执业环境在护士安全态度与职业幸福感间的中介效应

doi:10.3969/j.issn.1674-490X.2022.03.010

医学研究与教育 ›› 2022, Vol. 39 ›› Issue (3): 60-66.DOI: 10.3969/j.issn.1674-490X.2022.03.010

执业环境在护士安全态度与职业幸福感间的中介效应

王贝¹,孟佳²,杜小静³,王伟明¹, 齐新荣⁴

1.河北大学附属医院妇科, 河北保定071000;
2.河北大学附属医院放疗科, 河北保定 071000;
3.河北大学护理学院, 河北保定 071000;
4.河北大学附属医院护理部, 河北保定 071000

收稿日期:2022-03-18 出版日期:2022-06-25 发布日期:2022-06-25
通讯作者: 齐新荣(1970—),女,河北保定人,主任护师,主要从事老年护理和护理管理。E-mail: qixinrong2010@126.com
作者简介:王贝(1985—),女,河北曲阳人,主管护师,主要从事妇科肿瘤护理。 E-mail: 873755011@qq.com
基金资助:
河北省医学科学研究与发展计划项目(20190927)

Mediating effect of nurses' practicing environment on safety attitude and occupational well-being

WANG Bei¹,MENG Jia²,DU Xiaojing³,WANG Weiming¹,QI Xinrong⁴

1.Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding 071000, China; 2.Department of Radiotherapy, Affiliated Hospital of Hebei University, Baoding 071000, China; 3. College of Nursing Sciences, Hebei University, Baoding 071000, China; 4. Department of Nursing, Affiliated Hospital of Hebei University, Baoding 071000, China

Received:2022-03-18 Online:2022-06-25 Published:2022-06-25

摘要/Abstract

摘要： 目的探讨护士执业环境与安全态度和职业幸福感的作用关系及中介效应,分析执业环境在安全态度与职业幸福感中的作用途径。方法采用整群抽样,于2021年10—12月, 采用护士执业环境量表、安全态度调查问卷、医务工作者职业幸福感量表,通过“问卷星”对保定市5家三级医院1 939名护士进行调查,对回收数据分析相关关系及中介效应。结果护士执业环境得分为(68.81±27.79)分,安全态度得分为(111.28±14.38)分,职业幸福感得分为(62.43±28.17)分。上述三变量之间呈正相关(r=0.626,0.690,0.699,均P<0.05),且护士执业环境和安全态度均能预测职业幸福感(P<0.05)。护士执业环境在安全态度和职业幸福感之间的中介效应为0.268,中介效应占总效应的比例为42.405%。结论保定市三级医院护士执业环境、安全态度和职业幸福感均不甚理想。执业环境作为部分中介变量,间接影响安全态度和职业幸福感,因此有必要改善护士执业环境,强化安全态度,提升护士职业幸福感。

关键词: 护士, 执业环境, 安全态度, 职业幸福感, 中介效应

Abstract: Objective To explore the mediating effect of nurse practice environment on safety attitude and occupational well-being and give analysis of the role of working environment on safety attitude-occupational well-being. Methods From October to December,2021,cluster sampling was used to select 1 939 nurses from 5 tertiary hospitals in Baoding City as study subjects. The Nursing Work Index-Revised,the revised Chinese version of Safety Attitude Questionnaire(SAQ),and medical workers' occupational well-being scale were used to collect the data through “Question Star” on nurses' practicing environment and safety attitude and occupational well-being and analyze their correlation and mediating effect. Results 1939 nurses had a mean practicing environment score of 68.81±27.79,the mean SAQ score was 111.28±14.38, and the mean occupational well-being score of 62.43±28.17. Nurses' practicing environment and safety attitude,occupational well-being and safety attitude,occupational well-being and nurses' practicing environment were all significantly positively correlated(r=0.626,0.690,0.699,all P <0.05).Both of nurses' practicing environment and safety attitude could significantly predict occupational well-being. The mediating effect of nurses' practicing environment between occupational well-being and safety attitude was 0.268,which accounted for 42.405 percent of the total effect. Conclusion The nurses' practicing environment,safety attitude and occupational well-being of the third-grade hospitals in Baoding are not satisfactory. As part of the intermediary variables,the practice environment indirectly influences the relationship between safety attitudes and occupational well-being. Therefore, it is necessary to improve the nurse's working environment, strengthen the safety attitude, and promote the nurses' occupational happiness.

Key words: nurse, practice environment, safety attitude, occupational well-being, mediating effect

中图分类号:

R471

王贝,孟佳,杜小静,王伟明, 齐新荣. 执业环境在护士安全态度与职业幸福感间的中介效应[J]. 医学研究与教育, 2022, 39(3): 60-66.

WANG Bei,MENG Jia,DU Xiaojing,WANG Weiming,QI Xinrong. Mediating effect of nurses' practicing environment on safety attitude and occupational well-being[J]. Journal of Hebei Medical College for Continuing Education, 2022, 39(3): 60-66.

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执业环境在护士安全态度与职业幸福感间的中介效应

Mediating effect of nurses' practicing environment on safety attitude and occupational well-being

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