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组织去人性化与护士偏差行为的关系:一个有调节的中介模型。

Relationship between organisational dehumanization and nurses' deviant behaviours: A moderated mediation model.

机构信息

Department of Management and Social Sciences, Capital University of Science and Technology, Islamabad, Pakistan.

School of Housing Building and Planning, Universiti Sains Malaysia, Penang, Malaysia.

出版信息

J Nurs Manag. 2021 Jul;29(5):1036-1045. doi: 10.1111/jonm.13241. Epub 2021 Feb 1.

Abstract

AIM(S): This paper investigated the impact of organisational dehumanization on nurses' deviant behaviours in the Pakistani health sector directly and indirectly through job stress. The study also examined the moderation role of occupational self-efficacy on the relationship between organisational dehumanization and job stress.

BACKGROUND

While the attitudinal outcomes of organisational dehumanization have been a focus of research, its behavioural outcomes are a relatively ignored research area.

METHOD

Data were collected from 295 nurses working in hospitals across Pakistan via self-administered questionnaires with two measurement points to test the direct and indirect effects of organisational dehumanization.

RESULTS

The hypothesized relationships were tested with SPSS 25 and the Process Macro Model 7. The results showed that organisational dehumanization increased deviant behaviours among nurses directly and indirectly via job stress. Moreover, occupational self-efficacy plays moderation role and weakens the relationship between organisational dehumanization and job stress.

CONCLUSION

This study contributes to the existing literature by concentrating on predictors that trigger deviant behaviour among nurses. It also assessed the mediating impact of job stress, an essential endeavour for researchers and practitioners.

IMPLICATIONS FOR NURSING MANAGEMENT

The study outcomes can help the health sector improve their strategies to address organisational dehumanization and deviant behaviour among nurses.

摘要

目的

本文通过工作压力,直接和间接调查了组织去人性化对巴基斯坦卫生部门护士偏差行为的影响。本研究还检验了职业自我效能感在组织去人性化与工作压力之间关系中的调节作用。

背景

虽然组织去人性化的态度结果一直是研究的焦点,但它的行为结果是一个相对被忽视的研究领域。

方法

通过自填式问卷,在巴基斯坦的医院收集了 295 名护士的数据,采用两个测量点来检验组织去人性化的直接和间接效应。

结果

采用 SPSS25 和过程宏模型 7 对假设关系进行了检验。结果表明,组织去人性化通过工作压力直接和间接增加了护士的偏差行为。此外,职业自我效能感起到了调节作用,削弱了组织去人性化与工作压力之间的关系。

结论

本研究通过关注引发护士偏差行为的预测因素,为现有文献做出了贡献。它还评估了工作压力的中介影响,这对研究人员和从业者来说是一项重要的努力。

护理管理的意义

研究结果可以帮助卫生部门改善策略,以解决组织去人性化和护士偏差行为的问题。

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