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集体情感承诺在护士工作家庭冲突与情绪耗竭关系中的作用:一种多层次建模方法。

The role of collective affective commitment in the relationship between work-family conflict and emotional exhaustion among nurses: a multilevel modeling approach.

作者信息

Galletta Maura, Portoghese Igor, Melis Paola, Gonzalez Cesar Ivan Aviles, Finco Gabriele, D'Aloja Ernesto, Contu Paolo, Campagna Marcello

机构信息

1Department of Medical Sciences and Public Health, University of Cagliari, SS554 bivio per Sestu, 09042 Cagliari, Monserrato Italy.

2Anesthesia and Intensive Care Department, University of Cagliari, Cagliari, Italy.

出版信息

BMC Nurs. 2019 Feb 18;18:5. doi: 10.1186/s12912-019-0329-z. eCollection 2019.

Abstract

BACKGROUND

Work-family conflict (WFC) is a crucial problem in nursing because of the demanding conditions of the job, such as strenuous shifts, physical and emotional workload, and intense patient involvement. Using a multilevel approach, this study investigated the moderating role of collective affective commitment as a protective resource in the relationship between WFC and emotional exhaustion.

METHODS

The sample included 647 nurses from 66 working units in 4 Italian hospitals. A self-administrated questionnaire was administered to nurses. To analyze data, hierarchical linear modeling was used to examine cross-level relationships between variables.

RESULTS

The results indicated that emotional exhaustion increased with augmenting of WFC and that this relationship was stronger when collective affective commitment was low and weaker when it was high.

CONCLUSIONS

The study thus suggests that collective affective commitment may be considered a protective resource for nurses. Moreover, the results show that high work-family conflict should not represent a serious problem when nurses have high affective commitment. Interventions at both individual and group level are discussed in order to mitigate WFC, promoting collective affective commitment and thus reducing emotional exhaustion.

摘要

背景

由于工作条件苛刻,如轮班繁重、身心工作量大以及与患者密切接触,工作-家庭冲突(WFC)是护理工作中的一个关键问题。本研究采用多层次方法,调查了集体情感承诺作为一种保护资源在WFC与情绪耗竭关系中的调节作用。

方法

样本包括来自意大利4家医院66个工作单位的647名护士。对护士进行了自填式问卷调查。为了分析数据,采用分层线性模型来检验变量之间的跨层次关系。

结果

结果表明,情绪耗竭随着WFC的增加而增加,当集体情感承诺较低时,这种关系更强,而当集体情感承诺较高时,这种关系较弱。

结论

因此,该研究表明集体情感承诺可被视为护士的一种保护资源。此外,结果表明,当护士具有较高的情感承诺时,高工作-家庭冲突不应成为一个严重问题。讨论了个体和团体层面的干预措施,以减轻WFC,促进集体情感承诺,从而减少情绪耗竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b70/6379994/07074b3b1bfe/12912_2019_329_Fig1_HTML.jpg

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