Department of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, 44139 Dortmund, Germany.
Department of Ergonomics, Leibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, 44139 Dortmund, Germany.
Int J Environ Res Public Health. 2021 Jul 22;18(15):7786. doi: 10.3390/ijerph18157786.
The theoretical framework of interactive work provides a multi-dimensional perspective on the interpersonal demands of nurses in nurse-patient interactions. It is defined by four dimensions: emotional labor directed to the self and others, cooperative work, and subjective acting. While the framework stems from qualitative research, the aim of the current study is to translate it into a quantitative scale to enable measurement of the high interpersonal demands that so often remain implicit. For this reason, we conducted an online survey study ( = 157; 130 women, 25 men, 2 divers) among professional nurses in Germany (spring 2021) to test the derived items and subscales concerning interactive work, which resulted in a 4-factor model that was verified with confirmatory factor analysis (CFA). The survey further captured additional information on established constructs concerning job-related well-being (e.g., burn out, meaningfulness), job characteristics (e.g., work interruptions, time pressure) and individual resources (coping strategies) that are supposed to correlate with interactive work demand scales for nurses (IWDS-N), to determine the quantitative nature of their relations. The results show that the subscales of the IWDS-N have adverse effects on indicators of work-related well-being. Moreover, negative job characteristics, such as time pressure, are positively correlated with subscales of the IWDS-N and are therefore problem-focused coping strategies as an individual resource. The results emphasize that a multidimensional consideration of self-regulatory processes is useful to capture the subtle and complex nature of the interactive work demands of nurses. The current study is the first that developed a quantitative, multi-dimensional measure for interactive work demands, which can help make implicit demands in service work explicit.
互动工作的理论框架为护士在护患互动中的人际需求提供了一个多维视角。它由四个维度定义:自我和他人的情绪劳动、合作工作和主观行为。虽然该框架源自定性研究,但本研究的目的是将其转化为定量量表,以能够衡量那些经常隐含的高人际需求。出于这个原因,我们在德国(2021 年春季)进行了一项针对专业护士的在线调查研究(=157;130 名女性,25 名男性,2 名变性人),以测试衍生的关于互动工作的项目和子量表,结果得出了一个 4 因素模型,该模型通过验证性因素分析(CFA)得到验证。该调查还进一步收集了关于与工作相关的幸福感(例如,倦怠、意义)、工作特征(例如,工作中断、时间压力)和个体资源(应对策略)的既定结构的额外信息,这些信息与护士互动工作需求量表(IWDS-N)相关,以确定它们之间的定量关系。结果表明,IWDS-N 的子量表对与工作相关的幸福感指标有不利影响。此外,负面的工作特征,如时间压力,与 IWDS-N 的子量表呈正相关,因此是作为个体资源的问题焦点应对策略。结果强调,对自我调节过程进行多维考虑有助于捕捉护士互动工作需求的微妙而复杂的性质。本研究首次开发了一种用于互动工作需求的定量、多维测量方法,可帮助明确服务工作中的隐含需求。