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中国护士工作家庭平衡的特征及影响因素:基于潜在剖面分析的横断面研究

Profiles and Influencing Factors of Work-Family Balance Among Nurses in China: A Cross-Sectional Study Based on Latent Profile Analysis.

作者信息

Tang Qian, Wang Yijia, Zhang Chi, Zhao Yuefan, Zhou Xinjie, Huang Jie, Yao Jun

机构信息

School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China.

School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

J Nurs Manag. 2025 Feb 17;2025:8556545. doi: 10.1155/jonm/8556545. eCollection 2025.

Abstract

To profile the work-family balance (WFB) among clinical nurses and identify their influencing factors. WFBs take on various patterns in nurses. Nurses with different characteristics exhibit various patterns of WFB. A cross-sectional study was performed, involving 1292 nurses from public hospitals in Jiangsu Province from February to April 2024. Latent profile analysis (LPA) was employed to categorize the data, and multinominal logistic regression analysis to determine factors influencing WFB. A total of 1718 questionnaires were distributed, yielding 1292 valid responses (a response rate of 75.2%). The total score of WFB was 44.35 ± 8.693 points. The LPA revealed three profiles of WFB: the family priority group (28.1%), the balanced adaptation group (46.8%), and the challenge coping group (25.1%). The entropy value was high (0.892), indicating a correct classification. Multivariate regression analyses showed that professional title, department, nonclinical work pressure, organizational identification, work meaning, and self-efficacy as factors influencing WFB profiles. The WFB among nurses was at a moderate level with significant heterogeneity and could be divided into three profiles. The challenge coping group presented lower professional titles and higher self-efficacy, and working at surgical, pediatric, and other specialized departments. Managers can tailor intervention strategies based on the characteristics and influencing factors of each profile. Nursing managers must consider the characteristics of high-risk groups and factors that affect WFB and take targeted measures to mitigate work-family conflicts (WFC) among nurses and stabilize the nursing workforce.

摘要

剖析临床护士的工作家庭平衡(WFB)状况并确定其影响因素。护士的工作家庭平衡呈现出多种模式。具有不同特征的护士表现出不同的工作家庭平衡模式。进行了一项横断面研究,纳入了2024年2月至4月来自江苏省公立医院的1292名护士。采用潜在类别分析(LPA)对数据进行分类,并采用多项逻辑回归分析来确定影响工作家庭平衡的因素。共发放问卷1718份,获得有效问卷1292份(有效率为75.2%)。工作家庭平衡总分是44.35±8.693分。潜在类别分析揭示了工作家庭平衡的三种模式:家庭优先组(28.1%)、平衡适应组(46.8%)和挑战应对组(25.1%)。熵值较高(0.892),表明分类正确。多变量回归分析表明,职称、科室、非临床工作压力、组织认同感、工作意义和自我效能感是影响工作家庭平衡模式的因素。护士的工作家庭平衡处于中等水平,存在显著异质性,可分为三种模式。挑战应对组的职称较低,自我效能感较高,且在外科、儿科等专科科室工作。管理者可根据每种模式的特点和影响因素制定干预策略。护理管理者必须考虑高危群体的特征以及影响工作家庭平衡的因素,并采取针对性措施减轻护士的工作家庭冲突(WFC),稳定护理队伍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15be/11919027/5a0127ddb42c/JONM2025-8556545.001.jpg

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