Kato Yuichi, Chiba Rie, Shimazu Akihito, Hayashi Yuta, Sakamoto Takuya
Hyogo Prefectural Hyogo Mental Health Center, Kobe 651-1242, Japan.
Department of Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Healthcare (Basel). 2023 Jan 18;11(3):295. doi: 10.3390/healthcare11030295.
While previous studies have examined antecedents and outcomes of work engagement among general nurses, studies among psychiatric nurses remain limited. This study aimed to explore the antecedents (i.e., job crafting and nursing practice environment) and outcomes (i.e., strength-oriented care attitudes, mental health, and turnover intention) of work engagement among psychiatric nurses in Japan. This cross-sectional study included 309 nurses from three psychiatric hospitals in Japan (valid response rate: 60.4%). Data collection using the self-administered questionnaire took place from July to August 2021. We performed Structural Equation Modeling to examine the directional relationships among variables. Job crafting (β = 0.57, < 0.01) and nursing practice environment (β = 0.23, = 0.01) exhibited positive effects on work engagement. Work engagement had positive effects on strength-oriented care attitudes (β = 0.15, = 0.04) and mental health (β = 0.37, < 0.01) as well as negative effects on intention to resign from their profession as a nurse (β = -0.17, = 0.01). Job crafting and a healthier nursing practice environment could help enhance work engagement. Higher work engagement could contribute to improving strength-oriented care attitudes, mental health, and intention to resign from their profession as a nurse.
虽然先前的研究已经考察了普通护士工作投入的前因和结果，但针对精神科护士的研究仍然有限。本研究旨在探讨日本精神科护士工作投入的前因（即工作重塑和护理实践环境）和结果（即以优势为导向的护理态度、心理健康和离职意愿）。这项横断面研究纳入了来自日本三家精神病医院的309名护士（有效回复率：60.4%）。使用自填式问卷进行数据收集的时间为2021年7月至8月。我们进行了结构方程模型分析，以检验变量之间的方向性关联。工作重塑（β = 0.57，<0.01）和护理实践环境（β = 0.23，= 0.01）对工作投入产生积极影响。工作投入对以优势为导向的护理态度（β = 0.15，= 0.04）和心理健康（β = 0.37，<0.01）产生积极影响，同时对护士职业的离职意愿产生消极影响（β = -0.17，= 0.01）。工作重塑和更健康的护理实践环境有助于提高工作投入。更高的工作投入有助于改善以优势为导向的护理态度、心理健康以及护士职业的离职意愿。
