急诊科护士自我关怀在职业获益感与工作投入间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (12): 1646-1651.

急诊科护士自我关怀在职业获益感与工作投入间的中介作用

范欣¹, 贾燕², 孙雪莲¹, 王丽琴²

1.首都医科大学宣武医院急诊科,北京 100053;
2.江苏大学附属宜兴医院,江苏宜兴 214200

收稿日期:2024-10-09 修回日期:2024-10-21 出版日期:2025-06-15 发布日期:2025-12-11
通信作者: 贾燕,主管护师,E-mail：382149252@qq.com
作者简介:范欣,女,在读硕士研究生,研究方向为急诊护理。
基金资助:
2023年度江苏省医院协会医院管理创新研究课题（面上）（JSYGY-3-2023-151）

Mediating effect of emergency department nurses' self-care on perceived professional benefits and work engagement

FAN Xin¹, JIA Yan², SUN Xuelian¹, WANG Liqin²

1. Department of Emergency Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2. Yixing Hospital Affiliated to Jiangsu University, Yixing, Jiangsu 214200, China

Received:2024-10-09 Revised:2024-10-21 Online:2025-06-15 Published:2025-12-11
Contact: JIA Yan,Nurse in charge,E-mail：382149252@qq.com

摘要/Abstract

摘要： 目的探讨急诊护士自我关怀在职业获益感与工作投入间的中介作用,为护理管理者制定相关培训方案和干预措施提高其工作投入提供依据。方法采用便利抽样法,于2023年4—6月选取江苏省5家三级甲等综合医院急诊科护士,通过一般资料调查表、护士职业获益感量表、护士自我关怀量表和工作投入量表进行问卷调查,并对数据进行分析。结果急诊科护士自我关怀量表总分为（138.70±15.15）分,职业获益感总分为（120.67±14.44）分,工作投入总分为（35.02±7.66）分。职业获益感总分与自我关怀总分、工作投入总分呈正相关（r=0.634、0.519,均P<0.01）,自我关怀与工作投入呈正相关（r=0.528,P<0.01）。自我关怀在职业获益感和工作投入间存在部分中介作用,中介效应值为0.237,中介效应占总效应的52.48%。结论急诊科护士自我关怀是护士职业获益感及工作投入的中介变量,护理管理者应重视护士自我关怀的培养,提高职业获益感,从而提升护士的工作投入,提高护理质量,保障患者安全。

关键词: 急诊科, 护士, 自我关怀, 职业获益感, 工作投入, 中介效应

Abstract: Objective To explore the mediating role of self-care in the relationship between perceived professional benefits and work engagement among emergency department nurses,in order to provide a basis for nursing managers to develop relevant training programs and intervention measures to improve the work engagement. Methods The convenience sampling was used to select emergency department nurses from five grade-A tertiary general hospitals in Jiangsu from April to June 2023. The questionnaires were conducted using the general information survey,nurses' perceived professional benefits scale,nurses' self-care scale,and work engagement scale,and the data were analyzed. Results The total score of the nurses' self-care scale in the emergency department nurses was （138.70±15.15）points,the total score of perceived professional benefits was （120.67±14.44） points,and the total score of the work engagement scale was （35.02±7.66）points. The total score of perceived professional benefits was positively correlated with the total scores of self-care and work engagement（r=0.634,0.519,both P<0.01）,and the self-care was positively correlated with work engagement（r=0.528,P<0.01）. The self-care had a partial mediating effect between perceived professional benefits and work engagement,with a mediation effect value of 0.237,accounting for 52.48% of the total effect. Conclusion The self-care of emergency department nurses is a mediator variable between perceived professional benefits and work engagement,so the nursing managers should pay attention to the cultivation of nurses' self-care,improve perceived professional benefits,and thereby enhance nurses' work engagement,improve the quality of nursing care,and ensure patient safety.

Key words: Emergency department, Nurses, Self-care, Perceived professional benefits, Work engagement, Mediating effect

中图分类号:

R192.6

范欣, 贾燕, 孙雪莲, 王丽琴. 急诊科护士自我关怀在职业获益感与工作投入间的中介作用. [J]职业与健康, 2025, 41(12): 1646-1651.

FAN Xin, JIA Yan, SUN Xuelian, WANG Liqin. Mediating effect of emergency department nurses' self-care on perceived professional benefits and work engagement. [J]OCCUPATION AND HEALTH, 2025, 41(12): 1646-1651.

参考文献

[1] MARTI F,GIANNARELLI D,MITELLO L,et al.Correlation between work engagement and burnout among registered nurses:An italian hospital survey[J].Prof Inferm,2019,72(1):42-49.
[2] 张国文,李惠萍,宋瑰琦,等.急诊科护士情绪劳动与工作投入现状及二者相关性研究[J].蚌埠医学院学报,2022,47(2):259-264.
[3] 赵丽,柏玲,郑昕,等.医院伦理氛围与急诊科护士工作投入的相关性研究[J].中国医学伦理学,2023,36(6):679-683.
[4] 胡菁. 护士职业获益感概念框架及测评工具研究[D].上海:第二军医大学,2013.
[5] 卓荣新. 护士职业获益感、工作环境和工作满意度对工作投入的影响及机制研究[D].济南:山东第一医科大学,2019.
[6] 徐旭,张丽丽,马红梅,等.临床护士自我关怀现状及影响因素分析[J].职业与健康,2022,38(4):497-501,506.
[7] KOTERA Y,TSUDA-MCCAIE F,EDWARDS A M,et al.Self-compassion in Irish social work students:Relationships between resilience,engagement and motivation[J].Int J Environ Res Public Health,2021, 18(15):8187.
[8] 段锦云,杨静,朱月龙.资源保存理论:内容、理论比较及研究展望[J].心理研究,2020,13(1):49-57.
[9] 周西,杨惠云,杨滢,等.护士职业认同在职业获益感与工作投入的中介效应分析[J].护理学杂志,2019,34(17):51-54.
[10] 詹淑贝,许亚红,岳鹏.护士自我关怀量表的编制及其信效度检验[J].中华现代护理杂志,2020,26(11):1466-1470.
[11] 胡菁,刘晓虹.护士职业获益感问卷的编制及其信效度检验[J].解放军护理杂志,2013,30(22):1-5.
[12] 李富业,赵俊岭,张沛,等.公安民警工作投入量表中文版信效度评价[J].中国公共卫生,2013,29(1):97-99.
[13] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.
[14] PODSAKOFF P M,MACKENZIE S B,PODSAKOFF N P.Sources of method bias in social science research and recommendations on how to control it[J].Annu Rev Psychol,2012,63:539-569.
[15] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.
[16] 常红娟,解梦瑶,陈静,等.临床护士自我关怀现状及潜在剖面分析[J].中华护理杂志,2023,58(13):1615-1622.
[17] 伍甜甜. 急诊科护士自我关怀、应激反应与工作绩效的关系研究[D].长沙:湖南中医药大学,2023.
[18] PÉRULA-DE T L,ATALAYA J,GARC?A-CAMPAYO J,et al.Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses:MINDUUDD study protocol[J].BMC Fam Pract,2019,20(1):24.
[19] 张健,杨欣,姜金霞,等.上海市三甲医院急诊科护士职业获益感现状研究[J].中国医药导报,2020,17(8):43-47.
[20] 常玉霞,韩旭,杜丽霞,等.职业获益感在急诊护士觉知压力与职业认同感间的中介效应分析[J].天津护理,2020,28(5):530-533.
[21] 刘奕彤,殷娜.连云港市129名急诊科护士职业获益感与组织支持感的相关性[J].工业卫生与职业病,2019,45(4):286-288,292.
[22] 李雅欣,赵越.肿瘤科护士职业获益感现状及干预研究进展[J].职业与健康,2022,38(22):3147-3152,3156.
[23] 王晓玉,李金萍,梁超.情感承诺在新护士无礼行为感知与工作投入间的中介效应[J].护理学报,2021,28(21):57-61.
[24] 马梦迪,薛婷,陈强,等.人文管理感知在急诊科护士薪酬满意度与工作投入的中介效应[J].护理学报,2020,27(1):39-42.
[25] 段好丽,陈颂歌,易银萍,等.自我决定理论视角下郑州市3所医院护士工作投入的影响因素分析[J].职业与健康,2023,39(13):1729-1732,1739.
[26] 史艳茹,李琦,曹效亲,等.陕西省精神专科医院护士工作投入现状及影响因素分析[J].职业与健康,2024,40(3):337-342,347.
[27] 卓荣新,张爱华.护士工作投入与工作环境、职业获益感的相关性分析[J].军事护理,2022,39(10):29-32.