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护士工作场所欺凌的影响因素及后果:结构方程模型

Influencing Factors and Consequences of Workplace Bullying among Nurses: A Structural Equation Modeling.

作者信息

Yun Seonyoung, Kang Jiyeon

机构信息

Department of Nursing, Youngsan University, Yangsan, Republic of Korea.

Department of Nursing, Dong-A University, Busan, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2018 Mar;12(1):26-33. doi: 10.1016/j.anr.2018.01.004. Epub 2018 Feb 7.

Abstract

PURPOSE

The purpose of this study was to build and test a model outlining the factors related to workplace bullying among nurses. The hypothesized model included authentic leadership and a relationship-oriented organizational culture as influencing factors, symptom experience and turnover intention as consequences, and positive psychological capital as a mediator of workplace bullying among nurses.

METHODS

We obtained structured questionnaire data from 301 nurses working at hospitals in South Korea. Based on these data, the developed model was verified via a structural equation modeling analysis using SPSS and AMOS program.

RESULTS

The fit indices of the hypothesized model satisfied recommended levels; χ = 397.58 (p < .001), normed χ (χ/df) = 1.82, RMR = .05, TLI = .93, CFI = .94, RMSEA = .05. A relationship-oriented organizational culture had a direct effect on workplace bullying (β = -.48, p < .001). Furthermore, workplace bullying had a direct effect on symptom experience (β = .36, p < .001), and this relationship was mediated by positive psychological capital (β = .15, p = .003). Workplace bullying also had an indirect effect on turnover intention (β = .20, p = .007). Finally, symptom experience had a direct effect on turnover intention (β = .31, p = .002).

CONCLUSION

These results suggest that workplace bullying among nurses may be prevented by constructing a relationship-oriented organizational culture, as long as employees have sufficient positive psychological capital. In this regard, workplace bullying among nurses should be addressed using a comprehensive strategy that considers both individual and organizational factors.

摘要

目的

本研究旨在构建并检验一个概述护士工作场所欺凌相关因素的模型。假设模型包括真实领导和关系导向型组织文化作为影响因素,症状体验和离职意向作为结果,以及积极心理资本作为护士工作场所欺凌的中介变量。

方法

我们从韩国医院工作的301名护士那里获取了结构化问卷数据。基于这些数据,使用SPSS和AMOS程序通过结构方程建模分析对所构建的模型进行验证。

结果

假设模型的拟合指数符合推荐水平;χ = 397.58(p <.001),标准化χ(χ/df)= 1.82,RMR =.05,TLI =.93,CFI =.94,RMSEA =.05。关系导向型组织文化对工作场所欺凌有直接影响(β = -.48,p <.001)。此外,工作场所欺凌对症状体验有直接影响(β =.36,p <.001),且这种关系由积极心理资本介导(β =.15,p =.003)。工作场所欺凌对离职意向也有间接影响(β =.20,p =.007)。最后,症状体验对离职意向有直接影响(β =.31,p =.002)。

结论

这些结果表明,只要员工拥有足够的积极心理资本,通过构建关系导向型组织文化可以预防护士的工作场所欺凌。在这方面,应采用综合策略来解决护士的工作场所欺凌问题,该策略要同时考虑个人和组织因素。

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