Yuan Tongshuang, Ren Hui, Yin Xin, Liang Leilei, Fei Junsong, Liu Xiaoying, Zheng Chengbin, Wang Huimin, Gao Jiaying, Mei Songli, Li Hongyan
School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin, 130021, China.
Department of Nursing, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
BMC Nurs. 2024 Jun 6;23(1):389. doi: 10.1186/s12912-024-01935-8.
Existing researches on nurses' work engagement and job burnout have mostly stayed at the individual level, and limited researches test the cross-level effects of psychosocial safety climate (PSC). The study aimed to explore the cross-level mediating effect of organization-based self-esteem (OBSE) and the moderating effect of psychological detachment between the relationship of PSC and work engagement and job burnout in nurses.
The cross-sectional study was conducted during November to December 2022 at a tertiary hospital in a northeastern province of China. Data was collected from 1832 nurses through an online questionnaire. Correlation analyses and hierarchical linear modeling were used to test study hypotheses.
The results showed that PSC was positively associated with work engagement, and negatively associated with job burnout. OBSE mediated the effect of PSC on work engagement, as well as job burnout. Additionally, psychological detachment played a moderating role between PSC and work engagement, but no moderating effect was found between PSC and job burnout.
PSC at the organizational level increases work engagement and reduces job burnout by stimulating nurses' high levels of OBSE. Psychological detachment, as a situational factor, enhances the positive influence of PSC on work engagement. The implementation of measures to improve the PSC levels of the organization, and the levels of OBSE and psychological detachment among nurses could help to promote their good work performance.
现有关于护士工作投入和职业倦怠的研究大多停留在个体层面，检验心理社会安全氛围（PSC）跨层次效应的研究较少。本研究旨在探讨基于组织的自尊（OBSE）的跨层次中介作用，以及心理脱离在护士 PSC 与工作投入及职业倦怠关系中的调节作用。
2022 年 11 月至 12 月在我国东北某三级医院进行横断面研究。通过在线问卷收集了 1832 名护士的数据。采用相关分析和分层线性模型检验研究假设。
结果表明，PSC 与工作投入呈正相关，与职业倦怠呈负相关。OBSE 介导了 PSC 对工作投入以及职业倦怠的影响。此外，心理脱离在 PSC 与工作投入之间起调节作用，但在 PSC 与职业倦怠之间未发现调节作用。
组织层面的 PSC 通过激发护士高水平的 OBSE 来提高工作投入并降低职业倦怠。心理脱离作为一种情境因素，增强了 PSC 对工作投入的积极影响。实施提高组织 PSC 水平以及护士 OBSE 和心理脱离水平的措施有助于促进他们良好的工作表现。
