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医院工作场所不文明行为对中国护士工作能力、职业期望和工作绩效的影响:一项横断面调查

Impact of workplace incivility in hospitals on the work ability, career expectations and job performance of Chinese nurses: a cross-sectional survey.

作者信息

Zhang Shu'e, Ma Chongyi, Meng Dexin, Shi Yu, Xie Fengzhe, Wang Jinghui, Dong Xinpeng, Liu Jiao, Cang Shuang, Sun Tao

机构信息

Department of Health Management, School of Public Health, Harbin Medical University, Harbin, China.

Department of Cardiac Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

BMJ Open. 2018 Dec 14;8(12):e021874. doi: 10.1136/bmjopen-2018-021874.

Abstract

OBJECTIVES

The objectives of this study were to investigate new nurses' experiences of workplace incivility; verify the mediating role of work ability in the relationship between workplace incivility and job performance and examine the moderating role of career expectations in the relationship between workplace incivility and job performance.

DESIGN

This cross-sectional survey was conducted in China in May 2016.

SETTINGS

The research settings included 54 cities across 29 provinces of China.

PARTICIPANTS

Of the 903 participants recruited, 696 new nurses (<3 years of nursing experience) agreed to complete the online questionnaire of the study. The effective response rate was 77.1%. The inclusion criteria were voluntary participation, <3 years of nursing experience and recognition as a registered nurse. The exclusion criteria were refusal to participate, >3 years of nursing experience or not recognised as a registered nurse.

RESULTS

New nurses (60.7%) experienced some level of workplace incivility in the previous year, and it was more frequent among those with higher educational degrees. Work ability mediated the relationship between workplace incivility and job performance, and this relationship was moderated by career expectations.

CONCLUSION

Incivility towards new nurses was relatively common in the workplace. Workplace incivility impairs job performance by weakening the work ability of new nurses. Higher career expectations may buffer workplace incivility and contribute to the maintenance of job performance by buffering the detrimental effects of workplace incivility.

摘要

目的

本研究的目的是调查新护士在工作场所遭遇无礼行为的经历;验证工作能力在工作场所无礼行为与工作绩效之间关系中的中介作用,并检验职业期望在工作场所无礼行为与工作绩效之间关系中的调节作用。

设计

本横断面调查于2016年5月在中国进行。

地点

研究地点包括中国29个省份的54个城市。

参与者

在招募的903名参与者中,696名新护士(护理经验<3年)同意完成该研究的在线问卷。有效回复率为77.1%。纳入标准为自愿参与、护理经验<3年且被认可为注册护士。排除标准为拒绝参与、护理经验>3年或未被认可为注册护士。

结果

新护士(60.7%)在前一年经历了某种程度的工作场所无礼行为,且在高学历护士中更为频繁。工作能力在工作场所无礼行为与工作绩效之间的关系中起中介作用,且这种关系受到职业期望的调节。

结论

工作场所对新护士的无礼行为较为常见。工作场所无礼行为通过削弱新护士的工作能力来损害工作绩效。较高的职业期望可能缓冲工作场所无礼行为,并通过缓冲工作场所无礼行为的有害影响来有助于维持工作绩效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d04/6303560/9ce8150d5efc/bmjopen-2018-021874f01.jpg

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