Zhang Lating, Jin Xianzhen, Cheng Na, Wang Ruhua, Liang Xinhui, Fan Haiyan, Jiang Xue
School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China; Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Appl Nurs Res. 2025 Apr;82:151932. doi: 10.1016/j.apnr.2025.151932. Epub 2025 Feb 22.
ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses.
This study employed a cross-sectional design in accordance with STROBE criteria. Two hundred forty-seven ICU nurses from four tertiary general hospitals were intentionally chosen to take an online survey. Metrics encompassed self-efficacy, work-family balance, and subjective well-being.
The findings demonstrated that self-efficacy strongly influenced nurses' work-family balance and subjective well-being. The work-family balance served as a mediating factor in the association between self-efficacy and subjective well-being. Mediation analysis indicated a substantial overall influence of self-efficacy on subjective well-being (β = 0.758, p < 0.01). In addition, self-efficacy had a direct effect on subjective well-being (β = 0.575, p < 0. 01), on work-family balance (β = 0.458, p < 0. 01), and work-family balance had a direct effect on subjective well-being (β = 0.399, p < 0.01).
This study found that among nurses in ICU have moderate levels of self-efficacy and subjective well-being, which are positively correlated. This suggests that improving the self-efficacy and work-family balance of ICU nurses may help enhance their subjective well-being levels.
重症监护病房（ICU）护士经常面临工作时间长、工作强度高、医疗责任重、昼夜轮班以及相对封闭的工作环境。该职业的高风险、高强度、高压力性质可能促使护士考虑辞职，最终导致护理人员严重短缺，对护士的健康和幸福产生不利影响。有必要全面调查影响其主观幸福感的因素以及这些因素之间的相互关系，从而为更有针对性的干预计划奠定理论基础，以提高护士的主观幸福感。
本研究采用符合STROBE标准的横断面设计。有意选择来自四家三级综合医院的247名ICU护士进行在线调查。测量指标包括自我效能感、工作与家庭平衡以及主观幸福感。
研究结果表明，自我效能感对护士的工作与家庭平衡和主观幸福感有强烈影响。工作与家庭平衡在自我效能感与主观幸福感之间的关联中起中介作用。中介分析表明，自我效能感对主观幸福感有显著的总体影响（β = 0.758，p < 0.01）。此外，自我效能感对主观幸福感有直接影响（β = 0.575，p < 0.01），对工作与家庭平衡有直接影响（β = 0.458，p < 0.01），工作与家庭平衡对主观幸福感有直接影响（β = 0.399，p < 0.01）。
本研究发现，ICU护士的自我效能感和主观幸福感处于中等水平，且呈正相关。这表明提高ICU护士的自我效能感和工作与家庭平衡可能有助于提高他们的主观幸福感水平。
