探索中国临床专科护士培训迁移氛围与工作投入之间的联系：工匠精神的中介作用。

Exploring the link between Training Transfer Climate and Work Engagement among Clinical Nurse Specialists in China: the mediating role of Craftsmanship Spirit.

作者信息

Wang Renxiu, Ji Rongjian, Zhao Junyan, Qin Lei, Zhang Shuangshuang, Liu Xinru, Song Hongxia

机构信息

Department of Nursing, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, 250014, China.

School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.

出版信息

BMC Nurs. 2025 Aug 12;24(1):1056. doi: 10.1186/s12912-025-03720-7.

DOI:10.1186/s12912-025-03720-7

PMID:40797202

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12341074/

Abstract

BACKGROUND

Clinical nursing specialists are essential in emergency care, chronic disease management, and telehealth.Their work engagement is increasingly tied to training quality, particularly through the professional values embodied in the Craftsmanship Spirit. This study aims to explore the mediating role of Craftsmanship Spirit in the relationship between Training Transfer Climate and Work Engagement among Clinical Nurse Specialists in China.

METHODS

A cross-sectional assessment of 416 clinical nursing specialists from 19 provinces and cities in China was conducted using validated scales: General socio-demographic information, specialist nurses' work commitment, craftsmanship, and training migration climate. All statistical analyses were conducted using R software (version 4.3.2). Confirmatory Factor Analysis (CFA), Structural Equation Modeling (SEM), Visualizations of the path model and correlation heatmaps were used to analyze the relationship between clinical nurse training migration climate, work engagement, and craftsmanship.

RESULTS

All correlations were statistically significant (p < 0.001). The goodness-of-fit indices for the structural model are presented (χ²/df ratio of 1.066, CFI = 0.995, TLI = 0.995). The indirect effect of TTC on WE via CS was statistically significant (β = 0.331, SE = 0.042, 95% CI [0.256, 0.418]). TTC's direct effect on WE was insignificant (β = 0.026, p = 0.607), suggesting that CS fully mediated this relationship. The total impact of TTC on WE was significant (β = 0.357, SE = 0.048, 95% CI [0.256, 0.455]), with the proportion mediated reaching 92.7%, highlighting the central role of Craftsmanship Spirit in linking training climate to engagement outcomes. These results emphasize that a favorable training transfer climate enhances nurse engagement primarily by fostering a strong craftsmanship orientation.

CONCLUSION

Craftsmanship is essential for clinical nursing specialists to fully mobilize the level of work engagement to improve under the threat of insufficient organizational training and relocation atmosphere. Nursing managers should pay attention to the influence of these factors mentioned above to stimulate the formation of artisanship in clinical nursing specialists, which is conducive to nurses' cultivation of enduring enthusiasm for work engagement and the formation of high-quality nursing safety.

CLINICAL TRIAL NUMBER

YXLL-KY-2024 (156).

摘要

背景

临床护理专家在急诊护理、慢性病管理和远程医疗中至关重要。他们的工作投入越来越与培训质量相关联，特别是通过工匠精神所体现的专业价值观。本研究旨在探讨工匠精神在中国临床护理专家培训迁移氛围与工作投入关系中的中介作用。

方法

使用经过验证的量表对来自中国19个省市的416名临床护理专家进行横断面评估：一般社会人口学信息、专科护士的工作承诺、工匠精神和培训迁移氛围。所有统计分析均使用R软件（版本4.3.2）进行。采用验证性因子分析（CFA）、结构方程模型（SEM）、路径模型可视化和相关热图来分析临床护士培训迁移氛围、工作投入和工匠精神之间的关系。

结果

所有相关性均具有统计学意义（p < 0.001）。给出了结构模型的拟合优度指标（χ²/df比率为1.066，CFI = 0.995，TLI = 0.995）。培训迁移氛围（TTC）通过工匠精神（CS）对工作投入（WE）的间接效应具有统计学意义（β = 0.331，SE = 0.042，95% CI [0.256, 0.418]）。TTC对WE的直接效应不显著（β = 0.026，p = 0.607），表明CS完全中介了这种关系。TTC对WE的总效应显著（β = 0.357，SE = 0.048，95% CI [0.256, 0.455]），中介比例达到92.7%，突出了工匠精神在将培训氛围与投入结果联系起来方面的核心作用。这些结果强调，良好的培训迁移氛围主要通过培养强烈的工匠精神取向来提高护士的工作投入。