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职业紧张与工作满意度:血液透析单位工作需求-资源调节-中介模型。

Occupational strain and job satisfaction: The job demand-resource moderation-mediation model in haemodialysis units.

机构信息

The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.

Hemodialysis Unit, The Baruch Padeh Medical Center, Tiberias, Israel.

出版信息

J Nurs Manag. 2020 Apr;28(3):664-672. doi: 10.1111/jonm.12973. Epub 2020 Mar 10.

Abstract

AIM

To examine whether job resources moderate the relationship between job demands and occupational strain, and whether occupational strain mediates the relationship between job demands and job satisfaction.

BACKGROUND

The job demand-resource model suggests that job demands and job resources are related to occupational strain, and occupational strain is associated with job satisfaction.

METHODS

In 2018, a cross-sectional study was conducted with a convenience sample of 85 nurses from six haemodialysis units. Linear regression with moderation-mediation analysis was conducted using SPSS software.

RESULTS

Under low workload levels, no association between autonomy and occupational strain existed, but under high workload levels, a negative relationship was found between autonomy and occupational strain. Under low workload levels, a negative relationship was found between social support and occupational strain, but under high workload levels, a positive relationship was found. Finally, there was no association between occupational strain and job satisfaction.

CONCLUSION

Job resources are moderators of the relationship between job demands and occupational strain. However, there was no significant association between occupational strain and job satisfaction.

IMPLICATIONS FOR NURSING MANAGEMENT

Nurse leaders should strengthen nurses' autonomy, which can reduce occupational strain. Additionally, sources of support are needed to help nurses cope with the workload and occupational strain.

摘要

目的

探讨工作资源是否能调节工作要求与职业紧张之间的关系,以及职业紧张是否在工作要求与工作满意度之间起中介作用。

背景

工作要求-资源模型表明,工作要求和工作资源与职业紧张有关,而职业紧张与工作满意度有关。

方法

2018 年,采用便利抽样法,选取 6 个血液透析单位的 85 名护士进行横断面研究。采用 SPSS 软件进行线性回归和调节-中介分析。

结果

在低工作量水平下,自主性与职业紧张之间没有关联,但在高工作量水平下,自主性与职业紧张之间呈负相关。在低工作量水平下,社会支持与职业紧张之间呈负相关,但在高工作量水平下,社会支持与职业紧张之间呈正相关。最后,职业紧张与工作满意度之间没有关联。

结论

工作资源是工作要求与职业紧张之间关系的调节因素。然而,职业紧张与工作满意度之间没有显著关联。

对护理管理的启示

护理管理者应加强护士的自主性,这可以减轻职业紧张。此外,需要提供支持的来源,以帮助护士应对工作量和职业紧张。

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