职业与健康 ›› 2024, Vol. 40 ›› Issue (21): 2951-2955.

• 论著 • 上一篇    下一篇

工作控制感在高年资临床护士资质过剩感与反生产行为间的中介作用

吴嘉文1a, 周晶晶1a, 郭宗晓1b, 张海燕2   

  1. 1.南通大学附属海安市人民医院 a胸外科,b骨科,江苏 海安 226600;
    2.南通大学护理学院,江苏 南通 226007
  • 收稿日期:2024-01-29 修回日期:2024-02-19 出版日期:2024-11-01 发布日期:2026-04-09
  • 作者简介:吴嘉文,女,主管护师,主要从事胸外科临床护理与管理工作。
  • 基金资助:
    江苏省高校优势学科建设工程项目(PAPD202387)

Mediating effect of job-control between perceived overqualification and counterproductive work behavior among senior clinical nurses

WU Jiawen1a, ZHOU Jingjing1a, GUO Zongxiao1b, ZHANG Haiyan2   

  1. 1. a Department of Thoracic Surgery, b Department of Orthopaedics,Hai'an People's Hospital Affiliated to Nantong University,Hai'an,Jiangsu 226600,China;
    2. School of Nursing,Nantong University,Nantong,Jiangsu 226007,China
  • Received:2024-01-29 Revised:2024-02-19 Online:2024-11-01 Published:2026-04-09

摘要: 目的 了解高年资临床护士资质过剩感、工作控制感和反生产行为现状,探讨三者间的关系。方法 2023年6—9月,采用自制人口学资料调查表、资质过剩感量表、工作控制感量表和反生产行为量表对332名高年资临床护士进行调查并加以分析。结果 332名高年资临床护士的资质过剩感总分为(23.31±4.78)分,工作控制感总分为(55.08±5.42)分,反生产行为总分为(56.81±7.33)分。工作控制感与资质过剩感和反生产行为均呈负相关(r=-0.639、-0.732,均P<0.01),资质过剩感与反生产行为及各维度均呈正相关(r=0.573~0.623,均P<0.01)。资质过剩感对高年资临床护士反生产行为同时具有显著直接和间接影响。资质过剩感→反生产行为的直接效应为0.403(P<0.01),资质过剩感→工作控制感→反生产行为的间接效应为0.017 (P<0.01),占总效应的14.98%。结论 医院管理者可以依据高年资临床护士特质和综合能力个性化匹配适宜岗位,对人力资源进行科学管理。通过降低高年资临床护士的资质过剩感提升其工作控制力,从而减少并预防组织中反生产行为的发生。

关键词: 高年资临床护士, 资质过剩感, 工作控制感, 反生产行为, 中介效应

Abstract: Objective To understand the current situation of overqualification,job control,and counterproductive work behavior among senior clinical nurses,and explore the relationship between the three factors. Methods From June to September 2023,a survey was conducted on 332 clinical nurses using self-designed demographic information questionnaire,perceived overqualification scale,job-control perception scale and counterproductive work behavior scale,and the data were analyzed. Results The total score of perceived overqualification among 332 senior clinical nurses was (23.31±4.78)points,the score of job-control was (55.08±5.42)points,and the score of counterproductive work behavior was (56.81±7.33)points. Job-control was negatively correlated with perceived overqualification and counterproductive work behavior(r=-0.639,-0.732,both P<0.01),while the perceived overqualification was positively correlated with counterproductive work behavior and its dimensions(r=0.573-0.623,all P<0.01). The perceived overqualification had both significant direct and indirect effects on counterproductive work behavior of senior clinical nurses. The direct effect of perceived overqualification→counterproductive work behavior was 0.403(P<0.01),and the indirect effect value of perceived overqualification→job-control→counterproductive work behavior was 0.017(P<0.01),accounting for 14.98% of the total effect. Conclusion Hospital managers can individually match the appropriate post according to the characteristics and comprehensive ability of senior clinical nurses and conduct scientific management of human resources. To reduce the perceived overqualification and improve job control of senior clinical nurse,so as to reduce and prevent the occurrence of counterproductive work behavior in the organization.

Key words: Senior clinical nurse, Perceived overqualification, Job-control, Counterproductive work behavior, Mediating effect

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