Multiple mediating effects of self-depletion and career compromise on the relationship between workplace loneliness and silent behavior among clinical nurses

Abstract

Abstract:

Objective To investigate the current status of workplace loneliness，self-depletion，career compromise and silent behavior among clinical nurses，analyze the relationship between self-depletion and career compromise in the relationship between workplace loneliness and silent behavior，and to provide a reference for constructing a workplace mental health support system for clinical nurses. Methods From October to December 2024，352 clinical nurses from three government hospitals in Nantong City were conveniently selected and surveyed using general information questionnaire，the workplace loneliness scale，the self-regulatory fatigue scale，the career compromise scale，and the nurse organizational silence evaluation questionnaire，and the data were analyzed. Results The scores of workplace loneliness，self-depletion，career compromise and silent behavior among 352 clinical nurses were （48.53±8.99），（48.51±11.21），（39.39±9.55） and （62.59±13.98）points. Workplace loneliness，self-depletion，career compromise，and silent behavior were all positively correlated（r=0.647，0.618，0.645，all P<0.01）. Self-depletion and career compromise played a multiple mediating role in the relationship between workplace loneliness and silent behavior，with the total mediation effects accounting for 38.3% of the total effect. Among them，self-depletion partially mediated the relationship between workplace loneliness and silent behavior，accounting for 13.9% of the total effect. Career compromise also partially mediated the relationship between workplace loneliness and silent behavior，accounting for 16.0% of the total effect. Self-depletion and career compromise together acted as a chain mediator between workplace loneliness and silent behavior，accounting for 8.4% of the total effect. Conclusion Clinical nurses exhibit higher scores in silence behavior，with self-depletion and career compromise demonstrating multiple mediating effects between workplace loneliness and silence behavior. Nursing managers can mitigate nurses' workplace loneliness to alleviate self-resource depletion，thereby reducing career compromise and silence behavior.

Key words: Clinical nurses, Workplace loneliness, Self-depletion, Career compromise, Silent behavior

CLC Number:

R192.6

WANG Rong, WANG Ping, HU Hui, WANG Xia. Multiple mediating effects of self-depletion and career compromise on the relationship between workplace loneliness and silent behavior among clinical nurses. [J]OCCUPATION AND HEALTH, 2026, 42(9): 1207-1212.

Figures/Tables 5

References 28

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项目	条目数	理论得分范围	总均分	条目均分
职场孤独感	16	16~80	48.53±8.99	3.03±0.56
情感剥夺	9	9~45	26.49±6.35	2.94±0.70
组织成员身份缺失感	7	7~35	22.05±3.81	3.14±0.54
自我损耗	16	16~80	48.51±11.21	3.03±0.70
认知	6	6~30	19.47±5.46	3.24±0.90
行为	5	5~25	14.23±3.39	2.84±0.67
情绪	5	5~25	14.81±3.82	2.96±0.76
职业妥协	12	12~60	39.12±9.56	3.25±0.79
发展机会妥协	4	4~20	13.39±3.89	3.34±0.97
职业匹配妥协	4	4~20	12.87±3.37	3.21±0.84
职业期望妥协	4	4~20	12.86±3.44	3.21±0.86
沉默行为	20	20~100	62.59±13.98	3.12±0.69
消极性沉默	6	6~30	19.07±4.79	3.17±0.79
防御性沉默	6	6~30	18.84±4.85	3.13±0.80
亲社会性沉默	4	4~20	12.43±3.54	3.10±0.88
漠视性沉默	4	4~20	12.25±3.64	3.06±0.91

项目	条目数	理论得分范围	总均分	条目均分
职场孤独感	16	16~80	48.53±8.99	3.03±0.56
情感剥夺	9	9~45	26.49±6.35	2.94±0.70
组织成员身份缺失感	7	7~35	22.05±3.81	3.14±0.54
自我损耗	16	16~80	48.51±11.21	3.03±0.70
认知	6	6~30	19.47±5.46	3.24±0.90
行为	5	5~25	14.23±3.39	2.84±0.67
情绪	5	5~25	14.81±3.82	2.96±0.76
职业妥协	12	12~60	39.12±9.56	3.25±0.79
发展机会妥协	4	4~20	13.39±3.89	3.34±0.97
职业匹配妥协	4	4~20	12.87±3.37	3.21±0.84
职业期望妥协	4	4~20	12.86±3.44	3.21±0.86
沉默行为	20	20~100	62.59±13.98	3.12±0.69
消极性沉默	6	6~30	19.07±4.79	3.17±0.79
防御性沉默	6	6~30	18.84±4.85	3.13±0.80
亲社会性沉默	4	4~20	12.43±3.54	3.10±0.88
漠视性沉默	4	4~20	12.25±3.64	3.06±0.91

项目	沉默行为	消极性沉默	防御性沉默	亲社会性沉默	漠视性沉默
职场孤独感	0.647^a	0.562^a	0.568^a	0.498^a	0.501^a
情感剥夺	0.636^a	0.558^a	0.554^a	0.484^a	0.498^a
组织成员身份缺失感	0.467^a	0.396^a	0.418^a	0.369^a	0.355^a
自我损耗	0.618^a	0.502^a	0.521^a	0.520^a	0.512^a
认知	0.584^a	0.468^a	0.502^a	0.489^a	0.479^a
行为	0.508^a	0.401^a	0.400^a	0.455^a	0.446^a
情绪	0.528^a	0.447^a	0.455^a	0.424^a	0.420^a
职业妥协	0.645^a	0.594^a	0.571^a	0.485^a	0.460^a
发展机会妥协	0.593^a	0.536^a	0.524^a	0.460^a	0.424^a
职业匹配妥协	0.603^a	0.562^a	0.537^a	0.449^a	0.422^a
职业期望妥协	0.527^a	0.490^a	0.466^a	0.385^a	0.383^a

项目	沉默行为	消极性沉默	防御性沉默	亲社会性沉默	漠视性沉默
职场孤独感	0.647^a	0.562^a	0.568^a	0.498^a	0.501^a
情感剥夺	0.636^a	0.558^a	0.554^a	0.484^a	0.498^a
组织成员身份缺失感	0.467^a	0.396^a	0.418^a	0.369^a	0.355^a
自我损耗	0.618^a	0.502^a	0.521^a	0.520^a	0.512^a
认知	0.584^a	0.468^a	0.502^a	0.489^a	0.479^a
行为	0.508^a	0.401^a	0.400^a	0.455^a	0.446^a
情绪	0.528^a	0.447^a	0.455^a	0.424^a	0.420^a
职业妥协	0.645^a	0.594^a	0.571^a	0.485^a	0.460^a
发展机会妥协	0.593^a	0.536^a	0.524^a	0.460^a	0.424^a
职业匹配妥协	0.603^a	0.562^a	0.537^a	0.449^a	0.422^a
职业期望妥协	0.527^a	0.490^a	0.466^a	0.385^a	0.383^a

效应路径	效应值	95%CI	P	占总效应比值（%）
路径1：职场孤独感→自我损耗→沉默行为	0.121	0.016~0.245	<0.05	13.9
路径2：职场孤独感→职业妥协→沉默行为	0.139	0.049~0.229	<0.01	16.0
路径3：职场孤独感→自我损耗→职业妥协→沉默行为	0.073	0.014~0.132	<0.01	8.4
路径4：职场孤独感→沉默行为	0.537	0.282~0.791	<0.01	61.7
总间接效应：路径1+路径2+路径3	0.333	0.178~0.487	<0.01	38.3
总效应：路径1+路径2+路径3+路径4	0.870	0.641~1.099	<0.01