Zhang Mingfang, Wu Junxian, Yang Yanting, Song Jingru, Shen Qin
Liver And Gallbladder Surgery, Jiaxing First Hospital, Jiaxing, 314001, China.
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
BMC Nurs. 2025 May 16;24(1):547. doi: 10.1186/s12912-025-03178-7.
Junior nurses constitute the backbone of the nursing workforce, and their reflective ability is essential for clinical decision-making, as well as for driving innovation and improvement in nursing practices. Although numerous studies emphasize the importance of enhancing reflective ability in junior nurses, the specific relationships among emotional intelligence, dual work stress, and reflective ability remain unclear.
To explore the mediating effect of emotional intelligence on the relationship between dual work stress and reflective ability among junior nurses, with the aim of providing evidence-based guidance for nursing managers to improve reflective ability in clinical settings.
A cross-sectional study was conducted between October 2023 and January 2024, involving 308 junior nurses from three tertiary hospitals in Jiaxing City, Zhejiang Province, selected through convenience sampling. Data were collected using a demographic questionnaire, the Challenge-Hindrance Stressor Scale, the Emotional Intelligence Scale, and the Reflective Ability Scale.
Challenge stress among junior nurses was 18.00 (13.00, 23.00), hindrance stress was 17.00 (12.00, 21.00), emotional intelligence was 54.00 (40.00, 67.00), and reflective ability was 59.00 (46.00, 71.00). Challenge stress showed positive correlations with emotional intelligence and reflective ability (r = 0.382 and 0.379, respectively, P < 0.01), while hindrance stress showed negative correlations with both (r = - 0.279 and - 0.381, P < 0.01). Emotional intelligence was also positively correlated with reflective ability (r = 0.378, P < 0.01). In addition, emotional intelligence partially mediated the effects of both challenge stress and hindrance stress on reflective ability, with mediation values of 0.095 and - 0.048, accounting for 32.0% and 16.7% of the total effect, respectively.
Junior nurses demonstrated a moderate level of reflective ability and a moderately low level of emotional intelligence. Both hindrance stress and challenge stress were reported at moderate levels. These findings underscore the importance for nursing managers to acknowledge the impact of dual work stress and emotional intelligence on reflective ability. It is recommended to establish and implement effective stress management strategies with a focus on enhancing emotional intelligence among junior nurses. Such initiatives may improve reflective ability, thereby contributing to higher nursing quality and promoting professional development in the field.
Not applicable.
初级护士是护理队伍的中坚力量，其反思能力对于临床决策以及推动护理实践的创新与改进至关重要。尽管众多研究强调提高初级护士反思能力的重要性，但情商、双重工作压力与反思能力之间的具体关系仍不明确。
探讨情商在初级护士双重工作压力与反思能力关系中的中介作用，旨在为护理管理者在临床环境中提高反思能力提供循证指导。
于2023年10月至2024年1月进行一项横断面研究，通过便利抽样选取了浙江省嘉兴市三家三级医院的308名初级护士。使用人口学调查问卷、挑战性-阻碍性压力源量表、情商量表和反思能力量表收集数据。
初级护士的挑战性压力为18.00（13.00，23.00），阻碍性压力为17.00（12.00，21.00），情商为54.00（40.00，67.00），反思能力为59.00（46.00，71.00）。挑战性压力与情商和反思能力呈正相关（r分别为0.382和0.379，P<0.01），而阻碍性压力与二者均呈负相关（r分别为-0.279和-0.381，P<0.01）。情商与反思能力也呈正相关（r=0.378，P<0.）。此外，情商部分中介了挑战性压力和阻碍性压力对反思能力的影响，中介效应值分别为0.095和-0.048，分别占总效应的32.0%和16.7%。
初级护士表现出中等水平的反思能力和中等偏低水平的情商。阻碍性压力和挑战性压力均处于中等水平。这些发现强调了护理管理者认识到双重工作压力和情商对反思能力影响的重要性。建议制定并实施有效的压力管理策略，重点提高初级护士的情商。此类举措可能会提高反思能力，从而有助于提高护理质量并促进该领域的专业发展。
不适用。
