南京市三级甲等医院临床护士组织承诺、心理脱离与工作繁荣的关系分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (13): 1781-1785.

南京市三级甲等医院临床护士组织承诺、心理脱离与工作繁荣的关系分析

王子纯¹, 陈梦宇¹, 武丽桂¹, 刘敏²

1.南京大学医学院附属鼓楼医院肿瘤中心,江苏南京 210008;
2.南京医科大学研究生院,江苏南京 211166

收稿日期:2024-09-09 修回日期:2024-09-24 发布日期:2025-12-11
通信作者: 陈梦宇,主管护师,E-mail：736093160@qq.com
作者简介:王子纯,女,护师,主要从事肿瘤临床护理工作。
基金资助:
江苏省高校青年科研基金（J2023059）; 南京大学医学院附属鼓楼医院项目（2023A916）

Analysis of the relationship between organizational commitment,psychological disengagement and thriving at work of clinical nurses in grade-A tertiary hospitals in Nanjing

WANG Zichun¹, CHEN Mengyu¹, WU Ligui¹, LIU Min²

1. Comprehensive Cancer Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, China;
2. Graduate School, Nanjing Medical University, Nanjing, Jiangsu 211166, China

Received:2024-09-09 Revised:2024-09-24 Published:2025-12-11
Contact: CHEN Mengyu,Nurse in charge,E-mail：736093160@qq.com

摘要/Abstract

摘要： 目的了解南京市三级甲等医院临床护士组织承诺、心理脱离和工作繁荣的现状水平及其相关性。方法 2024年1—4月间选取441名南京市三级甲等医院临床护士采用人口学资料调查问卷、医务人员组织承诺量表、心理脱离量表和工作繁荣量表进行问卷调查,并对数据进行分析。结果 441名临床护士的组织承诺、心理脱离和工作繁荣得分为（50.62±5.72）、（13.08±2.54）和（47.25±14.16）分。临床护士组织承诺、心理脱离与工作繁荣各维度均呈正相关（r=0.321~0.954,均P<0.05）。结构方程模型显示,组织承诺对工作繁荣同时具有直接作用和间接影响,其中组织承诺对工作繁荣的直接效应为0.189,通过心理脱离对工作繁荣的产生的间接效应为0.247,占总效应的56.65%（均P<0.05）。结论医院管理者可以通过适当赋能授权、优化考核制度等方式提高护理人员对组织的情感承诺。同时临床护士也可以通过细化工作任务、积极发展兴趣爱好等实现心理脱离,最终实现工作繁荣与自身职业成长。

关键词: 临床护士, 组织承诺, 心理脱离, 工作繁荣, 中介效应

Abstract: Objective To understand the present situation and correlation of organizational commitment,psychological detachment and thriving at work of clinical nurses in grade-A tertiary hospitals on Nanjing. Methods From January to April,2024,441 clinical nurses from grade-A tertiary hospitals in Nanjing were selected for a questionnaire survey using demographic data questionnaire,medical staff organizational commitment scale,psychological disengagement scale and thriving at work scale,and the data were analyzed. Results The scores of organizational commitment,psychological detachment and thriving at work of 441 clinical nurses were （50.62±5.72）,（13.08±2.54） and （47.25±14.16）points. The dimensions of organizational commitment,psychological disengagement and thriving at work were positively correlated（r=0.321-0.954,all P<0.05）. The structural equation model showed that organizational commitment had both direct and indirect effects on thriving at work,in which the direct effect of organizational commitment on thriving at work was 0.189,and the indirect effect of psychological disengagement on thriving at work was 0.247,accounting for 56.65% of the total effect（both P<0.01）. Conclusion Hospital administrators can improve nurses' emotional commitment to the organization by properly empowering and optimizing the assessment system. At the same time,clinical nurses can also achieve psychological separation by decomposing and refining work tasks,and actively developing interests and hobbies,so as to finally achieve job prosperity and their own career growth.

Key words: Clinical nurses, Organizational commitment, Psychological detachment, Thriving at work, Mediation effect

中图分类号:

R192.6

王子纯, 陈梦宇, 武丽桂, 刘敏. 南京市三级甲等医院临床护士组织承诺、心理脱离与工作繁荣的关系分析. [J]职业与健康, 2025, 41(13): 1781-1785.

WANG Zichun, CHEN Mengyu, WU Ligui, LIU Min. Analysis of the relationship between organizational commitment,psychological disengagement and thriving at work of clinical nurses in grade-A tertiary hospitals in Nanjing. [J]OCCUPATION AND HEALTH, 2025, 41(13): 1781-1785.

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