以质量求发展,以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (24): 51-56.doi: 10.16460/j.issn1008-9969.2021.24.051

• 调查研究 • 上一篇    下一篇

抗逆力在ICU护士组织政治认知与工作投入间的中介效应

王慧, 王丽萍, 余莉, 李萍   

  1. 新疆维吾尔自治区人民医院 护理部,新疆 乌鲁木齐 830000
  • 收稿日期:2021-05-26 出版日期:2021-12-25 发布日期:2022-01-11
  • 通讯作者: 李萍(1964-),女,新疆乌鲁木齐人,硕士,主任护师。E-mail:1483746409@qq.com
  • 作者简介:王慧(1996-),女,新疆乌鲁木齐人,本科学历,硕士研究生在读,护士。

Mediating Effect of Resilience between Perceived Organizational Politics and Work Engagement of ICU Nurses

WANG Hui, WANG Li-ping, YULi, LI Ping   

  1. Dept. of Nursing Administration, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
  • Received:2021-05-26 Online:2021-12-25 Published:2022-01-11

摘要: 目的 探讨抗逆力在ICU护士组织政治认知与工作投入间的中介作用。方法 采用便利抽样法,2021年1—3月选取乌鲁木齐市3所三级甲等综合医院的ICU护士作为研究对象。采用组织政治认知量表、医护人员抗逆力量表及工作投入量表对其进行调查。采用SPSS 25.0分析ICU护士组织政治认知、抗逆力与工作投入的相关性,采用AMOS 26.0分析抗逆力在组织政治认知与工作投入间的中介效应。结果 本组ICU护士组织政治认知总分为(44.54±10.59)分,抗逆力总分为(73.59±14.25)分,工作投入总分为(53.90±12.85)分;ICU护士组织政治认知与抗逆力、工作投入总分均呈负相关(r=-0.616、-0.648,均P<0.001),抗逆力与工作投入总分呈正相关(r=0.817,P<0.001)。抗逆力在组织政治认知和工作投入间起部分中介作用,中介效应效应值为-0.369,效应占比为66.1%。结论 本组ICU护士组织政治认知处于中等偏下水平,抗逆力、工作投入处于中等偏上水平,抗逆力在本组ICU护士组织政治认知与工作投入间有部分中介作用。建议管理者在降低ICU护士组织政治认知的同时,采取多种有针对性的措施提高ICU护士抗逆力水平,从而提高工作投入。

关键词: ICU, 护士, 组织政治认知, 抗逆力, 工作投入

Abstract: Objective To explore the mediating effect of resilience between perceived organizational politics and work engagement of ICU nurses. Methods With convenience sampling, ICU nurses from 3 tertiary grade-A general hospitals in Urumqi were selected from January to March 2021 as research objects. They were investigated by Perceived Organizational Politics Scale, Medical Staff Resilience Scale and Work Engagement Scale. SPSS 25.0 was used to analyze the correlation among perceived organizational politics, resilience and work engagement of ICU nurses, and AMOS 26.0 was used to analyze the mediating effect of resilience between perceivedorganizational politics and work engagement of ICU nurses. Results The total score of perceived organizational politics, resilience and work engagement of ICU nurse was 44.54±10.59, 73.59±14.25, and 53.90±12.85 respectively. There was negative correlation between perceived organizational politics of ICU nurses and the total score of resilience and work engagement(r=-0.616, -0.648, P<0.001), while positive correlation between resilience and total score of work engagement (r=0.817, P<0.001). Resilience plays a partially mediating role in the relationship between perceived organizational politics and work engagement, with mediating effect value of -0.369, and the proportion of the mediating effect was 66.1%. Conclusion The perceived organizational politics of ICU nurses in this group is at the lower-middle level, and resilience and work engagement are at the upper-middle level. The resilience is a partial mediator on perceived organizational politics and work engagement of the ICU nurses. It is suggested that managers should take a variety of targeted measures to improve ICU nurses’ resilience while reducing their perceived organizational politics, so as to improve their work engagement.

Key words: ICU, nurse, perceived organizational politics, resilience, workengagement

中图分类号: 

  • R47
[1] Saianova M, Agut S, Peiro JM.Linking Organizational Resources and Work Engagement, to Employee Performance and Customer Loyalty; The Mediation of Service Climate[J]. Apply Psychology, 2005,90(6):1217-1222.DOI:10.1037/00219010.90.6.1217.
[2] Loerbroks A, Glaser J, Vu-Eickmann P, et al.Physician Burnout, Work Engagement and the Quality of Patient Care[J]. Occup Med (Lond), 2017,67(5):356-362.DOI:10.1093/occmed/kqx051.
[3] 孟萌,关玉珠,张爽,等. ICU护士专业生活品质对工作投入的影响[J]. 中国护理管理,2019,19(11):1663-1667.DOI:10.3969/j.issn.1672-1756.2019.11.014.
[4] 马超,凌文辁,方俐洛. 企业员工组织政治认知量表的构建[J].心理学报,2006,38(1):107-115.
[5] Labrague LJ, Mcenror-Petitte DM, Gloe D, et al.Organizational Politics, Nurses’ Stress, Burnout Levels, Turnover Intention and Job Satisfaction[J]. Int Nurs Rev, 2017,64(1):109-116.DOI:10.1111/inr.12347.
[6] 容志良. 员工组织政治认知与工作投入及离职倾向关系的实证研究[D].广州:华南理工大学,2016.
[7] Baratta MV, Rozeske RR, Maier SF.Understanding Stress Resilience[J]. Front Behav Neurosci, 2013(7):158.DOI:10.3389/fnbeh.2013.00158.
[8] Mccalister KT, Dolbier CL, Webster JA, et al.Hardiness and Support at Work as Predictors of Work Stress and Job Satisfaction[J]. Am J Health Promot, 2006,20(3):183-191.DOI: 10.4278/0890-1171-20.3.183.
[9] Meynaar IA, Thomas O, Marieke Z, et al.Burnout, Resilience and Work Engagement among Dutch Intensivists in the Aftermath of the COVID-19 Crisis: A Nationwide Survey[J]. J Crit Care, 2021,62(4):1-5.DOI:10.1016/j.jcrc.2020.11.010.
[10] Li B, Li Z, Wan Q.Effects of Work Practice Environment, Work Engagement and Work Pressure on Turnover Intention among Community Health Nurses: Mediated Moderation Model[J]. J Adv Nurs, 2019,75(12):3485-3494.DOI: 10.1111/jan.14130.
[11] 陈锋. 医用多元统计方法[M].北京:中国统计出版社,2000:81-82.
[12] 朱厚强,万金,时勘,等. 医护人员抗逆力结构研究与测评量表编制[J]. 统计与信息论坛,2016,31(2):107-112.
[13] 王娇,盖海云. 护士组织支持感和抗逆力对职业生涯状况影响的路径分析[J]. 护理管理杂志,2020,20(1):7-11.DOI:10.3969/j.issn.1671-315x.2020.01.002.
[14] Schaufeli WB,Bakker AB.Utrecht Work Engagement Scale, Version 1[M].Utrecht: Utrecht University,2003:4-5.
[15] 李金波,许百华,陈建明. 影响员工工作投入的组织相关因素研究[J]. 应用心理学,2006(2):176-181.
[16] 袁彬彬,郭燕,贺春艳,等. 护士职业获益感现状及影响因素分析[J]. 护理学报,2016,23(5):19-23.DOI:10.16460/j.issn1008-9969.2016.05.019.
[17] 温忠麟,叶宝娟. 中介效应分析:方法和模型发展[J]. 心理科学进展,2014,22(5):731-745.DOI:10.3724/SP.J.1042.2014.00731.
[18] 吴明隆. 结构方程模型:AMOS的操作与应用[M].重庆:重庆大学出版社,2010:52-53.
[19] 国家卫健委.国家卫生健康委关于学习贯彻习近平总书记重要指示精神进一步加强护士队伍建设的通知[EB/OL].[2020-05-01].http://www.gov.cn/zhengce/zhengceku/2020-05/26/content_5515100.htm.
[20] 冯娅婷,陈长英. 河南省三级甲等医院ICU护理人力资源配置对护理质量和患者结局的影响[J]. 中华护理杂志,2021, 56(4):490-495.DOI:10.3761/j.issn.0254-1769.2021.04.002.
[21] 陈思思,郑东月,陈其余. 三级医院低年资护士心理一致感与抗逆力的相关性研究[J]. 中华现代护理杂志,2017,23(19):2522-2525. DOI:10.3760/cma.j.issn.1674-2907.2017.19.018.
[22] Gobet F, Chassy P.Towards an Alternative to Benner’s Theory of Expert Intuition in Nursing: A Discussion Paper[J]. Int J Nurs Stud, 2008,45(1):129-139.DOI:10.1016/j.ijnurstu.2007.01.005.
[23] Fiske E.Nurse Stressors and Satisfiers in the NICU[J]. Adv Neonatal Care,2018,18(4):276-284.DOI:10.1097/ANC.0000000000000514.
[24] 健康中国2030规划纲要[J]. 中华眼科杂志,2018,54(1):11-22.DOI:10.3760/cma.issn.0412-4081.2018.01.004.
[25] Ulrich B, Barden C, Cassidy L, et al.Critical Care Nurse Work Environments 2018: Findings and Implications[J]. Critical Care Nurse,2019,39(2):67-84.DOI:10.4037/ccn2019605.
[26] Van-Mol M,Nijkamp MD,Bakker J, et al.Counterbalancing Work-related Stress? Work Engagement among Intensive Care Professionals[J]. Aust Crit Care, 2018,31(4):234-241.DOI:10.1016/j.aucc.2017.05.001.
[27] 王芮. 企业员工组织政治认知研究综述[J]. 企业改革与管理, 2019(3):182-184. DOI:10.13768/j.cnki.cn11-3793/f.2019.0385.
[28] Basar U,Basim N.A Cross-Sectional Survey on Consequences of Nurses’ Burnout: Moderating Role of Organizational Politics[J]. J Adv Nurs, 2016,72(8):1838-1850.DOI:10.1111/jan.12958.
[29] 周瑛, 张军杰. 208名ICU护士工作满意度与团队合作度相关性分析[J].护理学报, 2019, 26(21):55-57.DOI:10.16460/j.issn1008-9969.2019.21.055.
[30] 曾贱吉,欧晓明. 组织政治认知对员工组织信任的影响研究[J]. 技术经济与管理研究,2016(3):59-63.
[31] 潘金金,高美华,孙黎惠,等. 共情疲劳在ICU护士心理弹性与工作投入之间的中介效应分析[J]. 护理研究,2019,33(11):1844-1848. DOI:10.12102/j.issn.1009-6493.2019.11.005.
[32] 张亚军,张军伟,崔利刚,等. 组织政治认知对员工绩效的影响:自我损耗理论的视角[J]. 管理评论,2018,30(1):78-88.DOI:10.14120/j.cnki.cn11-5057/f.2018.01.008.
[33] Wei H, Roberts P, Strickler J, et al.Nurse Leaders’ Strategies to Foster Nurse Resilience[J]. J Nurs Manag, 2019,27(4):681-687.DOI:10.1111/jonm.12736.
[34] 马梦迪,薛婷,陈强,等. 人文管理感知在急诊科护士薪酬满意度与工作投入的中介效应[J]. 护理学报,2020,27(1):39-42.DOI:10.16460/j.issn1008-9969.2020.01.039.
[35] 赵振华,李敏,陈璐,等. 员工援助计划用于ICU护士心理健康管理[J]. 护理学杂志,2021,36(12):8-11.DOI:10.3870/j.issn.1001-4152.2021.12.008.
[1] 薛婷, 姜文彬, 陈强, 崔孟元, 刘美艳, 姜永梅. 亚健康状况在新护士职业适应能力与留职意愿间的中介效应分析[J]. 护理学报, 2021, 28(9): 48-53.
[2] 李洁, 张斯秀, 徐翠荣. 以家庭为中心的护理对ICU患者家属满意度影响的研究进展[J]. 护理学报, 2021, 28(9): 19-21.
[3] 陈思羽. 老年医学科低年资护士对临终患者死亡事件体验的质性研究[J]. 护理学报, 2021, 28(7): 74-78.
[4] 任黎, 赵秀芳. 基于洋葱模型的妇幼专科医院新护士岗位胜任力模型及指标体系构建[J]. 护理学报, 2021, 28(7): 21-25.
[5] 郭一峰, 刘金榜, 郭爱敏, 韩伟, 高娜. 170名ICU倒夜班护士睡眠质量现状及影响因素分析[J]. 护理学报, 2021, 28(7): 59-63.
[6] 李换则, 陈鸿芳, 黄丽群, 安芳芳, 徐鹏, 庄苗青, 张露语, 王嘉懿. 急诊科护士临终照护体验质性研究的Meta整合[J]. 护理学报, 2021, 28(7): 43-48.
[7] 崔朝妹, 刘静, 庄欣, 杜娟, 董春晖. ICU成人患者有创机械通气撤机的最佳证据总结[J]. 护理学报, 2021, 28(6): 27-32.
[8] 何怡庆, 周红, 高祖梅. 护士同情疲劳真实体验质性研究的Meta整合[J]. 护理学报, 2021, 28(6): 33-37.
[9] 易慧慧, 夏振兰, 李瑜, 黄海燕, 谭帧, 张丽华. 结构化膀胱管理预防老年髋部骨折患者术后尿潴留的效果研究[J]. 护理学报, 2021, 28(6): 65-70.
[10] 欧阳雅琦, 谢鑑辉, 梅海波, 刘昆, 刘尧喜, 黄源. 364例先天性胫骨假关节患儿照顾者家庭抗逆力现状及影响因素分析[J]. 护理学报, 2021, 28(5): 1-5.
[11] 刘柳, 黄新, 邓丽君, 仝海英, 怡萍, 梁红霞, 张丹丹, 马艳艳. 西北地区2 704名本科学历护士个人职业规划现状及影响因素分析[J]. 护理学报, 2021, 28(5): 49-54.
[12] 郭晓宇, 王丽媛. 参与突发急性传染病护士救治体验的Meta整合[J]. 护理学报, 2021, 28(4): 43-49.
[13] 徐昌霞, 朱新宇, 孙志岭, 陈斌, 杨婷. 危害分析关键控制点体系在手术标本管理中的实证研究[J]. 护理学报, 2021, 28(3): 1-5.
[14] 李辉, 袁素娥, 陈佳星, 曾莉, 李云霞, 方静芝. 316名三级医院感染病科护士职业生涯现状及影响因素分析[J]. 护理学报, 2021, 28(3): 58-62.
[15] 尹丹娜, 罗静, 徐飞, 冯倩, 陈艳, 李红. 基于互联网+移动护士站联合ISBAR沟通模式在手术室交班中的应用[J]. 护理学报, 2021, 28(24): 26-30.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!