Peking University School of Nursing, Beijing, P.R. China.
Department of Nursing, China-Japan Friendship Hospital, Beijing, P.R. China.
PLoS One. 2022 Jun 1;17(6):e0268939. doi: 10.1371/journal.pone.0268939. eCollection 2022.
Given that increasing attention is being given to the burdens on medical systems, researchers have concentrated their attention on nurses' work engagement, especially in emergency departments.
To investigate the current situation of work engagement of nurses in emergency department, and to find out the impact of psychological violence on work engagement and its impact path.
The research is a cross-sectional study. Questionnaires were distributed to 243 nurses from the emergency departments of ten tertiary hospitals from September to October 2019. SPSS was used to conducted ANOVA. The AMOS was used to conduct structural equation model to test the mediating effect of organizational climate on the association between psychological violence and dimensions of work engagement.
Psychological violence was negatively correlated with organizational climate, vitality, dedication, and focus, and organizational climate was positively correlated with dimensions of work engagement. A negative relationship was found between psychological violence and three dimensions of work engagement, which was mediated by organizational climate.
In order to curb workplace psychological violence and improve the work engagement level of emergency nurses, organizational climate can be used as an intervention measure. The support of leaders, the care of colleagues and the mutual understanding and communication between doctors and patients can alleviate the job burnout of nurses in the face of heavy work, so that nurses can face their daily work with a better mental outlook.
鉴于人们越来越关注医疗系统的负担，研究人员将注意力集中在护士的工作投入上，尤其是在急诊科。
调查急诊科护士工作投入的现状，探讨心理暴力对工作投入的影响及其影响途径。
本研究为横断面研究。2019 年 9 月至 10 月，从十所三级医院的急诊科抽取 243 名护士进行问卷调查。采用 SPSS 进行方差分析。采用 AMOS 进行结构方程模型检验组织氛围对心理暴力与工作投入各维度之间关系的中介效应。
心理暴力与组织氛围、活力、奉献和专注呈负相关，组织氛围与工作投入各维度呈正相关。心理暴力与工作投入的三个维度呈负相关，组织氛围在其中起中介作用。
为了遏制工作场所的心理暴力，提高急诊护士的工作投入水平，可以将组织氛围作为一种干预措施。领导的支持、同事的关心以及医患之间的相互理解和沟通，可以缓解护士在繁重工作面前的职业倦怠，使护士以更好的精神面貌面对日常工作。
