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韧性作为冲突和工作负荷对护士工作结果的间接影响的调节因素。

Resilience as a moderator of the indirect effects of conflict and workload on job outcomes among nurses.

机构信息

Department of Psychology, Florida International University, Miami, FL, USA.

出版信息

J Adv Nurs. 2017 Dec;73(12):2973-2986. doi: 10.1111/jan.13383. Epub 2017 Aug 15.

DOI:10.1111/jan.13383
PMID:28714151
Abstract

AIM

To examine the relative effects of interpersonal conflict and workload on job outcomes (turnover intentions, burnout, injuries) and examine if resilience moderates the indirect effects of conflict and workload on job outcomes via job-related negative effect.

BACKGROUND

There is interest in understanding resilience in the nursing profession. Placing resilience in the context of the Emotion-Centred Model of Occupational Stress (Spector, ) is a novel approach to understanding how resilience ameliorates the negative effects of workplace stressors.

DESIGN

This study used a two-wave survey design to collect data from 97 nurses across medical units.

METHODS

Nurses working in the US were recruited in June 2014 using Qualtrics Panels, an online survey platform service that secures participants for research. Nurses were contacted via email at two time points, two weeks apart and provided a link to an online survey. SPSS v. 23 and PROCESS v2.15 were used to analyse regressions and moderated mediation.

RESULTS/FINDINGS: Interpersonal conflict predicted turnover intentions and burnout; workload predicted injuries. Job-related negative affect mediated the relationships between stressors and job outcomes except for the direct effect of workload on injuries. Low resilience increased the magnitude of the indirect effects of conflict on job outcomes.

CONCLUSION

Job characteristics like workload predicted unique variability in self-reported physical injuries. Conflict at work, a social stressor, predicted well-being and job attitudes. Highly resilient nurses bounced back after experiencing conflict in the workplace. Resilience should be explored for its potential as a method to reduce the negative effects of social stressors.

摘要

目的

考察人际冲突和工作负荷对工作结果(离职意向、倦怠、受伤)的相对影响,并检验韧性是否通过与工作相关的负面影响调节冲突和工作负荷对工作结果的间接影响。

背景

人们对护理专业的韧性很感兴趣。将韧性置于情绪为中心的职业应激模型(斯佩克特,)的背景下,是理解韧性如何减轻工作场所应激源负面影响的一种新方法。

设计

本研究采用两波调查设计,从医疗单位的 97 名护士中收集数据。

方法

2014 年 6 月,使用 Qualtrics Panels(一个在线调查平台服务)从美国招募护士。护士通过电子邮件在两周的时间间隔内分两次联系,并提供了一个在线调查的链接。使用 SPSS v. 23 和 PROCESS v2.15 分析回归和中介调节。

结果/发现:人际冲突预测离职意向和倦怠;工作量预测受伤。工作相关的消极影响调节了应激源和工作结果之间的关系,除了工作负荷对受伤的直接影响。低韧性增加了冲突对工作结果的间接影响的幅度。

结论

工作特征,如工作量,预测了自我报告的身体伤害的独特可变性。工作中的冲突,一种社会应激源,预测了幸福感和工作态度。高度有韧性的护士在经历工作场所的冲突后能够迅速恢复。应该探索韧性作为减轻社会应激源负面影响的潜在方法。

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