情绪劳动在三级甲等医院门诊护士工作场所心理暴力与职业倦怠中的中介作用

摘要/Abstract

摘要： 目的调查四川省三级甲等医院门诊护士工作场所心理暴力、情绪劳动与职业倦怠现状,分析情绪劳动在工作场所心理暴力与职业倦怠中的中介效应。方法采用方便抽样方法,于2022年3—5月采用一般资料调查表、情绪劳动量表、工作场所心理暴力量表及职业倦怠量表对四川省12所三级甲等医院268名门诊护士进行调查。结果四川省12所三级甲等医院268名门诊护士情绪劳动得分为（49.54±11.67）分,工作场所心理暴力得分为（24.51±8.94）分,职业倦怠得分为（67.49±12.84）分。不同年龄、性别、婚姻状况、聘用方式、教育水平、职称、收入水平、每周加班时间、门诊护士情绪劳动、工作场所心理暴力和职业倦怠得分比较,差异均有统计学意义（均P<0.05）。相关性分析显示,职业倦怠总分与情绪劳动和工作场所心理暴力总分均呈正相关（均P<0.05）,情绪劳动总分和工作场所心理暴力总分呈正相关（P<0.05）。中介效应分析显示,情绪劳动在工作场所心理暴力与职业倦怠中存在部分中介作用,中介效应为0.188,占总效应的26.67%。结论四川省三级甲等医院门诊护士职业倦怠水平较高,工作场所心理暴力和情绪劳动对职业倦怠有直接影响,创造良好的工作环境以降低护士工作场所心理暴力和职业倦怠能有效改善门诊护士职业倦怠。

关键词: 门诊, 护士, 情绪劳动, 工作场所心理暴力, 职业倦怠, 影响因素

Abstract: Objective To investigate the status of psychological violence,emotional labor and job burnout among outpatient nurses in grade-A tertiary hospitals in Sichuan Province,analyze the mediating effect of emotional labor in psychological violence and job burnout. Methods Using convenience sampling method,268 outpatient nurses from 12 grade-A tertiary hospitals in Sichuan Province were investigated by the general information questionnaire,emotional labor scale,workplace psychological violence scale and job burnout scale from March to May in 2022. Results The scores of emotional labor,workplace psychological violence and job burnout of 268 outpatient nurses from 12 grade-A tertiary hospitals in Sichuan Province were （49.54±11.67）,（24.51±8.94） and （67.49±12.84）points,respectively. There was statistically significant differences in the scores of emotional labor,workplace psychological violence and job burnout among outpatient nurses at different age,gender,marital status,contract type,education level,professional title,income level,and weekly overtime（all P<0.05）. The correlation analysis showed that the total score of job burnout was positively correlated with the total score of emotional labor and workplace psychological violence（all P<0.05）,and the total score of emotional labor was positively correlated with the total score of workplace psychological violence（P<0.05）. The mediating effect analysis showed that emotional labor partially mediated the relationship between workplace psychological violence and job burnout,the mediating effect was 0.188,accounting for 26.67 % of the total effect. Conclusion The level of job burnout of outpatient nurses in grade-A tertiary hospitals is high,the workplace psychological violence and emotional labor have a direct impact on job burnout,and creating a good working environment to reduce workplace psychological violence and job burnout can effectively improve job burnout of outpatient nurses.

Key words: Outpatient, Nurses, Emotional labor, Workplace psychological violence, Job burnout, Influencing factors

中图分类号:

R181.3⁺1

杨茂琼, 张红英, 罗艳芳. 情绪劳动在三级甲等医院门诊护士工作场所心理暴力与职业倦怠中的中介作用. [J]职业与健康, 2023, 39(13): 1749-1753.

YANG Maoqiong, ZHANG Hongying, LUO Yanfang. Mediating effect of emotional labor on psychological violence and job burnout of outpatient nurses in grade-A tertiary hospitals. [J]OCCUPATION AND HEALTH, 2023, 39(13): 1749-1753.

参考文献

[1] 檀啸,邱金明,宁海玉,等.疫情防控常态化视域下医务工作者防疫意识状况调查——以安徽省各地医院为例[J].医学理论与实践,2021, 34(13):2338-2340.
[2] 张宇,师庆科,王觅也,等.医院常态化疫情防控平台的构建与应用[J].中国医疗设备,2022,37(2):103-106,135.
[3] 檀江燕,赵红,隋聪.门诊护士职业压力评估及人文关怀机制分析[J].齐鲁护理杂志,2021,27(12):40-42.
[4] 高洁青,于浩,隋彦.常态化疫情防控背景下护士职业倦怠现状调查与对策[J].齐鲁护理杂志,2021,27(12):45-46.
[5] 何志荣,姚卓娅,耿军辉,等.消毒灭菌护士职业倦怠现状及其与职业压力、心理韧性的相关性分析[J].临床护理杂志,2021,20(1):56-58.
[6] 李双双,张亚,秦潇潇,等.年轻护士培训负荷、职业倦怠对离职意愿的影响[J].全科护理,2021,19(35):5029-5032.
[7] 张文杰,吴绍棠,陈晓庆,等.某三级甲等医院护士职业倦怠在感知主管支持与离职意愿间的中介效应[J].中国卫生资源,2021,24(6):787-791.
[8] 韩凤萍,仲莉莉,钱莉,等.社区护士情绪劳动在情绪智力与职业成功感的中介效应分析[J].护理学报,2020,27(18):68-72.
[9] 宗菲,刘颖青,李秀军.北京市三甲医院护士同事间心理暴力现况及影响因素分析[J].护理学杂志,2020,35(2):69-72.
[10] SAFDAR C A,QAYYUM R.Moral injury,emotional labor and burnout:An unbearable burden for health professionals[J].Pak J Med Sci,2021,37(5):11.
[11] CAO Y Y,GAO L,FAN L H,et al.The influence of emotional intelligence on job burnout of healthcare workers and mediating role of workplace violence:A cross sectional study[J].Front Public Health,2022, 10(2):892421.
[12] 骆宏,孙庆龄,顾利慧.护士情绪工作能力对职业倦怠的影响研究[J].中华护理杂志,2008,43(11):969-971.
[13] 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.
[14] 许妹仔,陈瑜,陈蔚臣,等.中文版工作场所心理暴力行为量表的信效度检验[J].现代预防医学,2018,45(9):1627-1630,1648.
[15] 许妹仔,陈瑜,曾丽娟,等.护士同事间心理暴力的现状及其影响因素研究[J].中华护理杂志,2018,53(12):1439-1443.
[15] 曾凡殊,刘霜莹,贺英.急诊科护士职业认同感、职业倦怠感现状及综合管理对策[J].职业与健康,2022,38(8):1126-1129,1134.
[16] 王秀秀,吕静,于雪微,等.社区护士对老年人态度、情绪劳动与职业倦怠的相关性分析[J].职业与健康,2021,37(7):931-935.
[17] 李瑞,杨静,吕亚兰.医务人员共情疲劳与医院工作场所暴力相关性调查[J].新乡医学院学报,2020,37(4):370-373.
[18] 孙静,吕亚兰,李瑞.ICU工作场所暴力与护士离职倾向及抑郁程度的相关性[J].临床心身疾病杂志,2020,26(1):54-56,172.
[19] 朱玉芬,毛冰佳,张繁.护士职业获益感现状及其对职业倦怠的影响[J].全科护理,2020,18(17):2159-2161.
[20] 吴君,马晓雯,奚擎.口腔门诊护士职业认同、工作倦怠对留职意愿的影响分析[J].护理管理杂志,2019,19(12):864-867.
[21] 姚晨平,王园园.门诊护士职业状况及影响因素分析[J].全科护理,2014,12(22):2098-2099.
[22] 韩雪,张建霞,薛燕萍,等.工作场所暴力和情绪劳动对护士职业生活质量的影响[J].循证护理,2021,7(15):2076-2081.
[23] 王雪,李玲.急诊科工作场所暴力和职业倦怠对护士共情疲劳的影响[J].护理学杂志,2019,34(6):58-61.
[24] 李文霞,闫瑜琦,董莎莎,等.情绪劳动在护士内隐态度与职业倦怠间的中介作用[J].中国实用护理杂志,2015,31(25):1928-1931.
[25] 朱文娟,陈杨芳,陈美华.门诊护士遭受工作场所暴力的现状及影响因素研究[J].中国护理管理,2014,14(12):1308-1311.