
医护关系	0.568^a	0.577^a	0.490^a	0.613^a	0.664^a	0.673^a	0.660^a	0.704^a	0.494^a	0.509^a	1.000
认可氛围	0.519^a	0.558^a	0.419^a	0.560^a	0.597^a	0.618^a	0.622^a	0.651^a	0.515^a	0.524^a	0.710^a	1.000
专业自主	0.576^a	0.613^a	0.496^a	0.630^a	0.588^a	0.626^a	0.629^a	0.654^a	0.536^a	0.585^a	0.642^a	0.651^a	1.000
基本保障	0.473^a	0.550^a	0.444^a	0.545^a	0.470^a	0.528^a	0.506^a	0.533^a	0.499^a	0.500^a	0.516^a	0.534^a	0.550^a	1.000
充足人力	0.539^a	0.565^a	0.437^a	0.578^a	0.485^a	0.546^a	0.526^a	0.556^a	0.494^a	0.496^a	0.527^a	0.506^a	0.566^a	0.627^a	1.000
工作环境	0.689^a	0.751^a	0.585^a	0.757^a	0.710^a	0.754^a	0.724^a	0.775^a	0.744^a	0.726^a	0.797^a	0.790^a	0.834^a	0.744^a	0.756^a	1.000

路径关系	估计值	$s_{\bar{x}}$	CR	P
心理韧性→工作环境	0.833	0.148	16.43	<0.01
职业成功→心理韧性	0.343	0.041	5.578	<0.01
职业成功→工作环境	0.559	0.134	8.114	<0.01

路径关系	估计值	$s_{\bar{x}}$	CR	P
心理韧性→工作环境	0.833	0.148	16.43	<0.01
职业成功→心理韧性	0.343	0.041	5.578	<0.01
职业成功→工作环境	0.559	0.134	8.114	<0.01

效应	估计值	95%CI	P值	效应占比（%）
间接效应	0.286	0.170~0.392	0.001	33.85
直接效应	0.559	0.421~0.702	0.001	66.15
总效应	0.845	0.799~0.888	0.001	100.00