中华护理杂志 ›› 2020, Vol. 55 ›› Issue (6): 850-855.DOI: 10.3761/j.issn.0254-1769.2020.06.011

• 肿瘤护理专题 • 上一篇    下一篇

肿瘤专科医院护士工作投入现状及其影响因素研究

许湘华,谌永毅(),李旭英,欧美军,何瑞仙,吴婉英,刘东英,张曦,关琼瑶   

  1. 410013 长沙市 中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤医院护理部(许湘华,谌永毅,李旭英,欧美军); 中国医学科学院肿瘤医院护理部(何瑞仙); 浙江省肿瘤医院护理部(吴婉英); 河南省肿瘤医院护理部(刘东英); 宁夏医科大学总医院肿瘤医院护理部(张曦); 云南省肿瘤医院护理部(关琼瑶)
  • 收稿日期:2019-06-28 出版日期:2020-06-17 发布日期:2020-06-05
  • 通讯作者: 谌永毅
  • 作者简介:许湘华:女,博士,主管护师,护士长,E-mail:16962508@qq.com

Study on the status of work engagement and its associated factors among nurses in cancer hospitals

XU Xianghua,CHEN Yongyi(),LI Xuying,OU Meijun,HE Ruixian,WU Wanying,LIU Dongying,ZHANG Xi,GUAN Qiongyao   

  • Received:2019-06-28 Online:2020-06-17 Published:2020-06-05
  • Contact: Yongyi CHEN

摘要:

目的 了解肿瘤专科医院护士工作投入现状及其影响因素,探讨大五人格和工作接纳对工作投入的影响路径。方法 采用随机数字表进行随机抽样,应用一般资料问卷、大五人格问卷、工作相关接纳行动问卷、Utrecht工作投入量表对国内6个省市的6所三级甲等肿瘤专科医院的护士进行横断面调查。结果 共回收有效问卷1 856份,肿瘤专科医院护士工作投入总分为(48.55±18.39)分,条目均分为(3.24±1.23)分。肿瘤专科医院护士工作投入与适应性、社交性、利他性、道德感人格和工作接纳呈正相关(r=0.347,0.237,0.284,0.288,0.541,均P<0.01),与开放性人格呈负相关(r=-0.077,P<0.01)。多元线性回归结果显示,年龄、岗位、选择护理专业的原因、工作科室、用工性质、适应性和利他性人格、工作接纳是工作投入的独立影响因素(P<0.05),可解释总变异的37.7%。中介效应分析结果显示,工作接纳在大五人格与工作投入之间存在部分中介效应,占总效应的42.11%。结论 肿瘤专科医院护士处于中度工作投入状态,医院管理者应重视护士人格特质对工作投入的影响,通过增进工作接纳来提升其工作投入程度。

关键词: 肿瘤医院, 护士, 大五人格, 工作接纳, 工作投入, 护理管理研究

Abstract:

Objective To explore the status of work engagement and its influencing factors,as well as the impact path of big-five personality and work-related acceptance on work engagement of oncology nurses. Methods Nurses from 6 cancer hospitals in 6 provinces and cities in China were randomly sampled using random number table. They were investigated by the general information questionnaire,the big-five personality questionnaire,the Work-related Acceptance and Action Questionnaire(WAAQ),and the Utrecht Work Engagement Scale(UWES). Results The total work engagement score of 1856 nurses from cancer hospitals was 48.55±18.39,with the average item score of 3.24±1.23. Bivariate analysis revealed that work engagement was positively relevant with neuroticism, extraversion, agreeableness, conscientiousness personality, and work-related acceptance(r=0.347,0.237,0.284,0.288,0.541,P<0.01),but negatively correlated with personality of openness(r=-0.077,P<0.01). The multivariate linear regression analysis showed that age,work post,reasons for choosing nursing specialty,working department,type of employment,personality of neuroticism,agreeableness,and work-related acceptance were the independent influencing factors of work engagement(P<0.05),which accounted 37.7% of the total variation. Bootstrap mediation effect analysis demonstrated the partial mediating effect of work-related acceptance between big-five personality and work engagement,which explained 42.11% of the variance. Conclusion The work engagement of nurses from cancer hospitals is at relatively medium level. Hospital administrators should pay attention to the effect of nurses’ personality,promote their work-related acceptance to enhance work engagement.

Key words: Cancer Hospital, Nurse, Big-Five Personality, Work-Related Acceptance, Work Engagement, Nursing Management Research