Mediating role of psychological resilience in the relationship between work environment and career success among standardized training nurses

Abstract

Abstract:

Objective To explore the current status of career success among standardized training nurses and the mediating effect of related factors，in order to provide theoretical support for the development of management policies for this group. Methods In December 2023，standardized training nurses from two tertiary hospitals in Chengdu City were selected as study participants. Data were collected using the nurses' psychological resilience scale，the nursing work environment scale，and the career success scale. Statistical analysis were conducted to evaluate the results. Results Among the 215 standardized training nurses surveyed，the mean score for career success was （34.71±6.77）points，psychological resilience was （80.93±14.21）points，and work environment was （92.26±10.12）points. Univariate analysis indicated that monthly salary and whether the nurse had received psychological training were significantly associated with the differences in work environment scores（all P<0.05）. Gender，age，education level，monthly salary， and psychological training were significantly associated with the differences in psychological resilience scores（all P<0.05）. Education level，monthly salary and psychological training also showed significant differences in career success scores（all P<0.05）. Mediation analysis revealed that psychological resilience played a mediating role in the relationship between work environment and career success，accounting for 33.85% of the total effect. Conclusion Nursing managers should focus on improving the practice environment and enhancing psychological resilience of standardized training nurses to foster their career success，and promoting the stable development of both individual nurses and the nursing workforce.

Key words: Nurses, Work environment, Psychological resilience, Career success, Mediating effect, Related factors

CLC Number:

R192.6

YANG Simin, YANG Lu, WANG Cui, PENG Xueping. Mediating role of psychological resilience in the relationship between work environment and career success among standardized training nurses. [J]OCCUPATION AND HEALTH, 2026, 42(6): 796-800.

Figures/Tables 5

References 21

[1]	姚萍萍, 史绪生, 姜勇, 等. 新入职本科规范化培训护士护理信息能力评价指标体系的构建[J]. 护理研究, 2024, 38(4):604-608.
[2]	纪媛媛, 王军, 俞洁, 等. 基于岗位胜任力构建神经外科新入职护士规范化培训指标体系[J]. 护理学报, 2024, 31(1):27-31. DOI
[3]	DELLEFIELD M E, MADRIGAL C. Nursing leadership-transforming the work environment in nursing homes[J]. Nurs Clin North Am, 2022, 57(2):299-314. DOI URL
[4]	POKU C A, DONKOR E, NAAB F. Impacts of nursing work environment on turnover intentions:The mediating role of burnout in Ghana[J]. Nurs Res Pract, 2022, 2022:1310508.
[5]	蒋莹莹, 吴桃峰, 胡洁蔓, 等. 临床护士职业心理韧性量表的编制及信效度检验[J]. 护士进修杂志, 2024, 39(20):2134-2139.
[6]	折春堉, 冯晓婷, 汲媛美, 等. 职业生涯韧性在ICU护士工作压力与职业成功之间的中介效应分析[J]. 中国护理管理, 2024, 24(9):1418-1422.
[7]	郑卫军, 何凡. 现况调查的样本量计算方法[J]. 预防医学, 2020, 32(6):647-648.
[8]	李泽楷, 尤黎明, W C CHAN S, 等. 中文版职业生涯成功量表在三级甲等医院医护人员测量中的信效度研究[J]. 中华护理杂志, 2013, 48(9):828-830.
[9]	YU X N, LAU J T, MAK W W, et al. Factor structure and psychometric properties of the Connor-Davidson Resilience Scale among Chinese adolescents[J]. Compr Psychiatry, 2011, 52(2):218-224. DOI URL
[10]	叶志弘, 邵静, 汤磊雯. 护理工作环境量表的研制及信效度研究[J]. 中华护理杂志, 2016, 51(2):142-147.
[11]	张静, 陆爱红, 黄雪红, 等. 急诊科护士工作场所暴力与心理韧性对职业倦怠的影响[J]. 职业与健康, 2025, 41(10):1335-1339.
[12]	邓潇雪. 护士工作环境感知、职业韧性、创新行为与职业成功感的关系研究[D]. 锦州: 锦州医科大学, 2023.
[13]	吴妍平, 徐仁华, 王云文, 等. 老年专科护士职业生涯成功感现状及相关因素分析[J]. 中国护理管理, 2021, 21(7):1079-1083.
[14]	臧璇璇, 孙丽丽. 消毒供应中心护士心理韧性与工作压力的相关性分析[J]. 天津护理, 2025, 33(2):179-182.
[15]	张慧鑫, 蔡卫新, 邢娅娜, 等. 护士心理韧性相关执业环境因素评估量表的构建及信效度检验[J]. 护理学报, 2023, 30(1):53-59. DOI
[16]	秦晶, 李思思. 儿童医院重症监护室护士职业成功感现状及影响因素分析[J]. 当代护士(中旬刊), 2023, 30(12):107-110.
[17]	危志华, 邓宝贵, 李向芳, 等. 心理韧性在护士第二受害者支持与职业生涯成功间的中介作用研究[J]. 中国卫生质量管理, 2022, 29(9):17-20,25.
[18]	DUTRA H S, GUIRARDELLO E B. Nursing work environment and accreditation:Is there a relationship?[J]. J Nurs Manag, 2021, 29(7):2183-2188. DOI URL
[19]	胡海, 吴裕玲, 孙智慧. 硕士学历护士心理韧性与职业发展的相关性研究[J]. 鄂州大学学报, 2024, 31(3):102-105.
[20]	MATTHEWS E E, KINSER P A, WARSHAWSKY N, et al. The perceived reality and environment of the mid-career nurse scientist[J]. Nurs Outlook, 2021, 69(3):276-285. DOI PMID
[21]	JUNG S, HAN K, KIM K. Individual-level positive psychological capital that enhances managers' transformational leadership effectiveness on nurse career success[J]. Int Nurs Rev, 2024, 71(4):977-984. DOI PMID

变量	职业满意度	组织内竞争力	组织外竞争力	职业成功	力量	乐观	坚韧	心理韧性	职业发展	领导与管理	医护关系	认可氛围	专业自主	基本保障	充足人力	工作环境
职业满意度	1.000
组织内竞争力	0.774^a	1.000
组织外竞争力	0.590^a	0.714^a	1.000
职业成功	0.907^a	0.920^a	0.845^a	1.000
力量	0.665^a	0.672^a	0.650^a	0.743^a	1.000
乐观	0.661^a	0.683^a	0.668^a	0.751^a	0.878^a	1.000
坚韧	0.610^a	0.629^a	0.628^a	0.697^a	0.812^a	0.896^a	1.000
心理韧性	0.688^a	0.701^a	0.680^a	0.773^a	0.935^a	0.968^a	0.945^a	1.000
职业发展	0.542^a	0.586^a	0.447^a	0.589^a	0.515^a	0.543^a	0.491^a	0.549^a	1.000
领导与管理	0.496^a	0.578^a	0.483^a	0.578^a	0.544^a	0.567^a	0.541^a	0.584^a	0.631^a	1.000
医护关系	0.568^a	0.577^a	0.490^a	0.613^a	0.664^a	0.673^a	0.660^a	0.704^a	0.494^a	0.509^a	1.000
认可氛围	0.519^a	0.558^a	0.419^a	0.560^a	0.597^a	0.618^a	0.622^a	0.651^a	0.515^a	0.524^a	0.710^a	1.000
专业自主	0.576^a	0.613^a	0.496^a	0.630^a	0.588^a	0.626^a	0.629^a	0.654^a	0.536^a	0.585^a	0.642^a	0.651^a	1.000
基本保障	0.473^a	0.550^a	0.444^a	0.545^a	0.470^a	0.528^a	0.506^a	0.533^a	0.499^a	0.500^a	0.516^a	0.534^a	0.550^a	1.000
充足人力	0.539^a	0.565^a	0.437^a	0.578^a	0.485^a	0.546^a	0.526^a	0.556^a	0.494^a	0.496^a	0.527^a	0.506^a	0.566^a	0.627^a	1.000
工作环境	0.689^a	0.751^a	0.585^a	0.757^a	0.710^a	0.754^a	0.724^a	0.775^a	0.744^a	0.726^a	0.797^a	0.790^a	0.834^a	0.744^a	0.756^a	1.000

变量	职业满意度	组织内竞争力	组织外竞争力	职业成功	力量	乐观	坚韧	心理韧性	职业发展	领导与管理	医护关系	认可氛围	专业自主	基本保障	充足人力	工作环境
职业满意度	1.000
组织内竞争力	0.774^a	1.000
组织外竞争力	0.590^a	0.714^a	1.000
职业成功	0.907^a	0.920^a	0.845^a	1.000
力量	0.665^a	0.672^a	0.650^a	0.743^a	1.000
乐观	0.661^a	0.683^a	0.668^a	0.751^a	0.878^a	1.000
坚韧	0.610^a	0.629^a	0.628^a	0.697^a	0.812^a	0.896^a	1.000
心理韧性	0.688^a	0.701^a	0.680^a	0.773^a	0.935^a	0.968^a	0.945^a	1.000
职业发展	0.542^a	0.586^a	0.447^a	0.589^a	0.515^a	0.543^a	0.491^a	0.549^a	1.000
领导与管理	0.496^a	0.578^a	0.483^a	0.578^a	0.544^a	0.567^a	0.541^a	0.584^a	0.631^a	1.000
医护关系	0.568^a	0.577^a	0.490^a	0.613^a	0.664^a	0.673^a	0.660^a	0.704^a	0.494^a	0.509^a	1.000
认可氛围	0.519^a	0.558^a	0.419^a	0.560^a	0.597^a	0.618^a	0.622^a	0.651^a	0.515^a	0.524^a	0.710^a	1.000
专业自主	0.576^a	0.613^a	0.496^a	0.630^a	0.588^a	0.626^a	0.629^a	0.654^a	0.536^a	0.585^a	0.642^a	0.651^a	1.000
基本保障	0.473^a	0.550^a	0.444^a	0.545^a	0.470^a	0.528^a	0.506^a	0.533^a	0.499^a	0.500^a	0.516^a	0.534^a	0.550^a	1.000
充足人力	0.539^a	0.565^a	0.437^a	0.578^a	0.485^a	0.546^a	0.526^a	0.556^a	0.494^a	0.496^a	0.527^a	0.506^a	0.566^a	0.627^a	1.000
工作环境	0.689^a	0.751^a	0.585^a	0.757^a	0.710^a	0.754^a	0.724^a	0.775^a	0.744^a	0.726^a	0.797^a	0.790^a	0.834^a	0.744^a	0.756^a	1.000

路径关系	估计值	$s_{\bar{x}}$	CR	P
心理韧性→工作环境	0.833	0.148	16.43	<0.01
职业成功→心理韧性	0.343	0.041	5.578	<0.01
职业成功→工作环境	0.559	0.134	8.114	<0.01

路径关系	估计值	$s_{\bar{x}}$	CR	P
心理韧性→工作环境	0.833	0.148	16.43	<0.01
职业成功→心理韧性	0.343	0.041	5.578	<0.01
职业成功→工作环境	0.559	0.134	8.114	<0.01

效应	估计值	95%CI	P值	效应占比（%）
间接效应	0.286	0.170~0.392	0.001	33.85
直接效应	0.559	0.421~0.702	0.001	66.15
总效应	0.845	0.799~0.888	0.001	100.00