Hao Cuiping, Zhu Lina, Zhang Suzhen, Rong Shan, Zhang Yaqing, Ye Jiuhang, Yang Fuguo
Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China.
School of Nursing, Qingdao University, Qingdao, China.
Front Psychol. 2020 Dec 22;11:535634. doi: 10.3389/fpsyg.2020.535634. eCollection 2020.
This study aimed to investigate the serial-multiple mediation effect of professional identity, psychological capital (PsyCap), work-related stress, and work-related wellbeing among intensive care unit (ICU) nurses in China. The cross-sectional survey was conducted from January 2017 to May 2017 in two Grade III A general hospitals (with more than 2000 beds) in Jining, Shandong Province, China. Cluster sampling was used to recruit participants from the two hospitals. A total of 330 ICU nurses participated in the study. The nurses' work stress scale, Chinese nurse's professional identity scale, the PsyCap questionnaire, and Chinese work-related wellbeing scale were used to collect the data. Descriptive analysis, independent-samples test, one-way analysis of variance, Pearson correlation analysis, linear regression analysis, and structural equation modeling were used to analyze the data ( < 0.05 was considered statistically significant). The average score for the work-related wellbeing of ICU nurses was 85.91 ± 13.94. Work-related stress, professional identity, and PsyCap correlated significantly with work-related wellbeing. The major predictors of work-related wellbeing were PsyCap, work-related stress, professional identity, and monthly salary. The serial-multiple mediation effects of professional identity and PsyCap in the relationship between work-related stress and work-related wellbeing were statistically significant. Positive professional identity and PsyCap were sequentially associated with decreased work-related stress, which in turn was related to increased work-related wellbeing among ICU nurses. Therefore, this study aims to explore the impact of ICU nurses' work-related stress on work-related wellbeing, as well as the mediating effect of professional identity and PsyCap. It is hoped that hospital care managers will pay attention to the mental health of ICU nurses, increase their professional identity, and reduce work-related stress to improve the quality of the ICU nursing service and stabilize nursing work.
本研究旨在探讨中国重症监护病房（ICU）护士的职业认同、心理资本、工作压力与工作幸福感之间的多重中介效应。2017年1月至2017年5月，在中国山东省济宁市的两家三级甲等综合医院（床位超过2000张）进行了横断面调查。采用整群抽样法从这两家医院招募参与者。共有330名ICU护士参与了本研究。使用护士工作压力量表、中国护士职业认同量表、心理资本问卷和中国工作幸福感量表收集数据。采用描述性分析、独立样本检验、单因素方差分析、Pearson相关分析、线性回归分析和结构方程模型对数据进行分析（P<0.05被认为具有统计学意义）。ICU护士工作幸福感的平均得分为85.91±13.94。工作压力、职业认同和心理资本与工作幸福感显著相关。工作幸福感的主要预测因素是心理资本、工作压力、职业认同和月工资。职业认同和心理资本在工作压力与工作幸福感关系中的多重中介效应具有统计学意义。积极的职业认同和心理资本依次与工作压力的降低相关，而工作压力的降低又与ICU护士工作幸福感的提高相关。因此，本研究旨在探讨ICU护士工作压力对工作幸福感的影响，以及职业认同和心理资本的中介作用。希望医院护理管理者关注ICU护士的心理健康，增强其职业认同，减轻工作压力，以提高ICU护理服务质量，稳定护理工作。
