重症监护病房护士能力面子压力、心理资本对职业倦怠的影响

摘要/Abstract

摘要： 目的了解重症监护病房护士能力面子压力、心理资本对职业倦怠的影响。方法 2022年9—11月,采取简单随机抽样法选取恩施土家族苗族自治州4家三级医院174名重症监护病房护士作为调查对象,采用一般情况量表、能力面子压力量表、心理资本量表和职业倦怠量表进行调查,并对数据进行分析。结果重症监护病房护士能力面子压力得分为（13.86±2.82）分,心理资本得分为（84.32±16.42）分,职业倦怠得分为（62.32±10.06）分。不同性别、年龄、学历、职称、工作年限、月收入和每月夜班频次的重症监护病房护士能力面子压力得分比较,差异均有统计学意义（均P<0.05）;不同年龄、职称、工作年限和月收入的重症监护病房护士心理资本得分比较,差异均有统计学意义（均P<0.05）;不同年龄、职称、工作年限、月收入、每月夜班频次和婚姻状况的重症监护病房护士职业倦怠得分比较,差异均有统计学意义（均P<0.05）。重症监护病房护士的职业倦怠得分与能力面子压力呈正相关（r=0.619,P<0.01）,与心理资本呈负相关（r=-0.642,P<0.01）,能力面子压力与心理资本呈负相关（r=-0.528,P<0.01）;心理资本在能力面子压力和职业倦怠间起部分中介作用,中介效应为0.262,占总效应的49.62%。结论恩施土家族苗族自治州三级医院重症监护病房护士的心理资本在能力面子压力和职业倦怠间起部分中介作用,在降低护士能力面子压力的基础上提升心理资本水平,有利于降低其职业倦怠水平。

关键词: 重症监护病房, 护士, 能力面子压力, 心理资本, 职业倦怠, 中介作用

Abstract: Objective To explore the influence of ability，face pressure and psychological capital on job burnout of nurses in intensive care unit（ICU）. Methods From September to November 2022，a simple random sampling method was used to select 174 nurses in the intensive care unit of four tertiary hospitals in Enshi Tujia and Miao Autonomous Prefecture. The survey was conducted using the general situation scale，the ability face pressure scale，the psychological capital scale and the job burnout scale，and the data was analyzed. Results The score of ability and face pressure of nurses in ICU was （13.86±2.82）points，the score of psychological capital was （84.32±16.42）points，and the score of job burnout was （62.32±10.06）points. The ability face pressure scores of ICU nurses with different genders，ages，educational backgrounds，professional titles，working years，monthly income，and monthly night shift frequencies were compared，and the differences were statistically significant（all P<0.05）. The psychological capital scores of ICU nurses with different ages，professional titles，working years，and monthly income were compared，and the differences were statistically significant（all P<0.05）. The job burnout scores of ICU nurses with different ages，professional titles，working years，monthly income，monthly night shift frequency，and marital status were compared，and the differences were statistically significant（all P<0.05）. Job burnout was positively correlated with ability face pressure（r=0.619，P<0.01），and negatively correlated with psychological capital（r=-0.642，P<0.01）. Ability face pressure was negatively correlated with psychological capital（r=-0.528，P<0.01）. Psychological capital played a part of intermediary role between ability face pressure and job burnout，with a mediating effect of 0.262，accounting for 49.62% of the total effect. Conclusion The psychological capital of ICU nurses in the tertiary hospitals of Enshi Tujia and Miao Autonomous Prefecture plays a partial mediating role between ability face pressure and job burnout. On the basis of reducing the ability face pressure of nurses，improving the level of psychological capital is conducive to reducing their job burnout level.

Key words: Intensive care unit, Nurses, Ability and face pressure, Psychological capital, Job burnout, Mediation

中图分类号:

R181.3⁺1

李敏, 王成中, 邓晓玲. 重症监护病房护士能力面子压力、心理资本对职业倦怠的影响. [J]职业与健康, 2024, 40(13): 1764-1768.

LI Min, WANG Chengzhong, DENG Xiaoling. Influence of ability,face pressure and psychological capital on job burnout of nurses in intensive care unit. [J]OCCUPATION AND HEALTH, 2024, 40(13): 1764-1768.

参考文献

[1] 李丽芬,刘瑶.ICU护士职业倦怠研究新进展[J].护理与康复,2020, 19(1):25-27.
[2] 梁婕,田凌云,杨秋红,等.应对方式在重症医学科护士社会支持和职业倦怠间的中介作用[J].中国护理管理,2022,22(1):106-110.
[3] 徐艳玲,张小曼.ICU护士道德困境、职业倦怠及伦理决策能力相关性分析[J].职业与健康,2022,38(9):1172-1176.
[4] 马蓓,胡蓓,侯宇.资质过高感对员工创造力的U型影响—能力面子压力的中介作用[J].南开管理评论,2018,21(5):150-161.
[5] 马璐,谢鹏.工作场所地位对员工越轨创新的影响:能力面子压力与地位关心水平的作用[J].科技进步与对策,2021,38(3):133-142.
[6] 贾雪萍,李桂芳,张永辉,等.ICU护士心理资本对岗位胜任力的影响研究[J].护理学杂志,2021,36(22):5-8.
[7] 赵峰,周学颖,田蕾蕾,等.手术室护士心理资本在职业疲劳和职业倦怠间的中介效应分析[J].中华现代护理杂志,2021,27(32):4446-4456.
[8] 常涛,刘智强,王艳子.绩效薪酬对员工创造力的影响研究:面子压力的中介作用[J].科学学与科学技术管理,2014,35(9):171-180.
[9] 骆宏,赫中华.心理资本问卷在护士群体中应用的信效度分析[J].中华行为医学与脑科学杂志,2010,19(9):853-854.
[10] 宋双,张立力.中文版护士职业倦怠量表的信度和效度[J].广东医学,2010,31(4):501-502.
[11] 温忠麟,张雷,侯杰泰,等.中介效应检验程序及其应用[J].心理学报,2004,36(5):614-620.
[12] 杨洁,孙耘璞,黄勇.面子视角下辱虐管理对员工差错学习的影响[J].贵州财经大学学报,2022,40(2):60-68.
[13] 陈荣. 核心自我评价对工作重塑的影响—能力面子压力的中介作用和团队支持氛围的调节作用[D].重庆:重庆大学,2021.
[14] 薛博文,骆宏,封亚萍,等.杭州市三级甲等医院ICU护士工作家庭冲突、社会支持和职业倦怠的关系分析[J].职业与健康,2022, 38(16):2161-2164.
[15] 楚海涛,卫晓静,李黎明.河南省三级综合性医院重症监护室护士遭受工作场所暴力的现况分析[J].环境与职业医学,2021,38(1):70-75.
[16] 李莉,赵丽芬,佘丹,等.武汉市5家三级医院急诊科护士绩效压力、心理资本对职业倦怠的影响[J].职业与健康,2022,38(20):2747-2752.
[17] LUTHANS F,YOUSEEF C M,AVOLIO B J.心理资本[M].李超平,译.北京:中国轻工业出版社,2008:191-216.
[18] 刘法利,杜文卫,徐娜.基层医院护士创造力对心理资本的影响分析[J].护士进修杂志,2016,31(3):233-235.
[19] 赵海燕,李玉梅,吴超,等.心理资本在北京市5家三级医院放射科护士时间压力和职业倦怠间的中介作用分析[J].职业与健康,2022, 38(18):2460-2465.
[20] 王蕾,何伟,杜欣,等.重症监护病房护士警报疲劳现状及影响因素分析[J].重庆医学,2022,51(11):1951-1957.
[21] 李召敏,赵曙明.面子视角下组织期望贡献与员工创造力关系研究[J].管理学报,2018,15(12):1799-1809.
[22] 徐诚玲,郭秀梅,袁宁,等.儿科护士心理资本和心理契约对职业倦怠的影响[J].职业与健康,2021,37(1):11-15,19.