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中国新毕业护士的过渡性休克与人文实践能力的关系:组织社会化的中介作用。

Relationship between transition shock and humanistic practice ability among Chinese newly graduated nurses: Mediating effect of organizational socialization.

机构信息

Department of Orthopaedics, Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital), Qingdao 266001, China.

Department of Nursing, Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital), Qingdao 266001, China.

出版信息

Nurse Educ Pract. 2023 Nov;73:103842. doi: 10.1016/j.nepr.2023.103842. Epub 2023 Nov 13.

Abstract

BACKGROUND

Humanistic practice ability serves as an indispensable skills that newly graduated nurses strive to develop. Yet, there is a dearth of knowledge regarding the role of organizational socialization in mediating the association between transition shock and humanistic practice ability in Chinese newly graduated nurses.

AIM

To breakdown the association between humanistic practice ability and transition shock among Chinese newly graduated nurses, with a simultaneous concentration on the mediating effect of organizational socialization in the association.

DESIGN

Utilizing a descriptive cross-sectional study design, this research aimed to provide a comprehensive overview of the variables being examined.

METHODS

A web-based survey was completed by 417 newly graduated nurses from three general public hospitals in Shandong Province, eastern China from February to March 2023. Three questionnaires were administered: the Nurse Humanistic Practice Ability Scale (NHPAS), the Organizational Socialization Questionnaire(OSQ) and the Transition shock of Newly Graduated Nurses Scale (TSNGNS). The IBM SPSS 22.0, AMOS 22.0 and GraphPad Prism 9.0.0 was applied for figure preparation and statistical analyses.

RESULTS

Findings indicated a significant statistical association among organizational socialization, transition shock and humanities practicing ability. A significant negative correlation was uncovered between OrS and TrS (r=-0.468, p<0.001), significant and negative correlation (r = -0.412, p < 0.001) was unmasked between the TrS and the HPA,whereas a significant positive correlation was observed between OrS and HPA (r=0.641, p<0.001). Moreover, in the mediation models, organizational socialization was identified as a partial mediating role in the association between transition shock and humanities practicing ability (indirect effect -0.324, p<0.001; direct effect -0.100, p =0.026; total effect -0.424, p =0.001).

CONCLUSION/IMPLICATIONS FOR PRACTICE: TrS has a significantly negative influence on HPA among newly graduated nurses, and OrS partially mediating the negative effect of TrS on HPA. Nursing managers and nursing educators can reduce the adverse consequences resulted from TrS through enhancing the benefits of organizational socialization programs and eventually improve the level of HPA of newly graduated nurses.

摘要

背景

人文实践能力是新毕业护士努力发展的不可或缺的技能。然而,对于组织社会化在调节中国新毕业护士过渡冲击与人文实践能力之间的关系,我们知之甚少。

目的

剖析中国新毕业护士人文实践能力与过渡冲击之间的关系,并关注组织社会化在两者关系中的中介作用。

设计

本研究采用描述性的横断研究设计,旨在全面了解所研究变量的情况。

方法

2023 年 2 月至 3 月,采用网络问卷调查法,对来自中国东部山东省 3 所综合公立医院的 417 名新毕业护士进行调查。共发放了 3 份问卷:护士人文实践能力量表(NHPAS)、组织社会化问卷(OSQ)和新毕业护士过渡冲击量表(TSNGNS)。采用 IBM SPSS 22.0、AMOS 22.0 和 GraphPad Prism 9.0.0 进行图形制作和统计分析。

结果

研究结果表明,组织社会化、过渡冲击与人文实践能力之间存在显著的统计学关联。组织社会化与过渡冲击呈显著负相关(r=-0.468,p<0.001),过渡冲击与人文实践能力呈显著负相关(r=-0.412,p<0.001),组织社会化与人文实践能力呈显著正相关(r=0.641,p<0.001)。此外,在中介模型中,组织社会化被确定为过渡冲击与人文实践能力之间关联的部分中介作用(间接效应-0.324,p<0.001;直接效应-0.100,p=0.026;总效应-0.424,p=0.001)。

结论/对实践的意义:过渡冲击对新毕业护士的人文实践能力有显著的负向影响,组织社会化对过渡冲击与人文实践能力之间的负向关系具有部分中介作用。护理管理者和护理教育者可以通过加强组织社会化项目的效益,减少过渡冲击带来的不利后果,最终提高新毕业护士的人文实践能力水平。

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