Lin Haiyang, Deng Cunqing, Xie Zhuoxi, Zeng Wenjie, Li Yumei, Hao Yanping
College of Nursing, Guangzhou Medical University, Guangzhou, China.
Department of Oncology and Hematology, Dongguan Hospital, Guangzhou University of Traditional Chinese Medicine, DongGuan, China.
BMC Psychol. 2025 Aug 20;13(1):949. doi: 10.1186/s40359-025-03206-w.
With rising global demand for palliative care, understanding factors influencing nurses' job well-being becomes critical for maintaining quality of practice. Palliative care nurses operate within persistently high-stress environments characterized by recurrent exposure to patient suffering and mortality. It is therefore essential to understand how to keep their minds health and well-being.
We conducted a cross-sectional study between November 2023 and February 2024. A convenience sample of 205 palliative care nurses was recruited from China. A general characteristics questionnaire, the Positive Mental Health Literacy Scale; the Job Crafting Questionnaire; and the Psychological Well-Being Scale were used to obtain the data. Analyses included hierarchical regression analysis, Pearson correlation analysis, and mediation analysis were also performed to analyze the data, using IBM SPSS25.0 and PROCESS V4.2.
PMeHL demonstrated conspicuous and positive association with job well-being (r = .548, p < .01) and job carfting (r = .549, p < .01) in palliative care nurses. As demonstrated by mediating analysis, job crafting mediated the association between PMeHL and job well-being, with a partial mediating effect of 0.309 (95% CI [0.146, 0.537]), accounting for 30.15% of the total effect.
These results identified structural relationships between the 3 variables of PMeHL, job crafting, and job well-being, The PMeHL significantly improves job well-being, with job crafting playing a mediating role. Our findings provided a reference for developing strategies to decrease palliative care nurses' job stress and burnout in high-stress work environments.
随着全球对姑息治疗的需求不断增加，了解影响护士工作幸福感的因素对于维持执业质量至关重要。姑息治疗护士工作的环境压力一直居高不下，其特点是反复接触患者的痛苦和死亡。因此，了解如何保持他们的心理健康和幸福感至关重要。
我们在2023年11月至2024年2月期间进行了一项横断面研究。从中国招募了205名姑息治疗护士作为便利样本。使用一般特征问卷、积极心理健康素养量表、工作重塑问卷和心理幸福感量表来获取数据。还使用IBM SPSS25.0和PROCESS V4.2进行了层次回归分析、Pearson相关分析和中介分析来分析数据。
在姑息治疗护士中，积极心理健康素养与工作幸福感（r = 0.548，p < 0.01）和工作重塑（r = 0.549，p < 0.01）呈显著正相关。中介分析表明，工作重塑在积极心理健康素养与工作幸福感之间起中介作用，部分中介效应为0.309（95%CI[0.146，0.537]），占总效应的30.15%。
这些结果确定了积极心理健康素养、工作重塑和工作幸福感这三个变量之间的结构关系。积极心理健康素养显著提高工作幸福感，工作重塑起中介作用。我们的研究结果为制定策略以减轻姑息治疗护士在高压力工作环境中的工作压力和职业倦怠提供了参考。
