工作意义感和主动职业行为在临床护士未来工作自我清晰度与工作卷入间的多重中介效应分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (18): 2506-2511.

工作意义感和主动职业行为在临床护士未来工作自我清晰度与工作卷入间的多重中介效应分析

安莎莎, 李善红, 郑君

首都医科大学附属北京口腔医院牙周科,北京 100050

收稿日期:2025-01-13 修回日期:2025-01-29 出版日期:2025-09-15 发布日期:2025-12-13
作者简介:安莎莎,女,主管护师,主要从事牙周科护理管理工作。
基金资助:
首都医科大学附属北京口腔医院科研项目（CSA-SIS2023-106）

Analysis on multiple mediation effect of work meaningfulness and proactive career behavior on relationship between future work self salience and job involvement among clinical nurses

AN Shasha, LI Shanhong, ZHENG Jun

Department of Periodontology,Beijing Stomatological Hospital Affiliated to Capital Medical University,Beijing 100050,China

Received:2025-01-13 Revised:2025-01-29 Online:2025-09-15 Published:2025-12-13

摘要/Abstract

摘要： 目的了解北京市某三级甲等医院临床护士未来工作自我清晰度、工作意义感、主动职业行为及工作卷入现状,分析工作意义感和主动职业行为在未来工作自我清晰度与工作卷入间的多重中介作用。方法 2024年3—5月,便利选取北京市某三级甲等医院324名临床护士,采用一般资料调查问卷、未来工作自我清晰度量表、工作意义感量表、主动职业行为量表及工作卷入问卷进行调查,并构建和验证中介模型。结果 324名临床护士未来工作自我清晰度得分为（20.76±4.38）分,工作意义感得分为（37.39±5.78）分,主动职业行为得分为（47.66±8.70）分,工作卷入得分为（37.83±6.30）分。未来工作自我清晰度、工作意义感及主动职业行为与工作卷入均呈正相关（r=0.527、0.435、0.485,均P<0.01）。工作意义感和主动职业行为在未来工作自我清晰度与工作卷入间存在多重中介作用,中介效应占总效应的29.6%。其中,工作意义感在临床护士未来工作自我清晰度与工作卷入间起部分中介作用,占总效应的13.1%;主动职业行为在临床护士未来工作自我清晰度与工作卷入间起部分中介作用,占总效应的9.3%;工作意义感和主动职业行为在临床护士未来工作自我清晰度与工作卷入间起链式中介作用,占总效应的7.2%。结论北京市某三级甲等医院临床护士工作卷入水平较高,工作意义感和主动职业行为在未来工作自我清晰度与工作卷入间存在多重中介效应,护理管理者可通过提升护士的未来工作自我清晰度和工作意义感,促进主动职业行为和工作卷入度。

关键词: 临床护士, 未来工作自我清晰度, 工作意义感, 主动职业行为, 工作卷入

Abstract: Objective To investigate the current status of future work self salience,work meaningfulness,proactive career behavior,and job involvement among clinical nurses in a grade-A tertiary hospital in Beijing,explore the multiple mediating roles of work meaningfulness and proactive career behavior on the relationship between future job self clarity and job involvement. Methods From March to May 2024,a convenience sampling were used to select 324 clinical nurses from a grade-A tertiary hospital in Beijing. The investigation was performed by the general information questionnaire,future work self salience scale,work as meaning inventory,proactive career behavior scale and job involvement questionnaire,and the intermediary model was constructed and validated. Results The scores of future work self salience,work meaningfulness,proactive career behavior and job involvement among 324 clinical nurses were （20.76±4.38）,（37.39±5.78）,（47.66±8.70） and （37.83±6.30）points,respectively. The future work self salience,work meaningfulness,and proactive career behavior were all positively correlated with job involvement（r=0.527, 0.435,0.485,all P<0.01）. The work meaningfulness and proactive career behavior had a multiple mediation effect on the relationship between future work self salience and job involvement,accounting for 29.6% of the total effect. Specifically,the work meaningfulness partially mediated the relationship between future work self salience and job involvement among clinical nurses,contributing 13.1% of the total effect. The proactive career behavior also partially mediated this relationship,contributing 9.3% of the total effect. Additionally,the work meaningfulness and proactive career behavior together formed a chain mediation effect,accounting for 7.2% of total effect. Conclusions The level of work involvement among clinical nurses in a grade-A tertiary hospital in Beijing is relatively high,and work meaning and proactive career behavior have a multiple mediation effect between future work self salience and work involvement. The nursing managers can enhance nurses' future work self salience and work meaning to promote proactive career behavior and increase work involvement.

Key words: Clinical nurses, Future work self salience, Work meaningfulness, Proactive career behavior, Job involvement

中图分类号:

R181.3⁺1

安莎莎, 李善红, 郑君. 工作意义感和主动职业行为在临床护士未来工作自我清晰度与工作卷入间的多重中介效应分析. [J]职业与健康, 2025, 41(18): 2506-2511.

AN Shasha, LI Shanhong, ZHENG Jun. Analysis on multiple mediation effect of work meaningfulness and proactive career behavior on relationship between future work self salience and job involvement among clinical nurses. [J]OCCUPATION AND HEALTH, 2025, 41(18): 2506-2511.

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