以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (19): 59-66.doi: 10.16460/j.issn1008-9969.2021.19.059

Previous Articles     Next Articles

Chain Mediating Effect of Ethical Sensitivity and Job Embeddedness on Nurses' Perceived Managed Care and Job Satisfaction

YUE Xin-yan, WANG Dong-hua   

  1. School of Nursing, Changsha Medical University, Changsha 410219, China
  • Received:2021-03-12 Online:2021-10-10 Published:2021-11-10

PDF (PC)

105

Like

Abstract: Objective To explore the multiple mediating roles of ethical sensitivity and job embeddedness on nurses' perceived managed care and job satisfaction. Methods With convenience sampling, 773 nurses from 5 hospitals in Hunan Province were surveyed from July to August 2020 by using the general information questionnaire, Managed Care Scale, Ethical Sensitivity Scale, Job Embeddedness Scale and Job Satisfaction Scale. And the chain-mediated model was constructed and tested. Results The total score of managed care perceived by 773 nurses was 152.00 (134.50, 165.00). The total score of ethical sensitivity, job embeddedness and job satisfaction was 39.00(36.00,44.00), 26.00(22.00,28.00), and 74.00(67.00,80.00) respectively. The indirect effect of managed care perceived by nurses on job satisfaction was established, and the total indirect effect of managed care on job satisfaction was 0.284. The specific mediating effect of ethical sensitivity accounted for 20.8% of the total indirect effect and that of job embedding accounted for 70.4% of the total indirect effect. The chain mediating effect between ethical sensitivity and job embeddedness in nurses' perceived managed care and job satisfaction accounted for 8.8% of the total indirect effect. Conclusion There are multiple mediating effects of ethical sensitivity and job embeddedness on nurses' perceived managed care and job satisfaction. The care for nurses, different training plans, enhanced ethical sensitivity and sense of identity and dependence on the organization are conducive to the improvement of job satisfaction.

Key words: nurse, manage caring, ethical sensitivity, job embeddedness, job satisfaction

CLC Number: 

  • R47
[1] 王晓彤,卢天舒,李雪华.护士长关怀行为指标体系的构建研究[J].护理学杂志,2019,34(3):68-71.DOI:10.3870/j.issn.1001-4152.2019.03.067.
[2] Duffy JR.Quality Caring in Nursing and Health Systems:Implicationsfor Clinicians, Educators, and Leaders[M]. 2nd ed.New York:Springer Publishing Company,2013.
[3] Li H,Shi Y,Li Y,et al.Relationship Between Nurse Psychological Empowerment and Job Aatisfaction:A Systematic Review and Meta-analysis[J]. J Adv Nurs,2018,74(6):1264-1277.DOI:10.1111/jan.13549.
[4] 刘义兰,胡豫,彭笑,等.护理管理者对护士实施人文关怀的举措与效果[J].护理管理杂志,2014,14(3):219-221
[5] Ineichen C,Christen M,Tanne C.Measuring Value Sensitivity in Medicine[J].BMC Med Ethics, 2017, 18(1):1-12.DOI:10.1186/s12910-016-0164-7.
[6] Lechasseur K, Caux C, Dolle S,et al.Ethical Competence:An integrativereview[J]. Nurs Ethics,2018,25(6):694-706.DOI:10.1177/0969733016667773.
[7] 崔永菁,栗江霞,任雪飞.人文关怀对护士心理授权及工作满意度的影响[J].护理研究,2020,34(15):2759-2762.DOI:10.12102/j.issn.1009-6493.2020.15.032.
[8] Berggren I, Severinsson E.The Influence of Clinical Supervision onNurses' Moral Decision Making[J].Nurs Ethics,2000,7(2):124-133.DOI:10.1177/096973300000700205.
[9] Milliken A.Nurse Ethical Sensitivity:An Integrative Review[J].Nurs Ethical, 2018,25(3):278-303.DOI:10.1177/0969733016646155.
[10] Palazoglu CA, Koc Z. Ethical Sensitivity, Burnout,and Job Satisfaction in Emergency Nurses[J]. Nurs Ethics,2019,26(3):809-822.DOI:10.1177/0969733017720846.
[11] Hemberg J, Bergdahl E.Ethical Sensitivity and Perceptiveness in Palliative Home Care Through Co-creation[J].Nurs Ethics,2020, 27(2):446-460.DOI:10.1177/0969733019849464.
[12] Kim H, Kim K.Impact of Self-Efficacy on the Self-Leadership of Nursing Preceptors:The Mediating Effect of Job Embeddedness[J].J Nurs Manag,2019,27(8):1756-1763.DOI:10.1111/jonm.12870.
[13] 李媛,孙皎,朱婉莹,等.临床护士工作嵌入影响因素的研究进展[J].现代临床护理,2019,18(9):77-83.DOI:10.3969/j.issn.1671-8283.2019.09.014.
[14] Choi JS,Kim KM.Job Embeddedness Factors as a Predictor of Turnover Intention among Infection Control Nurses in Korea[J].Am J Infect Control,2015,43(11):1213-1217.DOI:10.1016/j.ajic.2015.06.017.
[15] 文刚,刘翠红,程龙,等.258名急诊护士工作嵌入与留职意愿相关性分析[J].护理学报,2018, 25(3):53-55.DOI:10.16460/j.issn1008-9969.2018.03.053.
[16] 陈雪蕾,黄菲菲,李芳,等.三甲医院护士伦理敏感性与职业获益感的相关性分析[J].护理学杂志,2019,34(21):89-91.DOI:10.3870/j.issn.1001-4152.2019.21.089.
[17] 杜蕊,吴文静,刘君,等.手术室专科护士工作嵌入与工作满意度现状及其相关性[J].现代临床护理,2019,18(3):49-52.DOI:10.3969/j.issn.1671-8283.2019.03.010.
[18] 王倩,于兰贞,姬晓燕.护士工作嵌入、工作满意度与留职意愿关系的研究[J].中华护理杂志, 2013,48(1):55-57.DOI:10.3761/j.issn.0254-1769.2013.01.020.
[19] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.DOI:10.3761/j.issn.0254-1769.2010.04.037.
[20] Duffy JR.Implementing the Quality-Caring Model in Acute Care[J].J Nurs Adm,2005,35(1):4-6.DOI:10.1097/00005110-200501000-00002.
[21] 彭笑,周红,曾庆松,等.管理关怀性评估量表的汉化及信度效度检验[J].中国护理管理,2020, 20(1):32-38.DOI:10.3969/j.issn.1672-1756.2020.01.008.
[22] Lützén K,Dahlqvist V,Eriksson S,et al.Developing the Concept of Moral Sensitivity in Health Care Practice[J]. Nurs Ethics,2006,13(2):187-196.DOI:10.1191/0969733006ne837oa.
[23] Huang FF, Yang Q, Zhang J, et al.Cross-Cultural Validation of the Moral Sensitivity Questionnaire Revised Chinese Version[J].Nurs Ethics, 2016, 23(7):784-793.DOI:10.1177/0969733015583183.
[24] Crossley CD, Bennett RJ, Jex SM, et al.Development of a Global Measure of Job Embeddedness and Integration into a Traditional Model of Voluntary Turnover[J]. J Appl Psychol,2007, 92(4):1031-1042.DOI:10.1037/0021-9010.92.4.1031.
[25] 梅花,秦秀芳,崔屹,等.上海市中医院护士工作嵌入与离职意愿的相关性研究[J].护理管理杂志, 2014,14(5):305-307.
[26] Weiss DJ,Dawis RV,Englang GW.Manual for the Minnesota Satisfaction Questionnaire[J]. Minnesota Studies in Vocational Rehabilitation,1967,22:333-337.
[27] 阳志平,王薇,王东升,等.工作评价-组织诊断与研究实用量表[M]北京:中国轻工业出版社,2004:6-7.
[28] 陈晓丹. 临床护士护—护合作水平与工作满意度、留职意愿的相关性研究[D].锦州:锦州医科大学,2017.
[29] Hayes A.Introduction to Mediation,Moderation,and Conditional Process Analysis[J]. J Educ Meas,2013,51(3):335-337.DOI:10.1111/jedm.12050.
[30] 李红贺,郑玲玲,石庆宇.肿瘤医院护士感知的管理关怀现状及其影响因素[J].护理研究, 2021,35(7):1280-1284.DOI:10.12102/j.issn.1009-6493.2021.07.032.
[31] Huang FF, Yang Q, Zhang J, et al.Chinese Nurses' Perceived Barriers and Facilitators of Ethical Sensitivity[J].Nurs Ethics, 2016, 23(5):507-522.DOI:10.1177/0969733015574925.
[32] 李威,曹静,王玉英,等.ICU护士工作嵌入现状及影响因素分析[J].中国护理管理,2020,20(2):229-233.DOI:10.3969/j.issn.1672-1756.2020.02.017.
[33] Zhang N,Li J,Xu Z,et al.A Latent Profile Analysis of Nurses' Moral Sensitivity[J].NursEthics,2020,27(3):855-867.DOI:10.1177/0969733019876298.
[34] 彭笑,刘义兰,廖雨风,等.临床一线护士对护士长关怀行为感知的质性研究[J].中华现代护理杂志,2014,20(12):1386-1388.DOI:10.3760/cma.j.issn.1674-2907.2014.12.008.
[35] Solbakken R, Bergdahl E, Rudolfsson G,et al.International Nursing Caring in Nursing Leadership-A Meta-ethnography from the Nurse Leader's Perspective[J]. Nurs Adm Q,2018,42(4):1-19.DOI:10.1097/NAQ.0000000000000314.
[36] Jaafarpour M, Khani A.Evaluation of the Nurses'Job Satisfaction,and its Association with their Moral Sensitivities and Well-being[J].J Clin Diagn Res,2012, 6(10):1761-1764.DOI:10.7860/JCDR/2012/4068.2638.
[37] Cropanzano R, Mitchell MS.Social Exchange Theory:An interdisciplinary review[J].J Manage,2005,31(6):874-900.
[38] 刘靖东,钟伯光,姒刚彦.自我决定理论在中国人人群的应用[J].心理科学进展, 2013, 21(10):1803-1813.DOI:10.3724/SP.J.1042.2013.01803.
[1] XUE Ting, JIANG Wen-bin, CHEN Qiang, CUI Meng-yuan, LIU Mei-yan, JIANG Yong-mei. Mediating Effect of Sub-health on Occupational Adaptation and Retention Intention in New Nurses [J]. Journal of Nursing, 2021, 28(9): 48-53.
[2] REN Li, ZHAO Xiu-fang. Construction of Competency Model and Index System of New Nurses in Maternity and Children’s Hospital Based on Onion Model [J]. Journal of Nursing, 2021, 28(7): 21-25.
[3] LI Huan-ze, CHEN Hong-fang, HUANG Li-qun, AN Fang-fang, XU Peng, ZHUANG Miao-qing, ZHANG Lu-yu, WANG Jia-yi. Qualitative Studies on Experience of Emergency Nurses in Hospice Care: A Meta-synthesis [J]. Journal of Nursing, 2021, 28(7): 43-48.
[4] HE Yi-qing, ZHOU Hong, GAO Zu-mei. Qualitative Research on Compassion Fatigue in Nurses: A Meta Synthesis [J]. Journal of Nursing, 2021, 28(6): 33-37.
[5] YI Hui-hui, XIA Zhen-lan, LI Yu, HUANG Hai-yan, TAN Zhen, ZHANG Li-hua. Effect of Structured Bladder Management on Postoperative Urinary Retention of Elderly Patients with Hip Fracture [J]. Journal of Nursing, 2021, 28(6): 65-70.
[6] LIU Liu, HUANG Xin, DENG Li-jun, TONG Hai-ying, YI Ping, LIANG Hong-xia, ZHANG Dan-dan, MA Yan-yan. Status Quo of Career Planning of Undergraduate Nurses in Northwest China and Its Influence Factors: A 2,704-case Study [J]. Journal of Nursing, 2021, 28(5): 49-54.
[7] XU Chang-xia, ZHU Xin-yu, SUN Zhi-ling, CHEN Bin, YANG Ting. Empirical Research on Effect of Hazard Analysis and Critical Control Point System in Management of Surgical Specimens [J]. Journal of Nursing, 2021, 28(3): 1-5.
[8] LIU Xiao-li, WU Xiao-zhou, LI Shuo, YANG Guo-yi, WANG Ling, LIU Shu-jia. Construction of Stratified Training System for Head Nurse Based on Post Competency [J]. Journal of Nursing, 2021, 28(2): 10-15.
[9] LUO Ya-wen, MA Zhi-qun. International Nurse Legislation from Perspective of Comparative Law and Its Enlightenment [J]. Journal of Nursing, 2021, 28(18): 74-78.
[10] LI Guang-Qin, TANG Xiao-Li, SU Yu-Hua, HE Cai-Yun. Current Status of Career Success of Head Nurses in Tertiary Grade-A Hospital Its Influence Factors: A 220-case Study [J]. Journal of Nursing, 2021, 28(16): 27-31.
[11] FENG Yan-ying, WANG Yong-sheng, ZHANG Xiu-ni, JIANG Feng-ting. Cognition on Extended Nursing of Patients with Chronic Refractory Wounds and Training Needs of Community Nurses [J]. Journal of Nursing, 2021, 28(16): 69-73.
[12] FU A-dan, WANG Li, XU Li-wen, YANG Jing, ZHANG Xue-yu, ZENG Qian-jiao. Development and Practice of Chronic Refractory Ulcer Clinic with Doctor-nurse Collaboration [J]. Journal of Nursing, 2021, 28(14): 8-11.
[13] DING Han-qin, LI Li-hua, HE Xia-jun. Construction of Training System for Nursing Interview Ability of Psychiatric Nurses and Its Reliability and Validity [J]. Journal of Nursing, 2021, 28(13): 6-12.
[14] CHEN Li-ling, ZHOU Chun-lan, WU Yan-ni, ZHAO hui-hui. Construction of Evidence-based Practice Training System for Clinical Nurses [J]. Journal of Nursing, 2021, 28(11): 7-11.
[15] YIN Qian, DONG Cai-mei, TANG Xing-xing, WANG Yue-hua, PANG Dan-li. Effect of Ladder Style Training Based on Cognitive Load Theory on New Nurses [J]. Journal of Nursing, 2020, 27(7): 20-24.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2021, 28(18): 41 -45 .
[2] HE Yong-si, FANG fan, CHEN Yu, WANG Jing, XIAO Ju-lan. Construction of Core Competency Index System for Midwifery Students of Higher Vocational Education[J]. Journal of Nursing, 2021, 28(19): 1 -7 .
[3] HU Hui-ju, HAN Jing, TANG Qi-qun, CHENG Jie, LI Hui-yuan. Effect Comparison between Morse Fall Scale and Stay Independent Brochure Questionnaire in the Elderly in Nursing Homes[J]. Journal of Nursing, 2021, 28(19): 8 -12 .
[4] TONG Yun-jie, LIU Yan-mei, LV Mei-fang, LU Dan-dan, TAN Shi-yun. Self-acceptance of Convalescent Stroke Patients and Its Influence Factors[J]. Journal of Nursing, 2021, 28(19): 13 -16 .
[5] ZHANG Si-qing, WANG Yu-ling, ZHANG Yue, SUN Yu-qing, PENG Sheng, CAI Tian-rui. Mediating Effect of Responsibility Perception between Perceived Management Care and Proactive Behavior in Nurses[J]. Journal of Nursing, 2021, 28(19): 17 -21 .
[6] QIAO Gui-yuan, YANG Fen. Construction of Training Program of Professional Master's Degree in Nursing Featuring Chinese Medicine[J]. Journal of Nursing, 2021, 28(19): 22 -25 .
[7] LIANG Xiao, GAO Wen-hui, LI Si-jie. Green-channel Management of Stroke Patients in Emergency Department during Post-epidemic Period[J]. Journal of Nursing, 2021, 28(19): 26 -29 .
[8] . [J]. Journal of Nursing, 2021, 28(19): 30 -32 .
[9] LIU Shan-shan, WANG Ying, JIA Shou-mei, DENG Rong, JIANG Yan, CHEN Fang, LUO Yun-ting. Evidence-based Practice on Nutrition Screening Evaluation and Management for Inpatients with Chronic Liver Disease[J]. Journal of Nursing, 2021, 28(19): 33 -38 .
[10] ZHAO Zhen-hua, XING Xing-min, FENG Bo, YU Lin, SHEN Ping, DONG Da-wei, QIU Li-hua. Evidence Summary of Rewarming Management of Hypothermia in Critically Ill Adult Patients[J]. Journal of Nursing, 2021, 28(19): 39 -43 .