Study on relationship between organizational justice,psychological capital,professional identity and job burnout among clinical nurses in grade-A tertiary hospitals in Sichuan Province

Abstract

Abstract: Objective To understand the status quo of organizational justice,psychological capital,professional identity and job burnout of clinical nurses in grade-A tertiary hospitals,analyze the mediating role of psychological capital and professional identity in organizational justice and job burnout. Methods From January to February 2022,1 009 clinical nurses from threegrade-A tertiary hospitals in Sichuan Province were collected by the convenience sampling method,and investigated by the organizational justice scale,psychological capital scale,occupational identity scale and job burnout scale,and the data were analyzed. Results The score of organizational justice among clinical nurses fromgrade-A tertiary hospitals was （70.95±13.48）points,psychological capital was （102.67±17.85）points,professional identity was （98.17±12.20）points,and job burnout was （47.95±11.64）points. The overall proportion of job burnout among nurses was 58.8%,and the proportions of mild,moderate and severe job burnout were 35.1%,20.4% and 3.3%,respectively. There were statistically significantdifferences in the total scores of jobburnout among nurses with different gender,age,working years and monthly average income（all P<0.05）. The correlation analysis showed that the total scores of organizational justice,psychological capital and professional identity,as well as the scores of each dimensionof clinical nurses ingrade-A tertiary hospitals were negatively correlated withscores ofemotional exhaustion and personality disintegration（all P<0.01）,and positively correlated with personal accomplishment score（P<0.01）. The mediating effect analysis showedthat psychological capital and professional identity played a chain mediating role in organizational justice and job burnout of nurses ingrade-A tertiary hospitals,the mediating effect was -0.129,accounting for 24.48% of the total effect. Conclusion The level of job burnout of clinical nurses in grade-A tertiary hospitals is high,the psychological capital and professional identity can mediate the relationship between organizational justice and job burnout independently or cumulatively,and the nursing managers should strengthen organizational justice and improve psychological capital and professional identity of nurses through effective strategies to reduce job burnout of nurses.

Key words: Nurses, Job burnout, Organizational justice, Professional identity, Psychological capital, Mediating effect

CLC Number:

R181.3⁺1

JIANG Li. Study on relationship between organizational justice,psychological capital,professional identity and job burnout among clinical nurses in grade-A tertiary hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2023, 39(10): 1322-1328.

References

[1] WOO T,HO R,TANG A.Global prevalence of burnout symptoms among nurses:A systematic review and meta-analysis[J].J Psychiatr Res,2020,123(1):9-20.
[2] 王树珍,赵琦,李曙光.临床护士职业倦怠的调查研究[J].护理研究,2008,22(25):2292-2293.
[3] 黄浩,邱添,孟佳凝,等.组织公平感对女性护士工作投入的影响:心理资本的中介作用[J].中国卫生统计,2019,36(2):213-215.
[4] 张阔,张赛,董颖红.积极心理资本:测量及其与心理健康的关系[J].心理与行为研究,2010,8(1):58-64.
[5] 张爱群,李志勇,吴明证.农村中小学教师心理资本在组织公平与职业倦怠间的中介作用[J].中国心理卫生杂志,2012,26(8):635-636.
[6] 张春梅,高红霞,朱慧芬,等.国外护士职业认同研究评述与启示[J].中国医院管理,2011,31(1):79-80.
[7] 王保健,贾林祥.员工心理资本和职业认同在组织公正感与工作倦怠间的多重中介效应[J].中国心理卫生杂志,2017,31(7):577-579.
[8] COLQUITT J A.On the dimensionality of organizational justice:a construct validation of a measure[J].J Appl Psychol,2001,86(3):386-400.
[9] FRED L,KYLE W,BRETT C.Positive psychological capital:beyond human and social capital[J].Bus Horizons,2003,47(1):45-50.
[10] 赵红,路迢迢,张彩云,等.护士职业认同量表中文版的信度与效度研究[J].中国护理管理,2010,10(11):49-51.
[11] MASLASH C,JACKON S E.The measurement of experienced bumout[J].J Organ Behav,1981,2(2):99-113.
[12] 李永鑫.三种人群工作倦怠的比较研究:基于整合的视角[D].上海:华东师范大学,2005:74-76.
[13] 张文杰,吴绍棠,陈晓庆,等.某三级甲等医院护士职业倦怠在感知主管支持与离职意愿间的中介效应[J].中国卫生资源,2021,24(6):787-791.
[14] 陈艺惠.严重暴力伤医事件对护士心理状态和职业倦怠的影响[J].医学理论与实践,2021,34(2):334-335.
[15] 刘聪聪,刘进,张玉曼,等.三级甲等医院护士组织公平感与离职意愿的相关性分析[J].中国实用护理杂志,2014,30(36):29-32.
[16] 邓雪英,危诚怡,谢玉霞,等.三级医院护士付出-回报失衡与组织公平感相关性调查[J].职业与健康,2018,34(13):1797-1799,1803.
[17] 金曼,王佳琳,云洁,等.护士心理资本、工作投入与组织公民行为现状及其相关性[J].解放军护理杂志,2022,39(2):1-4.
[18] 沈黎文,朱晓燕,杜佩红,等.急诊科护士职业使命感和心理资本对职业倦怠的影响[J].职业与健康,2021,37(9):1175-1179.
[19] 顾智慧,舒倩宜,邱添,等.护士心理资本在职业紧张与职业认同中的中介作用[J].中国卫生统计,2020,37(3):345-348.
[20] 叶宝娟,李露,夏扉,等.农村幼儿教师的组织公平感与其职业倦怠的关系:心理授权的中介作用与家庭支持的调节作用[J].心理科学,2020,43(1):125-131.
[21] 郭秀梅,徐诚玲,张君红,等.儿科护士心理资本、职业认同对职业紧张和职业倦怠的影响[J].职业与健康,2021,37(3):318-322.
[22] 颜彦洋.社会工作者的职业倦怠研究综述[J].经济与社会发展,2012,10(12):112-114.
[23] 谢礼珊.组织公平性和信任感对护士心理受权的影响[J].中山大学学报(社会科学版),2007,12(1):105-110,128.
[24] 张政,李泽楷.护士职业成功感干预的研究进展[J].解放军护理杂志,2020,37(5):76-78,85.
[25] 朱登萍,李学敏,孙淑丽,等.“护士第一位”管理理念在提高护士职业认同感中的应用[J].护理研究,2013,27(27):3043-3044.
[26] 王霞.护士工作环境对职业倦怠的影响[J].护理管理杂志,2013,13(7):460-462.
[27] 李茂强,薛清榕.职业倦怠对社会工作的影响[J].学理论,2013,12(12):95-97.