Zhengzhou University, Zhengzhou, China.
J Nurs Manag. 2015 Apr;23(3):287-96. doi: 10.1111/jonm.12124. Epub 2013 Sep 23.
This study aimed to investigate the influence of professional nursing practice environment and psychological empowerment on nurses' work engagement.
Previous researchers have acknowledged the positive influence that nurse work environment and psychological empowerment have on engagement. However, less is known about the mechanisms that explain the links between them.
A predictive, non-experimental design was used to test the model in a random sample of 300 clinical nurses from two tertiary first class hospitals of Tianjin, China. The Utrecht Work Engagement Scale, the Practice Environment Scale of the Nursing Work Index and the Psychological Empowerment Scale were used to measure the study variables.
Structural equation modelling revealed a good fit of the model to the data based on various fit indices (P = 0.371, χ(2) /df = 1.056, goodness of fit index = 0.967), which indicated that both professional practice environment and psychological empowerment could positively influence work engagement directly, and professional practice environment could also indirectly influence work engagement through the mediation of psychological empowerment.
The study hypotheses were supported. Psychological empowerment was found to mediate the relationship between practice environments and work engagement.
Administrators should provide a professional nursing practice environment and empower nurses psychologically to increase nurse engagement.
本研究旨在探讨专业护理实践环境和心理授权对护士工作投入的影响。
先前的研究人员已经认识到护士工作环境和心理授权对投入的积极影响。然而，对于解释它们之间联系的机制知之甚少。
采用预测性、非实验设计，在中国天津的两家三级甲等医院的随机样本中对 300 名临床护士进行了测试。采用乌得勒支工作投入量表、护理工作指数实践环境量表和心理授权量表来测量研究变量。
结构方程模型基于各种拟合指数（P=0.371，χ²/df=1.056，拟合优度指数=0.967）显示出模型与数据的良好拟合，表明专业实践环境和心理授权都可以直接积极地影响工作投入，而专业实践环境也可以通过心理授权的中介作用间接地影响工作投入。
研究假设得到支持。心理授权被发现是实践环境和工作投入之间关系的中介因素。
管理人员应该提供专业的护理实践环境并在心理上赋予护士权力，以提高护士的工作投入。
