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护士职业承诺模式:潜在剖面分析

Patterns of occupational commitment among nurses: a latent profile analysis.

作者信息

Lin Zihan, Wu Wenbin, Zhang Huifang, He Zhiqiang, Han Mengyu, Li Jin

机构信息

Department of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, China.

The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

出版信息

Front Psychol. 2024 May 30;15:1331425. doi: 10.3389/fpsyg.2024.1331425. eCollection 2024.

DOI:10.3389/fpsyg.2024.1331425
PMID:38873500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11169784/
Abstract

BACKGROUND

Occupational commitment (OC) is a multidimensional construct that predicts turnover intentions. The interindividual variability of nurses' OC merits further exploration. Therefore, this study aims to examine patterns of OC and its relationship with psychological empowerment and job crafting in nurses.

METHODS

A sample of 1,061 nurses was recruited from February 2022 to April 2022 by using a stratified four-stage cluster sampling procedure. A self-report survey included the Psychological Empowerment Scale, Job Crafting Scale, and Occupational Commitment Scale. Latent profile analysis (LPA) was used to examine the patterns of OC. Associations of the latent class membership with individual characteristics, psychological empowerment and job crafting were examined using multinomial logistic regression.

RESULTS

Three patterns of OC were identified: (1) "Low OC group" ( = 224, 21.1%); (2) "Moderate OC group" ( = 665, 62.7%); (3) "High OC group" ( = 172, 16.2%). Nurses with higher education, fewer years of service, working in medicine, lower psychological empowerment and lower job crafting had a higher likelihood of belonging to Class 1 (Low OC group). In contrast, nurses working in emergency and with higher psychological empowerment and job crafting were more likely to belong to Class 3 (High OC group).

CONCLUSION

The findings revealed the heterogeneity of occupational commitment among nurses in China and could guide the identification and early intervention of nurses with low level of occupational commitment.

摘要

背景

职业承诺(OC)是一个多维概念,可预测离职意图。护士职业承诺的个体间差异值得进一步探索。因此,本研究旨在探讨护士职业承诺的模式及其与心理授权和工作重塑的关系。

方法

采用分层四阶段整群抽样程序,于2022年2月至2022年4月招募了1061名护士作为样本。一项自我报告调查包括心理授权量表、工作重塑量表和职业承诺量表。采用潜在剖面分析(LPA)来研究职业承诺的模式。使用多项逻辑回归分析潜在类别成员与个体特征、心理授权和工作重塑之间的关联。

结果

确定了三种职业承诺模式:(1)“低职业承诺组”(n = 224,21.1%);(2)“中等职业承诺组”(n = 665,62.7%);(3)“高职业承诺组”(n = 172,16.2%)。受过高等教育、工作年限较少、从事医学工作、心理授权较低和工作重塑较少的护士属于第1类(低职业承诺组)的可能性更高。相比之下,在急诊科工作、心理授权和工作重塑较高的护士更有可能属于第3类(高职业承诺组)。

结论

研究结果揭示了中国护士职业承诺的异质性,并可为识别和早期干预职业承诺水平较低的护士提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/29a6643f59e7/fpsyg-15-1331425-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/f7d702426968/fpsyg-15-1331425-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/5907eee7bc70/fpsyg-15-1331425-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/ed939667ea3d/fpsyg-15-1331425-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/29a6643f59e7/fpsyg-15-1331425-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/f7d702426968/fpsyg-15-1331425-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/5907eee7bc70/fpsyg-15-1331425-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/ed939667ea3d/fpsyg-15-1331425-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/415f/11169784/29a6643f59e7/fpsyg-15-1331425-g004.jpg

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