职业与健康 ›› 2025, Vol. 41 ›› Issue (19): 2609-2613.

• 论著 • 上一篇    下一篇

急诊科护士工作场所不文明行为、心理韧性对职业倦怠的影响

徐学勤1,2, 陈园园2, 周芬1   

  1. 1.徐州医科大学盐城临床学院,江苏 盐城 224006;
    2.盐城市第三人民医院,江苏 盐城 224000
  • 收稿日期:2025-01-03 修回日期:2025-01-20 出版日期:2025-10-01 发布日期:2025-12-13
  • 通信作者: 周芬,主任护师,E-mail:941191883@qq.com
  • 作者简介:徐学勤,女,副主任护师,主要从事门诊护理工作。

Impact of uncivilized behavior in the workplace and psychological resilience of emergency department nurses on occupational burnout

XU Xueqin1,2, CHEN Yuanyuan2, ZHOU Fen1   

  1. 1. Yancheng Clinical College of Xuzhou Medical University,Yancheng,Jiangsu 224006,China;
    2. Yancheng Third People's Hospital, Yancheng,Jiangsu 224000,China
  • Received:2025-01-03 Revised:2025-01-20 Online:2025-10-01 Published:2025-12-13
  • Contact: ZHOU Fen,Chief nurse,E-mail:941191883@qq.com

摘要: 目的 了解急诊科护士工作场所不文明行为、心理韧性和职业倦怠现状,探讨工作场所不文明行为、心理韧性对职业倦怠的影响。方法 采用便利抽样法,于2024年4—5月采用工作场所不文明行为量表、心理韧性量表和职业倦怠量表对盐城市6家三级甲等医院185名急诊科护士进行调查,并对数据进行分析。结果 急诊科护士工作场所不文明行为、心理韧性和职业倦怠得分分别为(95.47±11.64)、(87.28±12.74)和(63.78±13.46)分。单因素分析显示,年龄、工作年限、职称、月收入及值夜班情况均是急诊科护士职业倦怠的影响因素(均P<0.05);急诊科护士工作场所不文明行为与职业倦怠呈正相关(r=0.618,P<0.01),心理韧性与职业倦怠呈负相关(r=-0.486,P<0.01),工作场所不文明行为与心理韧性呈负相关(r=-0.544,P<0.01)。急诊科护士心理韧性在工作场所不文明行为和职业倦怠间起部分中介作用,中介效应值为0.259,占总效应的42.18%。结论 急诊科护士工作场所不文明行为和职业倦怠水平较高,心理韧性在工作场所不文明行为和职业倦怠间起部分中介作用,提高心理韧性水平有利于缓解工作场所不文明行为对职业倦怠的影响。

关键词: 急诊科护士, 工作场所不文明行为, 心理韧性, 职业倦怠, 影响因素

Abstract: Objective To investigate the status of uncivilized behavior in the workplace,psychological resilience,and occupational burnout among emergency department nurses,and to explore the impact of uncivilized behavior in the workplace and psychological resilience on occupational burnout. Methods From April to May 2024,a convenience sampling method was used to survey 185 emergency department nurses from 6 grade-A tertiary hospitals in Yancheng City using the workplace uncivilized behavior scale,psychological resilience scale,and occupational burnout scale,and the data were analyzed. Results The score for uncivilized behavior in the workplace of emergency department nurses was(95.47±11.64)points,psychological resilience was(87.28±12.74)points and occupational burnout was(63.78±13.46)points. Univariate analysis showed that age,years of work experience,professional title,monthly income,and night shift work were the influencing factors of occupational burnout among emergency department nurses(all P<0.05). The workplace uncivilized behavior of emergency department nurses was positively correlated with occupational burnout(r=0.618,P<0.01),while psychological resilience was negatively correlated with occupational burnout(r=-0.486,P<0.01). The workplace uncivilized behavior was negatively correlated with psychological resilience(r= -0.544,P<0.01). The psychological resilience of emergency department nurses partially mediated the relationship between workplace uncivilized behavior and occupational burnout,with a mediation effect of 0.259,accounting for 42.18% of the total effect. Conclusion Emergency department nurses have a high level of uncivilized behavior in the workplace and occupational burnout. Psychological resilience plays a partial mediating role between uncivilized behavior in the workplace and occupational burnout. Improving psychological resilience is beneficial for alleviating the impact of uncivilized behavior in the workplace on occupational burnout.

Key words: Emergency department nurse, Uncivilized behavior in the workplace, Psychological resilience, Occupational burnout, Influencing factor

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