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注册护士职业倦怠、伦理气候与组织公民行为的关系:一项横断面研究。

Relationships between job burnout, ethical climate and organizational citizenship behaviour among registered nurses: A cross-sectional study.

机构信息

School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.

Rosemary Bryant AO Research Centre, Clinical & Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

出版信息

Int J Nurs Pract. 2023 Oct;29(5):e13115. doi: 10.1111/ijn.13115. Epub 2022 Oct 26.

Abstract

AIM

This study aimed to investigate the levels of nurses' organizational citizenship behaviour and the associations between job burnout and ethical climate with organizational citizenship behaviour.

BACKGROUND

Organizational citizenship behaviour improves adverse outcomes led by nursing shortage. However, the associations between three dimensions of job burnout and organizational citizenship behaviour are inconsistent, and little is known about whether ethical climate is related to organizational citizenship behaviour in nurses.

METHODS

In this cross-sectional study, 1157 nurses were selected using convenience sampling from April to October 2019. Self-report surveys assessed nurses' organizational citizenship behaviour, emotional exhaustion, depersonalization, personal accomplishment and perceptions of ethical climate.

RESULTS

Mean organizational citizenship behaviour was high among nurses. The regression model showed that job burnout and ethical climate explained an additional 38.6% of the variance in organizational citizenship behaviour over and above sociodemographic factors, with 44.9% of the total variance.

CONCLUSION

Nurses' organizational citizenship behaviour was at a relatively high level. Depersonalization was negatively associated with organizational citizenship behaviour while personal accomplishment and ethical climate were positively related to organizational citizenship behaviour. Therefore, nurse leaders are encouraged to take measures to help nurses reduce job burnout and create a favourable ethical climate for increasing nurses' organizational citizenship behaviour.

摘要

目的

本研究旨在探讨护士的组织公民行为水平,以及工作倦怠与伦理气候与组织公民行为之间的关系。

背景

组织公民行为改善了护理短缺导致的不良后果。然而,工作倦怠的三个维度与组织公民行为之间的关系并不一致,而且对于伦理气候是否与护士的组织公民行为有关知之甚少。

方法

本横断面研究于 2019 年 4 月至 10 月采用便利抽样法选取了 1157 名护士。自我报告调查评估了护士的组织公民行为、情绪衰竭、去人格化、个人成就感和对伦理气候的看法。

结果

护士的组织公民行为均值较高。回归模型显示,工作倦怠和伦理气候在社会人口统计学因素之外,对组织公民行为的解释方差增加了 38.6%,总方差的 44.9%。

结论

护士的组织公民行为处于较高水平。去人格化与组织公民行为呈负相关,而个人成就感和伦理气候与组织公民行为呈正相关。因此,鼓励护理管理者采取措施帮助护士减轻工作倦怠,营造有利的伦理气候,以提高护士的组织公民行为。

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