Yang Yuchun, Hatanaka Kaori, Takahashi Kei, Shimizu Yasuko
Division of Health Sciences, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Department of Nursing, Baika Women's University, Ibaraki, Osaka, Japan.
Int J Nurs Stud Adv. 2023 Nov 16;5:100166. doi: 10.1016/j.ijnsa.2023.100166. eCollection 2023 Dec.
Work engagement is a positive, fulfilling, work-related state of mind characterized by vigor, dedication, and absorption, and it affects the quality of care nurses give. Chinese nurses working in Japan experience differences in nursing practice and difficulties in career development. Therefore, the nursing practice environment and occupational career may affect their work engagement. However, little research has been completed on the factors affecting Chinese nurses' work engagement in Japan.
To clarify the relationship between the nursing practice environment, occupational career, and work engagement of Chinese nurses in Japan.
A cross-sectional study.
Japanese hospitals (beds>19).
149 Chinese nurses employed in Japan.
Using a cross-sectional study design, we mailed 640 paper questionnaires, which included a QR code for online responses, to 58 Japanese hospitals that employed Chinese nurses. A survey request form and internet address were sent to the WeChat app, where Chinese nurses in Japan communicate. The contents included attribute-related questions, the Nursing Practice Environment Scale, the Occupational Career Scale, and the Utrecht Work Engagement Scale. A multivariate analysis was conducted with nine adjustment factors, such as gender, educational background, and work engagement, as the dependent variables. The significance level was set at <.05.
Participants' average age was 28.4 years, and the average years of nursing in Japan was 3.8. The work engagement score was 3.09, which is the low-medium level. The nursing practice environment was positively associated with work engagement (β=0.46, 95 %CI=1.02,1.99, <.001), with nurse participation in hospital affairs among the subscales having the strongest effect on work engagement (β=0.41, 95 %CI=0.68,1.49, <.001). The occupational career score was also positively associated with work engagement (β=0.42, 95 %CI= 0.51,1.08, <.001), and among the subscales, forming and coordinating interpersonal relationships had the most influence on participants' work engagement (β=0.39, 95 %CI=0.42,0.94, <.001).
Based on the results, we suggest that the work engagement of Chinese nurses could be enhanced by providing them with the same opportunities to train and improve their skills as Japanese nurses, as well as by helping them form relationships with patients and colleagues.
工作投入是一种积极、充实、与工作相关的心理状态，其特征为活力、奉献和专注，它会影响护士提供护理的质量。在日本工作的中国护士在护理实践方面存在差异，职业发展也面临困难。因此，护理实践环境和职业生涯可能会影响他们的工作投入。然而，关于影响在日本的中国护士工作投入的因素，相关研究较少。
阐明在日本的中国护士的护理实践环境、职业生涯与工作投入之间的关系。
横断面研究。
日本医院（床位>19张）。
149名受雇于日本的中国护士。
采用横断面研究设计，我们向58家雇佣中国护士的日本医院邮寄了640份纸质问卷，问卷包含在线回复的二维码。一份调查申请表和网址被发送到在日本的中国护士交流的微信应用程序上。内容包括与属性相关的问题、护理实践环境量表、职业生涯量表和乌得勒支工作投入量表。以性别、教育背景和工作投入等9个调整因素作为因变量进行多变量分析。显著性水平设定为<.05。
参与者的平均年龄为28.4岁，在日本的平均护理年限为3.8年。工作投入得分是3.09，处于中低水平。护理实践环境与工作投入呈正相关（β=0.46，95%CI=1.02,1.99，<.001），在各子量表中，护士参与医院事务对工作投入的影响最大（β=0.41，95%CI=0.68,1.49，<.001）。职业生涯得分也与工作投入呈正相关（β=0.42，95%CI=0.51,1.08，<.001），在各子量表中，建立和协调人际关系对参与者的工作投入影响最大（β=0.39，95%CI=0.42,0.94，<.001）。
基于研究结果，我们建议通过为中国护士提供与日本护士相同的培训和技能提升机会，以及帮助他们与患者和同事建立关系，来提高他们的工作投入。
