Wang Yu, Yang Qiaofang, Wang Luwen, Zhang Qingwei, Li Yingli
Department of Nursing, Fuwai Central China Cardiovascular Hospital, Zhengzhou, China.
Heart Failure Ward, Fuwai Central China Cardiovascular Hospital, Zhengzhou, China.
BMC Nurs. 2024 Jun 3;23(1):369. doi: 10.1186/s12912-024-02035-3.
Job crafting is defined as a series of proactive behaviors exhibited by employees in order to balance work resources and needs, which has a significant positive impact on the nurses. It is necessary to find the core factors that influence the job crafting, as emergency nurses deal with the most complex tasks, so as to improve their job satisfaction.
To investigate the core factors of job crafting among emergency nurses.
A cross-sectional design was used in the study. A total of 255 nurses were recruited from two hospitals in Zhengzhou and Shenzhen, China in December 2021. 255 nurses completed an online questionnaire. Hierarchical regression models and fsQCA models were used to explore the factors influencing job crafting among emergency nurses and helped us to identify core factors.
The hierarchical regression model and the fsQCA model found that the occupational benefit, psychological empowerment, and research experience were the core factors affecting their job crafting. Job involvement was not significant in the regression model, but the QCA model indicated that it needs to be combined with other factors to impact on job crafting. The QCA model uncovered seven key conditional configurations that led to high and low job crafting among emergency nurses, explaining 80.0% of the results for high job crafting and 82.6% of the results for the low job crafting, respectively.
The results of this study provide valuable insights into the job crafting experienced by emergency nurses. Junior emergency nurses should be granted a high level of psychological empowerment without assigning them overly complex tasks, such as research tasks, as these challenges can stop their job crafting. Intermediate and senior emergency nurses, on the other hand, can be assigned research tasks coupled with high psychological empowerment to enhance their job crafting.
工作重塑被定义为员工为平衡工作资源与需求而展现出的一系列积极行为，这对护士有显著的积极影响。找出影响工作重塑的核心因素很有必要，因为急诊护士要处理最复杂的任务，以便提高他们的工作满意度。
调查急诊护士工作重塑的核心因素。
本研究采用横断面设计。2021年12月，从中国郑州和深圳的两家医院招募了255名护士。255名护士完成了一份在线问卷。采用层次回归模型和模糊集定性比较分析（fsQCA）模型来探究影响急诊护士工作重塑的因素，并帮助我们识别核心因素。
层次回归模型和fsQCA模型发现，职业收益、心理授权和研究经历是影响其工作重塑的核心因素。工作投入在回归模型中不显著，但QCA模型表明它需要与其他因素结合才能对工作重塑产生影响。QCA模型揭示了导致急诊护士工作重塑程度高和低的七种关键条件组态，分别解释了工作重塑程度高的结果的80.0%和工作重塑程度低的结果的82.6%。
本研究结果为急诊护士的工作重塑提供了有价值的见解。应给予初级急诊护士高度的心理授权，而不分配给他们过于复杂的任务，如研究任务，因为这些挑战可能会阻碍他们的工作重塑。另一方面，可以给中级和高级急诊护士分配研究任务并给予高度的心理授权，以增强他们的工作重塑。
