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工作投入与感知工作能力:提升护士幸福感的循证模型。

Work engagement and perceived work ability: An evidence-based model to enhance nurses' well-being.

机构信息

Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.

Azienda per l'Assistenza Sanitaria n. 5 "Friuli Occidentale", Pordenone, Italy.

出版信息

J Adv Nurs. 2019 Sep;75(9):1933-1942. doi: 10.1111/jan.13981. Epub 2019 Mar 24.

Abstract

AIMS

The study aims are (a) to test a model developed to estimate the impact of work engagement on work ability as it is perceived by nurses; (b) to test the parameters between work ability and job satisfaction and between job satisfaction and turnover intention.

DESIGN

Cross-sectional.

METHODS

This study involved 1,024 nurses from January - May 2018. The response rate was 70.7%. The Work Ability Index and the Utrecht Work Engagement Scale were used. Path analysis was performed, both in the whole sample and in age categories (<45yy-≥45yy). Model's parameters and fit indexes were estimated.

RESULTS

The comprehensive model was validated through the multi-group approach. Fit indexes were adequate in the general model and in the multi-group testing. Parameters confirmed the association between work engagement and work ability and between work ability and job satisfaction and turnover intention. Parameters highlighted different age-dependent patterns.

CONCLUSION

This study states the contribution of work engagement to enhance work ability in nursing profession. Findings contribute in understanding motivational dynamics in nurses and they suggest the use of tailored strategies for different age categories. Further research could address the model to deepen generational patterns in work engagement, work ability, and organizational outcomes.

IMPACT

The study highlights how to address nursing management to improve nurses' motivation and work ability and to improve organizational outcomes. Main findings point out different age-dependent patterns to tailor managerial strategies. Healthcare organizations have new elements to design human resources management and to improve job satisfaction and nurses' retention.

摘要

目的

本研究旨在(a)检验一个模型,该模型旨在评估工作投入对护士感知的工作能力的影响;(b)检验工作能力与工作满意度以及工作满意度与离职意向之间的参数关系。

设计

横断面研究。

方法

本研究于 2018 年 1 月至 5 月期间共纳入了 1024 名护士,应答率为 70.7%。使用了工作能力指数和乌得勒支工作投入量表。进行了路径分析,包括在整个样本和年龄组(<45 岁组和≥45 岁组)中。评估了模型参数和拟合指数。

结果

通过多组方法验证了综合模型。一般模型和多组检验的拟合指数均良好。参数证实了工作投入与工作能力以及工作能力与工作满意度和离职意向之间的关联。参数突出了不同年龄相关的模式。

结论

本研究表明工作投入对增强护理专业工作能力的贡献。研究结果有助于理解护士的激励动态,并建议针对不同年龄组采用定制策略。进一步的研究可以将该模型应用于深化工作投入、工作能力和组织结果的代际模式。

影响

本研究强调了如何针对护理管理以提高护士的工作动力和工作能力,改善组织结果。主要发现指出了不同年龄相关的模式,以定制管理策略。医疗保健组织有新的元素来设计人力资源管理,提高工作满意度和护士的留用率。

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