标准化培训护士的工作生活质量和工作投入：职业倦怠和职业认同的中介作用。

Quality of work life and work engagement among nurses with standardised training: The mediating role of burnout and career identity.

机构信息

Shengjing Hospital of China Medical University-Emergency Department, China.

Nursing School of China Medical University, China.

出版信息

Nurse Educ Pract. 2022 Jan;58:103276. doi: 10.1016/j.nepr.2021.103276. Epub 2021 Dec 10.

DOI:10.1016/j.nepr.2021.103276

PMID:34922093

Abstract

AIM

To explore the impact of the quality of work life of nurses with standardised training on their work engagement and its impact path, that is, the intermediary role of career identity and job burnout.

BACKGROUND

Most countries currently face the serious problem of a shortage of nurses and this difficulty is likely to persist for a long time. In recent years, some hospitals in China have attempted to try out clinical standardised training for new nurses for a duration of at least two years. They need to cope with clinical work, training assessments, and low salaries. Ways to improve the work input of new nurses play a pivotal role in reducing the turnover rate of nurses.

DESIGN

The current research is a cross-sectional study.

METHODS

Valid questionnaires were received from 245 nurses from the tertiary hospitals between June and July 2021. AMOS was used to conduct a structural equation model to evaluate the mediating effect of burnout and career identity on the association between the quality of work life and work engagement. We describe the study in accordance with the STROBE statement.

RESULTS

The quality of the work life of nurses with standardised training is at a medium to high level (191.62 ± 27.18) and their work engagement is at a relatively high level (75.77 ± 19.60). Quality of work life was negatively correlated with burnout (r = -0.672, p < 0.001) and positively correlated with career identity (r = 0.810, p < 0.001) and work engagement (r = 0.642, p < 0.001). Moreover, a positive relationship was found between the quality of work life and work engagement (β =0.644), which was mediated by burnout and career identity (β =0.144, β =0.218).

CONCLUSIONS

Although the work engagement of nurses with standardised training is encouraging, that work engagement decreases with the increase in the age of nurses, still needs investigation. When nurse managers want to improve the work engagement of new nurses, they should not only pay attention to the quality of work life but take career identity and burnout into consideration.

摘要

目的

探讨规范化培训护士工作生活质量对工作投入的影响及其影响途径，即职业认同和工作倦怠的中介作用。

背景

大多数国家目前都面临着护士短缺的严重问题，而且这种困难可能会持续很长时间。近年来，中国的一些医院尝试对新护士进行至少两年的临床规范化培训。他们需要应对临床工作、培训评估和低工资。提高新护士工作投入的方法对于降低护士离职率至关重要。

设计

本研究为横断面研究。

方法

2021 年 6 月至 7 月，采用便利抽样法，从三级医院抽取 245 名规范化培训护士进行问卷调查。采用 AMOS 进行结构方程模型分析，评价倦怠和职业认同在工作生活质量与工作投入之间的中介作用。本研究按照 STROBE 声明进行报告。

结果

规范化培训护士的工作生活质量处于中等偏高水平（191.62±27.18），工作投入处于较高水平（75.77±19.60）。工作生活质量与倦怠呈负相关（r=-0.672，p<0.001），与职业认同（r=0.810，p<0.001）和工作投入（r=0.642，p<0.001）呈正相关。此外，工作生活质量与工作投入呈正相关（β=0.644），该关系通过倦怠和职业认同（β=0.144，β=0.218）起部分中介作用。