First Affiliated Hospital of Dali University, Dali city, China.
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Int Nurs Rev. 2021 Dec;68(4):444-452. doi: 10.1111/inr.12671. Epub 2021 Mar 8.
To develop and test the first causal model of thriving at work in Chinese nurses.
Nurses' ability to thrive at their work is critical to retain qualified nurses and meet the needs of a constantly changing health environment. However, this is a poorly researched area.
Thriving at work refers to the feeling of vitality and learning at work, which are evidenced to be solidly associated with nurses' development. Only a few factors have been explored regarding the effects of thriving at work.
A cross-sectional study was undertaken using stratified random sampling. This involved 565 nurses from five general hospitals in Dali city, Yunnan Province, People's Republic of China. Data were collected from April to September 2019 using seven instruments. The model was constructed and tested using the Analysis of Moment Structure program and reported using the STROBE checklist.
All model variables provided direct and indirect effects to the outcome. The final model fitted the empirical data with acceptable indices.
Predicting variables of workplace mindfulness, authentic leadership, workplace violence, organizational justice and years of experience were found to affect thriving at work directly and indirectly. Psychological capital and perceived organizational support mediated the effects between predicting variables to the outcome.
Recommendations for nursing and health leaders are provided to improve nurses' thriving at work by building fair, supportive, and safe working environments, improving head nurses' authentic leadership and cultivating nurses' mindfulness. Policies need to be promulgated to improve and regulate the nurse-patient ratio and to eliminate violence against Chinese nurses.
构建并检验中国护士工作投入的首个因果模型。
护士在工作中的投入能力对于保留合格护士和满足不断变化的卫生环境需求至关重要。然而，这是一个研究不足的领域。
工作投入是指工作中的活力感和学习感，这与护士的发展密切相关。关于工作投入的影响，仅探索了一些因素。
采用分层随机抽样的横断面研究，对来自中国云南省大理市 5 家综合医院的 565 名护士进行研究。2019 年 4 月至 9 月，使用 7 种工具收集数据。使用结构方程分析程序构建和检验模型，并按照 STROBE 清单进行报告。
所有模型变量对结果均提供了直接和间接影响。最终模型拟合经验数据的指标可接受。
工作场所正念、真实领导、工作场所暴力、组织公正和工作年限等预测变量被发现直接和间接地影响工作投入。心理资本和感知组织支持在预测变量与结果之间的影响中起中介作用。
为了提高护士的工作投入，向护理和卫生领导者提出了建议，即通过建立公平、支持和安全的工作环境，提高护士长的真实领导能力和培养护士的正念来实现。需要制定政策来改善和规范护士与患者的比例，并消除针对中国护士的暴力行为。
