Survey on current status of resilience level of operating room nurses and analysis on mediating effects

Abstract

Abstract:

Objective To investigate the current situation of the level of resilience of operating room nurses，and explore its related factors and the path of action between some of the factors，provide data reference for the management of operating room nurses. Methods From January to June 2024，the convenience sampling method was used to select the operating room nurses of four hospitals in Liaocheng City as the research object. The general information form，work input scale，perceived social support scale and medical staff resilience scale were used to launch the status quo survey. The statistical results were analyzed by using SPSS 25.0 and AMOS 26.0 software. Results The resilience scores of 167 operating room nurses were （68.37±9.97）points，and the scores were （21.84±4.59）points for the decision coping dimension，（15.87±3.02）points for the interpersonal connection dimension，（15.44±3.31）points for the rational thinking dimension，and （15.00±3.31）points for the flexible self-adaptation dimension. There were statistically significant differences in the resilience scores among operating room nurses with different gender，age，education，position，salary，and whether they had received psychological training（all P<0.05）. There were positive correlations between the resilience of operating room nurses and their work commitment，their perceived social support（all P<0.05）. Multiple linear regression analysis showed that gender，salary，position，job involvement，and perceived social support level were influencing factors for the resilience score of operating room nurses（R²=0.593，adjusted R²=0.583，F=56.750，P<0.01）. The structural equation modeling showed that perceived social support partially mediated the relationship between job involvement and resilience，with a mediating effect of 40.04%. Conclusions The level of resilience of nurses in the operating room needs to be further improved，and factors such as gender，salary，position，work commitment and perceived social support may be correlated with the level of resilience of nurses in the operating room. It is recommended that hospital management take active measures to address the relevant factors，especially strengthening nurses' perceived social support ability，in order to enhance their resilience and promote the stable development of the nursing workforce.

Key words: Operating room, Nurses, Resilience, Social support, Job commitment

CLC Number:

R192.6

XING Xiaoming, ZHANG Junjian, LIANG Ya, JIAO Feifei, LIU Zaiyun, GAO Chunbing. Survey on current status of resilience level of operating room nurses and analysis on mediating effects. [J]OCCUPATION AND HEALTH, 2026, 42(10): 1375-1380.

Figures/Tables 7

References 24

[1]	COOPER A L, BROWN J A, REES C S, et al. Nurse resilience:A concept analysis[J]. Int J Ment Health Nurs, 2020, 29(4):553-575. DOI URL
[2]	YU F, RAPHAEL D, MACKAY L, et al. Personal and work-related factors associated with nurse resilience:A systematic review[J]. Int J Nurs Stud, 2019, 93:129-140. DOI URL
[3]	HAO S. Burnout and depression of medical staff:A chain mediating model of resilience and self-esteem[J]. J Affect Disord, 2023, 325:633-639. DOI URL
[4]	沈丹丹, 杨梓, 陶玲, 等. 自我复原力在手术室护士工作卷入与职业倦怠间的中介效应分析[J]. 职业与健康, 2023, 39(8):1040-1045.
[5]	林书球, 张淋淋, 张悦, 等. 中国手术室护士职业倦怠发生率的meta分析[J]. 职业与健康, 2024, 40(7):964-968.
[6]	张娜, 杨丽娜, 王英, 等. 急诊科护士抗逆力与隐性缺勤间的关系:职业承诺的中介效应[J]. 护理管理杂志, 2023, 23(4):244-248.
[7]	朱厚强, 万金, 时勘, 等. 医护人员抗逆力结构研究与测评量表编制[J]. 统计与信息论坛, 2016, 31(2):107-112.
[8]	张轶文, 甘怡群. 中文版Utrecht工作投入量表(UWES)的信效度检验[J]. 中国临床心理学杂志, 2005, 113(3):268-270,281.
[9]	姜乾金. 领悟社会支持量表[J]. 中国行为医学科学, 2001, 10(10),41-43.
[10]	ALSHAWUSH K, HALLETT N, BRADBURY-JONES C. The impact of transition programmes on workplace bullying,violence,stress and resilience for students and new graduate nurses:a scoping review[J]. J Clin Nurs, 2022, 31(17-18):2398-2417. DOI URL
[11]	WEI H, ROBERTS P, STRICKLER J, et al. Nurse leaders' strategies to foster nurse resilience[J]. J Nurs Manag, 2019, 27(4):681-687. DOI URL
[12]	VAHEDIAN-AZIMI A, HAJIESMAEILI M, KANGASNIEMI M, et al. Effects of stress on critical care nurses:A national cross-sectional study[J]. J Intensive Care Med, 2019, 34(4):311-322. DOI URL
[13]	贾园园, 荚恒娅, 闫红丽, 等. 抗逆力在军队医院急诊科护士挑战性-阻碍性压力源与工作投入间的中介效应[J]. 全科护理, 2024, 22(4):657-662.
[14]	周莹皓, 周丹, 冯澳, 等. 个体抗逆力在急诊科护士工作应激与工作投入间的中介效应研究[J]. 中华现代护理杂志, 2024, 30(12):1632-1637.
[15]	宋睿, 浩育盈, 李娟妮, 等. ICU护士组织支持感在抗逆力与负性情绪间的中介效应[J]. 循证护理, 2024, 10(12):2248-2254.
[16]	王娇, 盖海云, 冯阳. 陕西地区“90后”护士抗逆力与职业生涯状况的相关性研究[J]. 蚌埠医学院学报, 2021, 46(4):547-552.
[17]	黄晓琴. 急诊科护士抗逆力现状及影响因素分析[J]. 临床护理杂志, 2022, 21(2):10-12.
[18]	YU H, HUANG C, CHIN Y, et al. The Mediating Effects of Nursing Professional Commitment on the Relationship between Social Support,Resilience,and Intention to Stay among Newly Graduated Male Nurses:A Cross-Sectional Questionnaire Survey[J]. Int J Environ Res Public Health, 2021; 18(14):7546.. DOI URL
[19]	王慧. ICU护士抗逆力现状及影响因素研究[D]. 石河子: 石河子大学, 2023.
[20]	GUO Y F, LUO Y H, LAM L, et al. Burnout and its association with resilience in nurses:A cross-sectional study[J]. J Clin Nurs, 2018, 27(1-2):441-449. DOI URL
[21]	LENG M, XIU H, YU P, et al. Current state and influencing factors of nurse resilience and perceived job-related stressors[J]. J Contin Educ Nurs, 2020, 51(3):132-137. DOI PMID
[22]	崔亚娟. 某市三甲医院儿科护士职业获益感的现状及影响因素研究[D]. 长春: 吉林大学, 2019.
[23]	ZHANG Y, JIANG J, ZHU C, et al. Status and related factors of burnout among palliative nurses in China:a cross-sectional study[J]. BMC Nurs, 2022, 21(1):313. DOI
[24]	苏婕, 陶岚, 马轶, 等. ICU患者家属疾病不确定感与领悟社会支持、心理弹性的相关性[J]. 中国社会医学杂志, 2024, 41(3):308-311.

项目	人数[人（%）]	决策应对	人际联结	理性思维		柔性自适		抗逆力
性别
女	154（92.22）	20.45±4.90	15.81±3.11	16.06±3.33		15.16±3.07		67.47±9.01
男	13（7.78）	23.08±5.05	17.54±1.94	17.77±2.48		17.15±3.18		75.54±8.65
t值		1.854	2.929	1.800		2.247		3.110
P值		0.066	0.009	0.074		0.026		0.002
年龄（岁）
20~<30	81（48.50）	19.69±4.53	16.12±3.02	15.93±3.46		15.43±2.86		68.53±9.32
30~<40	80（47.90）	21.24±5.06	15.61±3.03	16.34±3.17		15.01±3.27		68.11±8.69
40~<50	6（3.60）	25.83±5.23	17.67±3.83	18.01±2.28		17.67±3.61		79.83±9.49
F值		5.674	1.561	1.244		2.173		4.744
P值		0.004	0.213	0.291		0.117		0.010
学历
专科	94（56.28）	19.65±4.94	15.84±3.09	17.14±2.95		15.78±2.87		69.19±8.17
本科	65（38.92）	21.85±4.54	15.95±3.09	14.63±3.29		14.48±3.16		67.22±10.51
研究生	8（4.80）	22.75±6.01	16.88±2.69	17.88±2.35		16.63±4.17		75.75±6.54
F值		4.744	0.418	14.095		4.249		3.402
P值		0.010	0.659	<0.001		0.016		0.036
职务
无	129（77.25）	20.49±5.17	15.95±3.13	15.22±2.90		15.41±3.20		67.75±8.58
护理组长	29（17.37）	21.45±4.18	16.07±2.85	14.76±2.94		15.1±2.82		68.03±8.30
护士长	9（5.38）	20.44±4.09	16.56±2.01	16.75±3.10		15.67±2.06		75.33±4.66
F值		0.451	0.178	5.606		0.160		3.443
P值		0.638	0.837	0.004		0.852		0.034
工作身份
合同	132（79.04）	20.98±5.08	16.02±3.05	16.47±3.14		15.38±3.19		69.01±8.99
编制	35（20.96）	19.41±4.25	15.62±3.14	15.17±3.71		15.06±2.84		66.08±10.37
t值		1.693	0.724	2.090		0.542		1.702
P值		0.092	0.470	0.038		0.589		0.091
婚姻
未婚	50（29.94）	18.14±4.66	16.22±3.01	16.98±3.29		15.24±2.72		69.22±8.61
已婚	109（65.27）	21.78±4.71	15.75±3.05	15.77±3.26		15.14±3.23		68.41±9.73
离异或丧偶	8（4.79）	21.13±4.72	16.75±3.73	17.13±3.13		18.13±2.81		70.13±5.79
F值		10.330	0.659	2.686		3.550		0.224
P值		<0.001	0.519	0.071		0.031		0.800
职称
护士	42（25.15）	21.79±5.14	16.19±3.21		15.1±3.05		14.71±2.93		68.38±9.95
护师	68（40.72）	20.28±4.58	15.85±2.81		16.93±2.91		15.63±3.23		69.37±8.14
主管护师	36（21.56）	19.69±5.23	16.06±3.48		16.58±3.36		15.86±2.76		68.53±7.26
副主任护师	17（10.18）	21.71±5.37	15.35±3.02		15.35±4.56		14.47±3.89		68.29±15.03
主任护师	4（2.39）	19.25±3.20	16.02±2.94		15.51±2.51		14.75±0.95		65.51±6.02
F值		1.155	0.248		2.537		1.364		0.377
P值		0.359	0.911		0.042		0.274		0.822
工作年限（年）
1~<5	56（33.53）	20.93±4.96	15.8±3.37		16.32±2.94		15.43±3.09		68.38±9.28
5~<10	57（34.13）	20.42±4.74	16.32±2.58		15.88±3.24		15.09±2.89		68.61±8.25
10~<15	41（24.55）	20.32±5.08	15.61±3.26		16.61±3.33		15.71±2.99		67.12±7.51
15~<20	6（3.60）	23.83±3.49	17.17±1.835		16.33±3.38		16.33±2.42		71.33±7.25
≥20	7（4.19）	19.57±6.75	16.29±2.984		18.29±2.62		14.43±5.25		67.43±11.75
F值		0.821	0.618		1.049		0.553		0.413
P值		0.514	0.65		0.384		0.697		0.799
是否夜班
否	89（53.29）	21.47±4.74	15.79±3.08		15.83±3.32		15.04±3.03		68.16±9.99
是	78（46.71）	19.72±5.04	16.11±3.06		16.65±3.23		15.62±3.20		68.69±8.60
t值		2.314	0.663		1.681		1.182		0.407
P值		0.022	0.508		0.095		0.239		0.685
是否接受相关心理培训
否	130（77.84）	20.75±4.99	16.05±3.08		16.11±3.27		15.26±3.04		67.87±9.06
是	37（22.16）	20.32±4.85	15.51±3.01		16.51±3.42		15.49±3.38		71.78±9.28
t值		0.456	0.945		0.659		0.386		2.305
P值		0.649	0.346		0.511		0.700		0.022
工资（元/月）
0~<5 000	96（57.49）	21.64±4.47	15.78±2.98		15.85±3.28		15.11±3.31		67.76±8.71
5 000~<7 500	58（34.73）	18.64±4.98	16.26±3.07		17.11±2.75		15.83±2.73		70.57±6.20
≥7 500	13（7.78）	21.62±5.15	15.69±2.75		15.92±3.25		15.23±2.71		72.15±9.45
F值		7.649	0.505		3.028		0.986		3.278
P值		0.001	0.604		0.051		0.375		0.040

项目	人数[人（%）]	决策应对	人际联结	理性思维		柔性自适		抗逆力
性别
女	154（92.22）	20.45±4.90	15.81±3.11	16.06±3.33		15.16±3.07		67.47±9.01
男	13（7.78）	23.08±5.05	17.54±1.94	17.77±2.48		17.15±3.18		75.54±8.65
t值		1.854	2.929	1.800		2.247		3.110
P值		0.066	0.009	0.074		0.026		0.002
年龄（岁）
20~<30	81（48.50）	19.69±4.53	16.12±3.02	15.93±3.46		15.43±2.86		68.53±9.32
30~<40	80（47.90）	21.24±5.06	15.61±3.03	16.34±3.17		15.01±3.27		68.11±8.69
40~<50	6（3.60）	25.83±5.23	17.67±3.83	18.01±2.28		17.67±3.61		79.83±9.49
F值		5.674	1.561	1.244		2.173		4.744
P值		0.004	0.213	0.291		0.117		0.010
学历
专科	94（56.28）	19.65±4.94	15.84±3.09	17.14±2.95		15.78±2.87		69.19±8.17
本科	65（38.92）	21.85±4.54	15.95±3.09	14.63±3.29		14.48±3.16		67.22±10.51
研究生	8（4.80）	22.75±6.01	16.88±2.69	17.88±2.35		16.63±4.17		75.75±6.54
F值		4.744	0.418	14.095		4.249		3.402
P值		0.010	0.659	<0.001		0.016		0.036
职务
无	129（77.25）	20.49±5.17	15.95±3.13	15.22±2.90		15.41±3.20		67.75±8.58
护理组长	29（17.37）	21.45±4.18	16.07±2.85	14.76±2.94		15.1±2.82		68.03±8.30
护士长	9（5.38）	20.44±4.09	16.56±2.01	16.75±3.10		15.67±2.06		75.33±4.66
F值		0.451	0.178	5.606		0.160		3.443
P值		0.638	0.837	0.004		0.852		0.034
工作身份
合同	132（79.04）	20.98±5.08	16.02±3.05	16.47±3.14		15.38±3.19		69.01±8.99
编制	35（20.96）	19.41±4.25	15.62±3.14	15.17±3.71		15.06±2.84		66.08±10.37
t值		1.693	0.724	2.090		0.542		1.702
P值		0.092	0.470	0.038		0.589		0.091
婚姻
未婚	50（29.94）	18.14±4.66	16.22±3.01	16.98±3.29		15.24±2.72		69.22±8.61
已婚	109（65.27）	21.78±4.71	15.75±3.05	15.77±3.26		15.14±3.23		68.41±9.73
离异或丧偶	8（4.79）	21.13±4.72	16.75±3.73	17.13±3.13		18.13±2.81		70.13±5.79
F值		10.330	0.659	2.686		3.550		0.224
P值		<0.001	0.519	0.071		0.031		0.800
职称
护士	42（25.15）	21.79±5.14	16.19±3.21		15.1±3.05		14.71±2.93		68.38±9.95
护师	68（40.72）	20.28±4.58	15.85±2.81		16.93±2.91		15.63±3.23		69.37±8.14
主管护师	36（21.56）	19.69±5.23	16.06±3.48		16.58±3.36		15.86±2.76		68.53±7.26
副主任护师	17（10.18）	21.71±5.37	15.35±3.02		15.35±4.56		14.47±3.89		68.29±15.03
主任护师	4（2.39）	19.25±3.20	16.02±2.94		15.51±2.51		14.75±0.95		65.51±6.02
F值		1.155	0.248		2.537		1.364		0.377
P值		0.359	0.911		0.042		0.274		0.822
工作年限（年）
1~<5	56（33.53）	20.93±4.96	15.8±3.37		16.32±2.94		15.43±3.09		68.38±9.28
5~<10	57（34.13）	20.42±4.74	16.32±2.58		15.88±3.24		15.09±2.89		68.61±8.25
10~<15	41（24.55）	20.32±5.08	15.61±3.26		16.61±3.33		15.71±2.99		67.12±7.51
15~<20	6（3.60）	23.83±3.49	17.17±1.835		16.33±3.38		16.33±2.42		71.33±7.25
≥20	7（4.19）	19.57±6.75	16.29±2.984		18.29±2.62		14.43±5.25		67.43±11.75
F值		0.821	0.618		1.049		0.553		0.413
P值		0.514	0.65		0.384		0.697		0.799
是否夜班
否	89（53.29）	21.47±4.74	15.79±3.08		15.83±3.32		15.04±3.03		68.16±9.99
是	78（46.71）	19.72±5.04	16.11±3.06		16.65±3.23		15.62±3.20		68.69±8.60
t值		2.314	0.663		1.681		1.182		0.407
P值		0.022	0.508		0.095		0.239		0.685
是否接受相关心理培训
否	130（77.84）	20.75±4.99	16.05±3.08		16.11±3.27		15.26±3.04		67.87±9.06
是	37（22.16）	20.32±4.85	15.51±3.01		16.51±3.42		15.49±3.38		71.78±9.28
t值		0.456	0.945		0.659		0.386		2.305
P值		0.649	0.346		0.511		0.700		0.022
工资（元/月）
0~<5 000	96（57.49）	21.64±4.47	15.78±2.98		15.85±3.28		15.11±3.31		67.76±8.71
5 000~<7 500	58（34.73）	18.64±4.98	16.26±3.07		17.11±2.75		15.83±2.73		70.57±6.20
≥7 500	13（7.78）	21.62±5.15	15.69±2.75		15.92±3.25		15.23±2.71		72.15±9.45
F值		7.649	0.505		3.028		0.986		3.278
P值		0.001	0.604		0.051		0.375		0.040

项目	抗逆力	决策应对	人际联接	理性思维	柔性自适	工作投入	专注	活力	奉献	领悟社会支持	家人支持	朋友支持	其他支持
抗逆力	1.000
决策应对	0.911^a	1.000
人际联接	0.955^a	0.845^a	1.000
理性思维	0.920^a	0.738^a	0.844^a	1.000
柔性自适	0.820^a	0.626^a	0.727^a	0.755^a	1.000
工作投入	0.656^a	0.530^a	0.627^a	0.665^a	0.565^a	1.000
专注	0.536^a	0.497^a	0.523^a	0.441^a	0.485^a	0.367^a	1.000
活力	0.524^a	0.488^a	0.541^a	0.452^a	0.383^a	0.322^a	0.631^a	1.000
奉献	0.624^a	0.575^a	0.618^a	0.523^a	0.540^a	0.412^a	0.892^a	0.812^a	1.000
领悟社会支持	0.772^a	0.674^a	0.736^a	0.707^a	0.693^a	0.598^a	0.517^a	0.479^a	0.620^a	1.000
家人支持	0.694^a	0.594^a	0.673^a	0.638^a	0.624^a	0.552^a	0.448^a	0.470^a	0.569^a	0.932^a	1.000
朋友支持	0.782^a	0.696^a	0.731^a	0.715^a	0.705^a	0.598^a	0.476^a	0.437^a	0.562^a	0.962^a	0.872^a	1.000
其他支持	0.762^a	0.691^a	0.710^a	0.696^a	0.669^a	0.548^a	0.472^a	0.453^a	0.578^a	0.919^a	0.807^a	0.919^a	1.000

项目	抗逆力	决策应对	人际联接	理性思维	柔性自适	工作投入	专注	活力	奉献	领悟社会支持	家人支持	朋友支持	其他支持
抗逆力	1.000
决策应对	0.911^a	1.000
人际联接	0.955^a	0.845^a	1.000
理性思维	0.920^a	0.738^a	0.844^a	1.000
柔性自适	0.820^a	0.626^a	0.727^a	0.755^a	1.000
工作投入	0.656^a	0.530^a	0.627^a	0.665^a	0.565^a	1.000
专注	0.536^a	0.497^a	0.523^a	0.441^a	0.485^a	0.367^a	1.000
活力	0.524^a	0.488^a	0.541^a	0.452^a	0.383^a	0.322^a	0.631^a	1.000
奉献	0.624^a	0.575^a	0.618^a	0.523^a	0.540^a	0.412^a	0.892^a	0.812^a	1.000
领悟社会支持	0.772^a	0.674^a	0.736^a	0.707^a	0.693^a	0.598^a	0.517^a	0.479^a	0.620^a	1.000
家人支持	0.694^a	0.594^a	0.673^a	0.638^a	0.624^a	0.552^a	0.448^a	0.470^a	0.569^a	0.932^a	1.000
朋友支持	0.782^a	0.696^a	0.731^a	0.715^a	0.705^a	0.598^a	0.476^a	0.437^a	0.562^a	0.962^a	0.872^a	1.000
其他支持	0.762^a	0.691^a	0.710^a	0.696^a	0.669^a	0.548^a	0.472^a	0.453^a	0.578^a	0.919^a	0.807^a	0.919^a	1.000

变量	赋值方式
年龄	原数值
性别	1=女；2=男
学历	1=专科；2=本科；3=研究生
职务	1=无；2=护理组长；3=护士长
工资（元）	1=0~约5 000；2=5 000耀约7 500；3=逸7 500
是否参加过心理培训	0=否；1=是
工作投入	原数值
领悟社会支持	原数值