Study on relationship between adjustment focus,job burnout and innovation behavior of clinical nurses

Abstract

Abstract: Objective To explore the effects of clinical nurses' adjustment focus and job burnout on their innovative behavior,and to improve the efficiency of nursing management. Methods From May to July 2023,a questionnaire survey was conducted among 360 nurses in 4 secondary and tertiary hospitals in Guangdong and Hunan Province,and investigated using the general information questionnaire,adjustment focus scale,job burnout scale and nurses' innovative behavior scale,and the data were analyzed. Results The score of adjustment focus in nurses was （47.99±6.45）points,the score of job burnout was （51.66±8.85）points,and the score of innovative behavior was （34.01±6.86）points. The adjustment focus of clinical nurses was negatively correlated with job burnout（r=-0.408,P<0.01） and positively correlated with innovative behavior（r=0.379,P<0.01）. Job burnout was negatively correlated with innovative behavior（r=-0.326,P<0.01）. Multiple linear regression analysis showed that post,hold patent,participating in academic conferences or research-related training,adjustment focus and job burnout were the influencing factors of nurses' innovative behavior,explaining 22.1% of the variation（all P<0.05）. Conclusion Nurses' innovative behavior is at the upper medium level and is closely related to adjustment focus and job burnout. Nursing managers should guide nurses' personal adjustment focus tendencies and improve job burnout,so as to improve the level of innovative behavior.

Key words: Clinical nurse, Adjustment focus, Innovative behavior, Job burnout

CLC Number:

R181.3⁺1

LI Pin, GUO Yinni, LI Aiqun, CHEN Yuan, JIANG Yuanyuan, HE Caiyun. Study on relationship between adjustment focus,job burnout and innovation behavior of clinical nurses. [J]OCCUPATION AND HEALTH, 2024, 40(17): 2314-2318.

References

[1] MANCZAK E M,ZAPATA-GIETl C,MCADAMS D P.Regulatory focus in the life story:prevention and promotion as expressed in three layers of personality[J].J Pers Soc Psychol,2014,106(1):169.
[2] 许香香,李萍,侯铭,等.护士调节焦点量表的修订及信效度检验[J].护理研究,2023,37(7):1169-1173.
[3] 包玲,王琳,章雅青.护士创新行为量表的研制及信度和效度检验[J].上海交通大学学报(医学版),2012,32(8):1079-1082,1087.
[4] LIU C E,HU C,XIE W,et al.The moderated-mediation effect of workplace anxiety and regulatory focus in the relationship between work-related identity discrepancy and employee innovation[J].Int J Environ Res Public Health,2020,17(17):6121.
[5] 李磊,席酉民,尚玉钒,等.基于调节焦点理论的领导反馈对下属创造力影响分析[J].系统工程理论与实践,2013,33(9):2280-2291.
[6] FREUDENBERGER H J.Staff burn-out[J].J Soc Issues,1974,30(1):159-165.
[7] 赵玲玲,谢敏叶,任晓碧.调节焦点对护士职业认同与职业怠倦相关性的调节效应分析[J].护理学报,2017,24(2):66-69.
[8] WALLACE C,CHEN G.A multilevel integration of personality,climate,self-regulation,and performance[J].Pers Psychol,2006,59(3):529-557.
[9] 李书颖. 工作自我真实感对适应性绩效的影响研究[D].兰州:兰州大学,2021.
[10] MASLACH C,JACKSON S.Maslach burnout inventory manual[M].2nd ed.Palo Alto:Consulting Psychologists Press,1986:1.
[11] 郭文静,庞雪莲,刘晔,等.护士自主学习能力在信息素养与创新行为间的中介作用[J].护理学杂志,2022,37(12):57-59.
[12] 庞晨,耿荣娟,樊宽鲁.临床护士品格优势和工作重塑在职业认同与创新行为间的链式中介效应[J].护理学杂志,2023,38(12):63-66.
[13] MACHON M,CUNDY D,CASE H.Innovation in nursing leadership:A skill that can be learned[J].Nurs Adm Q,2019,43(3):267-273.
[14] 杨莉,叶红芳,孙倩倩,等.1 386名临床护士创新行为现状及其影响因素分析[J].护理学报,2022,29(2):57-61.
[15] 王锟,马登慧,靳沛琳,等.心理授权在儿科护士结构性授权与创新行为之间的中介效应[J].临床心身疾病杂志,2023,29(4):30-34,47.
[16] JONSSON T F,BAHAT E,BARATTUCCI M.How are empowering leadership,self-efficacy and innovative behavior related to nurses' agency in distributed leadership in Denmark,Italy and Israel?[J]. J Nurs Manage,2021,29(6):1517-1524.
[17] 孙婉迪. 护士变革型领导与创新行为的关系研究[D].沈阳:辽宁中医药大学,2023.
[18] 刘晶. 护士创新行为与护士组织创新氛围及心理弹性的相关性研究[J].护理研究,2019,33(11):1860-1865.
[19] WANG Y X,YANG Y J,WANG Y,et al.The mediating role of inclusive leadership:Work engagement and innovative behaviour among Chinese head nurses[J].J Nurs Manag,2019,27(4):688-696.
[20] ASURAKKODY T A,SHIN S Y.Innovative behavior in nursing context:A concept analysis[J].Asian Nurs Res,2018,12(4):237-244.
[21] 方红,孟爱凤,邾萍,等.肿瘤科护士职业倦怠与创新行为的关系[J].职业与健康,2018,34(19):2610-2613,2617.
[22] NOWACKA A,PISKORZ A,WOLFSHAUT-WOLAK R,et al.Selected socio-demographic and occupational factors of burnout syndrome in nurses employed in medical facilities in małopolska-preliminary results[J].Int J Environ Res Public Health,2018,15(10):2083.
[23] 周丽芳,孙春艳,宋利,等.血液透析护士创新行为与职业倦怠的相关性研究[J].护理学杂志,2021,36(12):19-21.
[24] 刘娜,柳琴,张银玲.调节模式对护士工作倦怠的影响[J].护理研究,2018,32(15):2402-2405.
[25] 郭颖,范玲.护士职业倦怠的生理学机制及干预措施的研究进展[J].职业与健康,2023,39(16):2287-2290.
[26] HIGGINS E T,FRIEDMAN R S,HARLOW R E,et al.Achievement orientations from subjective histories of success:Promotion pride versus prevention pride[J].Eur J Soc Psychol,2001,31(1):3-23.