职场欺凌与中国新手护士离职意向关系中，心理授权与工作倦怠的序列多重中介作用。
Serial multiple mediation of psychological empowerment and job burnout in the relationship between workplace bullying and turnover intention among Chinese novice nurses.
机构信息
College of Nursing, Weifang Medical University, Weifang, China.
College of Nursing, Chungnam National University, Daejeon, South Korea.
出版信息
Nurs Open. 2023 Jun;10(6):3687-3695. doi: 10.1002/nop2.1621. Epub 2023 Jan 22.
AIM
This study aimed to examine the direct and indirect effects of workplace bullying on turnover intention using the serial multiple mediators of psychological empowerment and job burnout.
DESIGN
A cross-sectional study was conducted.
METHODS
A convenience sample of 506 novice nurses from five Triple A hospitals in China's S province from November 2020 to February 2021 and were evaluated using online questionnaires on workplace bullying, psychological empowerment, job burnout, and turnover intention.
RESULTS
The prevalence of turnover intention was 51.9%. In the serial multiple mediator model, workplace bullying had a direct effect (c = 0.452, p < 0.001) and indirect effect (c' = 0.229, p < 0.001) on turnover intention through the serial multiple mediators of psychological empowerment (B = -0.093, p = 0.020) and job burnout (B = 0.127, p < 0.001); hence, the proposed model explained the total variance of 32.2% in turnover intention.
PATIENT OR PUBLIC CONTRIBUTION
Nursing managers should use effective measures for strengthening the psychological empowerment to minimize novice nurse burnout and turnover intention resulting from workplace bullying.
目的
本研究旨在探讨工作场所欺凌对离职意向的直接和间接影响，使用心理授权和工作倦怠的连续中介来检验。
设计
横断面研究。
方法
2020 年 11 月至 2021 年 2 月，从中国 S 省的五家三甲医院中抽取了 506 名新手护士作为便利样本，采用在线问卷评估工作场所欺凌、心理授权、工作倦怠和离职意向。
结果
离职意向的发生率为 51.9%。在串联多重中介模型中，工作场所欺凌对离职意向有直接影响（c=0.452，p<0.001）和间接影响（c'=0.229，p<0.001），通过心理授权（B=-0.093，p=0.020）和工作倦怠（B=0.127，p<0.001）的串联多重中介；因此，该模型解释了离职意向总方差的 32.2%。
患者或公众贡献
护理管理者应采取有效措施加强心理授权，以最大程度地减少因工作场所欺凌而导致的新手护士倦怠和离职意向。
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