四川东北部地区肾内科护士职业认知调试在感知领导关怀与职业主动行为间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (15): 2059-2063.

四川东北部地区肾内科护士职业认知调试在感知领导关怀与职业主动行为间的中介作用

朱晓丽

南充市中心医院肾内科,四川南充 637000

收稿日期:2024-09-25 修回日期:2024-10-12 出版日期:2025-08-15 发布日期:2025-12-12
作者简介:朱晓丽,女,主管护师,主要从事肾内科护理工作。

Mediating role of occupational cognitive adjustment of nephrology nurses in northeast Sichuan between perceived leadership care and professional active behavior

ZHU Xiaoli

Department of Nephrology, Nanchong Central Hospital, Nanchong, Sichuan 637000, China

Received:2024-09-25 Revised:2024-10-12 Online:2025-08-15 Published:2025-12-12

摘要/Abstract

摘要： 目的调查肾内科护士职业认知调试、感知领导关怀及职业主动行为现状,探讨职业认知调试在肾内科护士感知领导关怀及职业主动行为间的中介作用,为提升其职业主动行为提供参考依据。方法 2023年11月,便利抽取四川东北部地区10家综合医院322名肾内科护士作为研究对象,采取一般资料问卷、感知领导关怀量表、职业认知调试量表及职业主动行为量表进行调查,使用Mplus 7.0进行中介模型构建及验证。结果四川东北部地区肾内科护士感知领导关怀得分为（133.71±15.83）分,职业认知调试得分为（58.41±10.59）分,职业主动行为得分为（51.27±5.12）分。感知领导关怀、职业认知调试及职业主动行为三者间均呈正相关关系（均P<0.05）。职业认知调试在护士感知领导关怀和职业主动行为间起中介作用,中介效应值为0.062,占总效应的27.2%。结论四川东北部地区肾内科护士职业主动行为呈中等偏上水平,感知领导关怀不仅可以直接影响护士职业主动行为,也可以通过职业认知调试间接影响其职业主动行为。

关键词: 肾内科, 护士, 感知领导关怀, 职业认知调试, 职业主动行为, 中介效应

Abstract: Objective To investigate the status quo of occupational cognitive adjustment,perceived leadership care and professional active behavior of nephrology nurses,and to explore the mediating effect of occupational cognitive adjustment on perceived leadership care and professional active behavior of nephrology nurses,so as to provide reference for improving their professional active behavior. Methods In November 2023,322 nephrology nurses from 10 general hospitals in northeast Sichuan were selected as research objects. General information questionnaire,perceived leadership care scale,professional cognitive adjustment scale and professional active behavior scale were used to investigate. Mplus7.0 was used to construct and verify the mediation model. Results The score of perceived leadership care of nephrology nurses in northeast Sichuan was （133.71±15.83）points,the occupational cognitive adjustment score was （58.41±10.59）points,the professional active behavior score was （51.27±5.12）points. There were positive correlation among perceived leadership care,occupational cognitive adjustment and occupational active behavior（all P<0.05）. Occupational cognitive adjustment played a mediating role between nurses' perception of leadership care and occupational active behavior,with the mediating effect value being 0.062,accounting for 27.2% of the total effect. Conclusion The professional active behavior of nurses in the nephrology department in northeast Sichuan is at a moderate to high level. Perceived leadership care could not only directly affect the professional active behavior of nurses,but also indirectly affect the professional active behavior through professional cognitive adjustment.

Key words: Department of Nephrology, Nurse, Perceived leadership care, Professional cognitive adjustment, Professional active behavior, Mediating effect

中图分类号:

R181.3

朱晓丽. 四川东北部地区肾内科护士职业认知调试在感知领导关怀与职业主动行为间的中介作用. [J]职业与健康, 2025, 41(15): 2059-2063.

ZHU Xiaoli. Mediating role of occupational cognitive adjustment of nephrology nurses in northeast Sichuan between perceived leadership care and professional active behavior. [J]OCCUPATION AND HEALTH, 2025, 41(15): 2059-2063.

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