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中国临床护士的组织沉默与工作投入:职业使命感的中介作用

Organizational Silence and Work Engagement Among Chinese Clinical Nurses: The Mediating Role of Career Calling.

作者信息

Zhu Wenfen, Liao Heping, Wu Qian

机构信息

Department of Primary Nursing, School of Nursing, Chongqing Medical University, Chongqing, China.

Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

J Nurs Manag. 2025 Jun 13;2025:7522633. doi: 10.1155/jonm/7522633. eCollection 2025.

Abstract

This study aimed to explore how organizational silence affected work engagement in Chinese nurses and examining the impact of career calling on mediating the relation. Work engagement of nurses is vital for the quality of healthcare service. Organizational silence has been suggested to be negative for work engagement, but it remains elusive if organizational silence may reduce career calling and work engagement among nurses. This study used the self-report questionnaire for data collection in Chongqing City, China. Structured questionnaires were adopted to measure clinical nurses' organizational silence, work engagement, and career calling. Our research hypotheses were verified through using the structural equation model. A total of 1858 valid questionnaires were collected. Organizational silence showed significant and negative relation with work engagement and career calling of clinical nurses ( < 0.01). Career calling played a role in mediating the relation of organizational silence with work engagement. Reducing organizational silence is important for promoting the work engagement of clinical nurses, and career calling exerts a key effect on interpreting the mechanism of organizational silence in reducing nurses' work engagement. Hospital managers must focus on reducing nurses' organizational silence to increase clinical nurses' work engagement and career calling.

摘要

本研究旨在探讨组织沉默如何影响中国护士的工作投入,并检验职业使命感在介导二者关系中所起的作用。护士的工作投入对医疗服务质量至关重要。有观点认为组织沉默对工作投入有负面影响,但组织沉默是否会降低护士的职业使命感和工作投入仍不明确。本研究采用自填式问卷在中国重庆市收集数据。采用结构化问卷来测量临床护士的组织沉默、工作投入和职业使命感。我们的研究假设通过结构方程模型得以验证。共收集到1858份有效问卷。组织沉默与临床护士的工作投入和职业使命感呈显著负相关(<0.01)。职业使命感在介导组织沉默与工作投入的关系中发挥了作用。减少组织沉默对于促进临床护士的工作投入很重要,且职业使命感在解释组织沉默降低护士工作投入的机制方面发挥着关键作用。医院管理者必须注重减少护士的组织沉默,以提高临床护士的工作投入和职业使命感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f73/12181662/0c347588230f/JONM2025-7522633.001.jpg

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