职业与健康 ›› 2025, Vol. 41 ›› Issue (19): 2679-2684.

• 论著 • 上一篇    下一篇

西安市三级甲等医院临床护士自我关怀在感知伦理型领导与工作投入间的中介作用

刘星星, 何方, 张俊, 田甜, 吉元娇, 仲月霞   

  1. 空军军医大学第二附属医院门诊部,陕西 西安 710038
  • 收稿日期:2025-01-05 修回日期:2025-01-23 出版日期:2025-10-01 发布日期:2025-12-13
  • 通信作者: 仲月霞,主任护师,E-mail:zhongyuexia1@126.com
  • 作者简介:刘星星,男,护师,主要从事护理管理工作。

Mediating effect of clinical nurses' self-care between perceived ethical leadership and work engagement in grade-A tertiary hospitals in Xi'an city

LIU Xingxing, HE Fang, ZHANG Jun, TIAN Tian, JI Yuanjiao, ZHONG Yuexia   

  1. Outpatient Department,The Second Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi 710038,China
  • Received:2025-01-05 Revised:2025-01-23 Online:2025-10-01 Published:2025-12-13
  • Contact: ZHONG Yuexia,Chief Nurse,E-mail:zhongyuexia1@126.com

摘要: 目的 了解临床护士自我关怀在感知伦理型领导和工作投入间的中介作用。方法 采用便利抽样法,2024年4—5月选取陕西省西安市4所三级甲等综合医院的539名临床护士为调查对象,使用感知伦理型领导量表、自我关怀量表和工作投入量表进行调查,并对数据进行分析。结果 临床护士感知伦理型领导评分为(37.97±7.36)分,自我关怀评分为(82.35±9.66)分,工作投入评分为(34.67±6.63)分,三者间均呈正相关(均P<0.01)。临床护士自我关怀在感知伦理型领导和工作投入间起部分中介作用,中介效应占比为31.9%。结论 临床护士感知伦理型领导可通过改善护士的自我关怀水平间接影响其工作投入。建议护理管理者加强自身的伦理型领导能力,为临床护士营造良好的自我关怀实践环境,进而提升护士的工作投入。

关键词: 感知伦理型领导, 自我关怀, 工作投入, 护士, 中介效应

Abstract: Objective To investigate the mediating role of clinical nurses’ self-care between perceived ethical leadership and work engagement. Methods A convenience sampling method was used to select 539 clinical nurses from four grade-A tertiary hospitals in Xi'an City,Shaanxi Province from April to May 2024 to investigate using the perceived ethical leadership scale,the self-care scale,and the work engagement scale,and the data were analyzed. Results Clinical nurses' perceived ethical leadership scores were (37.97±7.36)points,self-care scores were (82.35±9.66)points,and work engagement scores were (34.67±6.63)points,with positive correlations between all three(all P<0.01). Clinical nurses' self-care partially mediated between perceived ethical leadership and work engagement,with a mediation effect of 31.9%. Conclusion Clinical nurses' perceived ethical leadership can indirectly affect their work engagement by improving nurses' level of self-care. It is recommended that nursing administrators strengthen their own ethical leadership skills and create a favorable environment for clinical nurses to practice self-care,which in turn improves nurses' work engagement.

Key words: Perceived ethical leadership, Self-care, Work engagement, Nurses, Mediating effect

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