职业与健康 ›› 2025, Vol. 41 ›› Issue (1): 18-23.

• 论著 • 上一篇    下一篇

临床护士工作投入、体面劳动感知与职业倦怠的关系分析

马尉蓝1, 李随1, 陈雅倩1, 李鑫1, 薛博文2, 封亚萍3   

  1. 1.杭州师范大学护理学院,浙江 杭州 311121;
    2.浙江大学医学院附属精神卫生中心/杭州市第七人民医院,浙江 杭州 310013;
    3.杭州师范大学附属医院护理部,浙江 杭州 310015
  • 收稿日期:2024-03-27 修回日期:2024-04-08 出版日期:2025-01-01 发布日期:2025-12-17
  • 通信作者: 封亚萍,主任护师,E-mail:fengyaping3433@163.com
  • 作者简介:马尉蓝,女,在读硕士研究生,研究方向为护理管理与临床护理。
  • 基金资助:
    2022年浙江省卫生健康科技计划(2022KY963)

Analysis of the relationship between work engagement,decent work perception and job burnout among clinical nurses

MA Weilan1, LI Sui1, CHEN Yaqian1, LI Xin1, XUE Bowen2, FENG Yaping3   

  1. 1. School of Nursing,Hangzhou Normal University,Hangzhou,Zhejiang 311121,China;
    2. Affiliated Mental Health Center,Zhejiang University School of Medicine/Hangzhou Seventh People's Hospital,Hangzhou,Zhejiang 310013,China;
    3. Department of Nursing,The Affiliated Hospital of Hangzhou Normal University,Hangzhou,Zhejiang 310015,China
  • Received:2024-03-27 Revised:2024-04-08 Online:2025-01-01 Published:2025-12-17
  • Contact: FENG Yaping,Chief nurse,E-mail:fengyaping3433@163.com

摘要: 目的 基于资源保护理论分析临床护士工作投入、体面劳动感知与职业倦怠的关系。方法 采用便利抽样法,2023年7—8月选取杭州市3所三级甲等医院共460名护士为研究对象。采用一般资料调查表、体面劳动感知量表(decent work perception scale,DWPS)、工作投入量表(Utrecht work engagement scale,UWES)、职业倦怠量表(Maslach burnout inventory-general survey,MBI-GS)对其进行调查,采用SPSS 25.0分析护士工作投入、体面劳动感知、职业倦怠间的相关性,基于资源保护理论构建中介模型,并进行中介效应检验。结果 临床护士体面劳动感知总分为(53.42±10.63)分,工作投入总分为(51.17±16.27)分,职业倦怠总分为(33.76±13.75)分。临床护士体面劳动感知与职业倦怠呈负相关(r=-0.578,P<0.01),体面劳动感知与工作投入呈正相关(r=0.590,P<0.01),工作投入与职业倦怠呈负相关(r=-0.660,P<0.01)。工作投入在体面劳动感知与职业倦怠中起部分中介作用,中介效应值为-0.374,效应占比为50%。结论 临床护士体面劳动感知及工作投入处于中等偏上水平,职业倦怠呈中度水平。体面劳动感知可以通过工作投入间接影响职业倦怠。建议护理管理者采取积极措施提升护士的体面劳动感知和工作投入,提高其工作满意度,进而降低其职业倦怠水平。

关键词: 临床护士, 体面劳动感知, 职业倦怠, 工作投入, 中介效应, 资源保护理论

Abstract: Objective Based on the theory of resource conservation,this study aims to analyze the relationship between work engagement,decent work perception and job burnout among clinical nurses. Methods From July to August 2023,a convenience sampling method was used to select 460 nurses from three grade-A tertiary hospitals in Hangzhou as the research subjects. The general information questionnaire,the decent work perception scale(DWPS),the Utrecht work engagement scale(UWES) and the Maslach burnout inventory-general survey(MBI-GS) were used to investigate the nurses. SPSS 25.0 was used to analyze the correlation between nurses' work engagement,decent work perception and job burnout. The mediation model was constructed based on the resource protection theory,and mediation effect tests were conducted. Results The total score of decent work perception among clinical nurses was (53.42±10.63)points,the total score of work engagement was (51.17±16.27)points,and the total score of job burnout was (33.76±13.75)points. Clinical nurses' perception of decent work was negatively correlated with job burnout(r=-0.578, P<0.01),while decent work perception was positively correlated with work engagement(r=0.590,P<0.01),and work engagement was negatively correlated with job burnout(r=-0.660,P<0.01). Work engagement played a partial mediating role in decent work perception and job burnout,with a mediating effect value of -0.374 and an effect proportion of 50%. Conclusion Clinical nurses' decent work perception and work engagement were at the upper middle level,and job burnout was at a moderate level. Decent work perception can indirectly affect job burnout through work engagement. It is recommended that nursing managers take proactive measures to enhance nurses' decent work perception and job engagement,improve their job satisfaction,and thereby reduce their level of job burnout.

Key words: Clinical nurses, Decent work perception, Job burnout, Work commitment, Mediating effect, Resource conservation theory

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