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基于工作需求-资源模型的临床护士工作重塑对组织效能的影响

[Effects of Clinical Nurses' Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model].

作者信息

Lee Eun Young, Kim Eungyung

机构信息

Quality Improvement Team, Chungbuk National University Hospital, Cheongju, Korea.

Department of Nursing, Chungbuk National University, Cheongju, Korea.

出版信息

J Korean Acad Nurs. 2023 Feb;53(1):129-143. doi: 10.4040/jkan.22138.

Abstract

PURPOSE

This study aimed to examine the mediating effects of clinical nurses' job crafting on organizational effectiveness based on the job demands-resources model proposed by Bakker and Demerouti (2017).

METHODS

The participants consisted of 393 nurses working in nursing units of a tertiary general hospital located in Cheongju region. The data, collected using questionnaire from August 9 to August 20, 2021, were analyzed using SPSS 23.0 and AMOS 27.0.

RESULTS

The goodness-of-fit (GoF) test results on the modified model (χ² = 2.7, GFI = .94, SRMR = .03, RMSEA = .06, NFI = .92, CFI = .94, TLI = .92, AGFI = .90), indicated that the GoF index satisfied the recommended level. Regarding the effects of each variable on organizational effectiveness, job crafting showed statistically significant direct (β = .48, < .001), indirect (β = .23, < .001), and total effects (β = .71, < .001). Burnout showed statistically significant direct effect (β = -.17, < .001). Work engagement showed statistically significant direct (β = .41, < .001) and total effects (β = .41, < .001). The factors explaining organizational effectiveness were job crafting, burnout, and work engagement, which had an explanatory power of 76.7%.

CONCLUSION

Nurses' job crafting is an important mediating factor for enhancing the organizational effectiveness of nursing organizations. Hospitals should develop job-crafting success cases and related education and training programs as a strategy for enhancing the job crafting of nurses and, consequently organizational effectiveness.

摘要

目的

本研究旨在基于Bakker和Demerouti(2017年)提出的工作需求-资源模型,探讨临床护士的工作重塑对组织效能的中介作用。

方法

研究对象为位于清州地区一家三级综合医院护理单元的393名护士。于2021年8月9日至8月20日通过问卷调查收集数据,并使用SPSS 23.0和AMOS 27.0进行分析。

结果

修正模型的拟合优度(GoF)检验结果(χ² = 2.7,GFI = 0.94,SRMR = 0.03,RMSEA = 0.06,NFI = 0.92,CFI = 0.94,TLI = 0.92,AGFI = 0.90)表明,GoF指数达到推荐水平。关于各变量对组织效能的影响,工作重塑显示出具有统计学意义的直接效应(β = 0.48,p < 0.001)、间接效应(β = 0.23,p < 0.001)和总效应(β = 0.71,p < 0.001)。倦怠显示出具有统计学意义的直接效应(β = -0.17,p < 0.001)。工作投入显示出具有统计学意义的直接效应(β = 0.41,p < 0.001)和总效应(β = 0.41,p < 0.001)。解释组织效能的因素为工作重塑、倦怠和工作投入,其解释力为76.7%。

结论

护士的工作重塑是提高护理组织组织效能的重要中介因素。医院应开发工作重塑成功案例及相关教育培训项目,作为提高护士工作重塑进而提高组织效能的策略。

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