Hara Yukari, Asakura Kyoko, Sugiyama Shoko, Takada Nozomu, Ito Yoshimi, Nihei Yoko
Graduate School of Medicine, Tohoku University, 2-1 Seiryo-Machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan.
School of Nursing, Miyagi University, 1-1 Gakuen, Taiwa-cho, Kurokawa-gun, Miyagi 981-3298, Japan.
Healthcare (Basel). 2021 Mar 12;9(3):316. doi: 10.3390/healthcare9030316.
This study examined the impact that the attractiveness of working in nursing homes and autonomous clinical judgment have on affective occupational commitment, and whether work engagement mediates these relationships. This analysis was based on the job demands-resources theory. The study setting was 1200 nursing homes (including long-term care welfare facilities and long-term care health facilities) in eastern Japan. An anonymous, self-report questionnaire survey was administered to two nurses from each facility, resulting in a prospective sample of 2400 participants. Overall, 552 questionnaires were analyzed, in which structural equation modeling and mediation analysis using the bootstrap method were performed. The results showed that the attractiveness of working in nursing homes does not directly affect affective occupational commitment; work engagement fully mediates the impact of attractiveness of working in nursing homes on affective occupational commitment. Additionally, autonomous clinical judgment showed a direct impact on both work engagement and affective occupational commitment, indicating that work engagement partially mediates the impact on affective occupational commitment. To increase the affective occupational commitment of nurses working in nursing homes, managers should help nurses recognize the attractiveness of working in nursing homes, and then provide appropriate support to help such nurses work in a motivated manner.
本研究考察了在养老院工作的吸引力和自主临床判断对情感性职业承诺的影响，以及工作投入是否在这些关系中起中介作用。该分析基于工作需求-资源理论。研究地点为日本东部的1200家养老院（包括长期护理福利设施和长期护理健康设施）。对每家机构的两名护士进行了匿名的自填式问卷调查，最终得到2400名参与者的前瞻性样本。总体而言，共分析了552份问卷，并采用自举法进行了结构方程建模和中介分析。结果表明，在养老院工作的吸引力不会直接影响情感性职业承诺；工作投入完全中介了在养老院工作的吸引力对情感性职业承诺的影响。此外，自主临床判断对工作投入和情感性职业承诺均有直接影响，这表明工作投入部分中介了对情感性职业承诺的影响。为了提高在养老院工作的护士的情感性职业承诺，管理人员应帮助护士认识到在养老院工作的吸引力，然后提供适当的支持，以帮助这些护士积极工作。
