Abstract:

Objective To investigate the influencing factors and mediating effects of psychological resilience，occupational burnout，job well-being，and social support among clinical nurses，providing a theoretical basis for improving job well-being，optimizing the nursing work environment，and developing effective intervention measures. Methods A random sampling method was used to select clinical nurses from 7 grade-A tertiary general hospitals in Shanghai from June to December 2023 as the research subjects. Questionnaires were administered using the psychological resilience scale，social support scale，job well-being scale，and occupational burnout scale，and the influencing factors and mediating effects of psychological resilience，social support，job well-being，and occupational burnout were analyzed. Results A total of 1 174 valid questionnaires were collected. The psychological resilience score of clinical nurses in grade-A tertiary general hospitals in Shanghai was （28.45±0.67）points，the social support score was （53.59±0.73）points，the job well-being score was （23.34±0.46）points，and the occupational burnout score was （47.22±0.40）points. The differences in psychological resilience scores among clinical nurses with different educational backgrounds and professional titles were statistically significant（both P<0.05）. The differences in job burnout scores among clinical nurses with different genders，ages，educational backgrounds，and professional titles were statistically significant（all P<0.05）. The differences in job well-being and social support scores among clinical nurses with different ages，educational backgrounds，and professional titles were statistically significant（all P<0.05）. The psychological resilience of clinical nursing staff was negatively correlated with job burnout（r=-0.607，P<0.01），and positively correlated with job well-being and social support（r=0.712，0.623，both P<0.01）. Job burnout was negatively correlated with both job well-being and social support（r=-0.693，-0.717，both P<0.01），while job well-being was positively correlated with social support（r=-0.682，P<0.01）. The non-standardized total effect of psychological resilience on work well-being was 0.698，with a direct effect of 0.299. The mediating effects of job burnout and social support were 0.207 and 0.192, accounting for 29.656% and 27.507% of the total effect, respectively, with 95%CI not including 0. Conclusion Job burnout and social support play partial mediating roles in the association between psychological resilience and work well-being. Nursing managers should simultaneously address job burnout mitigation and social support enhancement to promote the work well-being of clinical nursing staff.

Key words: Clinical nurses, Psychological resilience, Job burnout, Social support, Job well-being, Influencing factors, Mediating role