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积极心理资本在护士组织气氛感知与战备能力间的中介效应研究

汪玲 项伟 宣玲 刘莉 张静 余文侠 孙广娟 程莉莉 朱峰 徐巧

汪玲, 项伟, 宣玲, 刘莉, 张静, 余文侠, 孙广娟, 程莉莉, 朱峰, 徐巧. 积极心理资本在护士组织气氛感知与战备能力间的中介效应研究[J]. 中华全科医学, 2023, 21(10): 1793-1797. doi: 10.16766/j.cnki.issn.1674-4152.003226
引用本文: 汪玲, 项伟, 宣玲, 刘莉, 张静, 余文侠, 孙广娟, 程莉莉, 朱峰, 徐巧. 积极心理资本在护士组织气氛感知与战备能力间的中介效应研究[J]. 中华全科医学, 2023, 21(10): 1793-1797. doi: 10.16766/j.cnki.issn.1674-4152.003226
WANG Ling, XIANG Wei, XUAN Ling, LIU Li, ZHANG Jing, YU Wenxia, SUN Guangjuan, CHENG Lili, ZHU Feng, XU Qiao. The mediating effect of positive psychological capital on nurses' perception of organizational atmosphere and combat readiness ability[J]. Chinese Journal of General Practice, 2023, 21(10): 1793-1797. doi: 10.16766/j.cnki.issn.1674-4152.003226
Citation: WANG Ling, XIANG Wei, XUAN Ling, LIU Li, ZHANG Jing, YU Wenxia, SUN Guangjuan, CHENG Lili, ZHU Feng, XU Qiao. The mediating effect of positive psychological capital on nurses' perception of organizational atmosphere and combat readiness ability[J]. Chinese Journal of General Practice, 2023, 21(10): 1793-1797. doi: 10.16766/j.cnki.issn.1674-4152.003226

积极心理资本在护士组织气氛感知与战备能力间的中介效应研究

doi: 10.16766/j.cnki.issn.1674-4152.003226
基金项目: 

安徽省高校社会科学研究项目 SK2021A0433

联勤保障部队第九〇二医院院管课题 2023902YY18

详细信息
    通讯作者:

    徐巧,E-mail: 675696139@qq.com

  • 中图分类号: R47  R395.6

The mediating effect of positive psychological capital on nurses' perception of organizational atmosphere and combat readiness ability

  • 摘要:   目的  分析部队医院护理人员的组织气氛感知、积极的心理资本和战备能力现状,探讨三者之间是否存在相关性。  方法  2021年10—12月采用一般资料调查表、护士组织气氛感知量表、积极心理资本量表、战备评估及部署能力指数量表对5家部队医院的1 139名护士进行调查。  结果  部队医院护士的战备能力总均分为(3.23±0.78)分,其中领导和管理支持得分最高[(3.52±0.88)分],战士生存/适应能力得分最低[(2.93±0.91)分];组织气氛感知总均分为(3.26±0.58)分,其中团队行为得分最高[(3.34±0.61)分],资源保障得分最低[(3.12±0.66)分];积极心理资本总均分为(4.72±0.88)分,其中乐观得分最高[(5.14±1.17)分],韧性得分最低[(4.24±0.86)分]。护士组织气氛感知与积极心理资本、战备能力均呈正相关关系(r=0.453、0.472,均P < 0.01);积极心理资本与战备能力呈正相关关系(r=0.518,P < 0.01);护士组织气氛感知通过积极心理资本影响战备能力,在积极心理资本和战备能力间存在部分中介作用,其中介效应值为0.174,中介效应在总效应所占比例为36.86%。  结论  部队医院护士战备能力处于中等水平,且积极心理资本在护士组织气氛感知和战备能力中起部分中介作用,建议管理者提高护士组织气氛感知,并通过心理干预措施增强积极心理资本,以提高战备能力。

     

  • 表  1  部队医院护理人员战备评估及部署能力现状(n=1 139)

    Table  1.   Current status of combat readiness assessment and deployment capacity of nursing staff in military hospitals (n=1 139)

    项目 条目数 得分范
    围(分)
    得分
    (x±s,分)
    标准分
    (x±s,分)
    排序
    领导和管理支持 5 5~25 17.58±4.42 3.52±0.88 1
    小组整体性和一致性 3 3~15 10.53±2.68 3.51±0.89 2
    个人事物/身体素质/心理社会准备 4 4~20 13.96±3.66 3.49±0.92 3
    临床护理能力 8 8~40 26.50±6.63 3.31±0.82 4
    军事行动护理能力 13 13~65 39.08±11.30 3.01±0.87 5
    战士生存/适应能力 4 4~20 11.72±3.64 2.93±0.91 6
    战备评估及部署能力总分 37 37~85 119.36±2.86 3.23±0.78
    下载: 导出CSV

    表  2  部队医院护理人员组织气氛感知现状(n=1 139)

    Table  2.   Current status of perceived organizational climate among nursing staff in military hospitals (n=1 139)

    项目 得分(x±s,分) 排序
    团队行为 3.34±0.61 1
    质量管理 3.33±0.61 2
    管理支持 3.30±0.59 3
    循证护理支持 3.29±0.67 4
    人力资源管理 3.26±0.65 5
    资源保障 3.12±0.66 6
    组织气氛感知总均分 3.26±0.58
    下载: 导出CSV

    表  3  部队医院护理人员积极心理资本现状(n=1 139)

    Table  3.   Current status of positive psychological capital among nursing stuff in military hospitals (n=1 139)

    项目 得分(x±s,分) 排序
    乐观 5.14±1.17 1
    希望 4.93±1.00 2
    自我效能 4.67±1.09 3
    韧性 4.24±0.86 4
    积极心理资本总均分 4.72±0.88
    下载: 导出CSV

    表  4  部队医院护理人员组织气氛感知、积极心理资本及战备能力的相关性(r值)

    Table  4.   The correlation between organizational climate perception, positive psychological capital and combat readiness among nursing staff in military hospitals (r value)

    项目 军事行动护理能力 临床护理能力 战士生存/适应能力 个人事物/身体素质/心理社会准备 领导和管理支持 小组整体性和一致性 战备评估及部署能力总分 组织气氛感知 积极心理资本
    军事行动护理能力 1
    临床护理能力 0.848 1
    战士生存/适应能力 0.881 0.746 1
    个人事物/身体素质/心理社会准备 0.659 0.679 0.644 1
    领导和管理支持 0.648 0.677 0.630 0.878 1
    小组整体性和一致性 0.651 0.678 0.627 0.848 0.917 1
    战备评估及部署能力总分 0.941 0.909 0.879 0.836 0.839 0.831 1
    组织气氛感知 0.426 0.389 0.358 0.475 0.508 0.475 0.472 1
    积极心理资本 0.396 0.482 0.392 0.520 0.511 0.502 0.518 0.453 1
    注:均P < 0.01。
    下载: 导出CSV

    表  5  积极心理资本在部队医院护理人员组织气氛感知和战备能力间的中介效应分析

    Table  5.   Analysis of the mediating effect of positive psychological capital between the organizational climate perception and combat readiness of nursing staff in military hospitals

    模型 项目 B SE β t P
    1 组织气氛感知 0.629 0.035 0.472 18.036 <0.001
    2 组织气氛感知 0.478 0.028 0.453 17.157 <0.001
    3 组织气氛感知 0.398 0.036 0.298 11.011 <0.001
    积极心理资本 0.485 0.034 0.384 14.144 <0.001
    下载: 导出CSV
  • [1] 张美玲, 戴冬梅, 岳欣. 军队中心医院护士职业获益感与战备能力的相关性研究[J]. 护理管理杂志, 2018, 18(1): 38-40, 51. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL201801015.htm

    ZHANG M L, DAI D M, YUE X. Correlation research on nurses' perceived professional benefits and initial operating capability in military central hospitals[J]. Journal of Nursing Administration, 2018, 18(1): 38-40, 51. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL201801015.htm
    [2] 张美玲. 军队护士战备能力现状调查及其卫勤保障任务体验的现象学研究[D]. 泰安: 泰山医学院, 2018.

    ZHANG M L. Investigation on the current situation of military nurses' combat readiness and a phenomenological study on their experience in medical support tasks[D]. Tai'an: Taishan Medical College, 2018.
    [3] 张小莉, 宾捷, 田荷艳. 临床护士组织氛围感知对知识共享行为的影响研究[J]. 中华护理教育, 2019, 16(5): 372-376. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201905019.htm

    ZHANG X L, BING J, TIAN H Y. The effects of perceived organizational climate on knowledge sharing behavior of nurses[J]. Chinese Journal of Nursing Education, 2019, 16(5): 372-376. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201905019.htm
    [4] 翁瑛丽, 周兰姝. 组织气氛在护士知识与行为间的中介效应: 以脑卒中吞咽障碍护理为例[J]. 解放军护理杂志, 2020, 37(4): 11-14. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202004006.htm

    WENG Y L, ZHOU L S. The Mediation effect of organizational climate between the knowledge and behavior of nurses: an example of dysphagia nursing care in stroke[J]. Nursing Journal of Chinese People's Liberation Army, 2020, 37(4): 11-14. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202004006.htm
    [5] 李婷, 陈玉蓓, 邓水珠, 等. 临床护士心理资本现状及其与焦虑水平和应对方式的相关性研究[J]. 循证护理, 2022, 8(8): 1095-1098. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL202208019.htm

    LI T, CHEN Y B, DENG S Z, et al. Status quo of psychological capital of clinical nurses and its correlation with anxiety level and coping style[J]. Chinese Evidence-Based Nursing, 2022, 8(8): 1095-1098. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL202208019.htm
    [6] 施伟慧, 朱晓萍, 袁晓宇, 等. 心理资本在助产士领悟社会支持与留职意愿的中介效应研究[J]. 中华全科医学, 2021, 19(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.001966

    SHI W H, ZHU X P, YUAN X Y, et al. The mediating effect of psychological capital on perceived social support and intent to stay in midwives[J]. Chinese Journal of General Practice, 2021, 19(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.001966
    [7] 何叶. 护士组织气氛感知量表的初步编制[D]. 衡阳: 南华大学, 2011.

    HE Y. Preliminary preparation of Nurses' Organizational Climate Perception Scale[D]. Hengyang: University of South China, 2011.
    [8] 袁梦洋, 朱丽丽, 朱智玲, 等. 新乡市三级甲等医院护士人文关怀能力及组织气氛感知与职业倦怠的关系研究[J]. 职业与健康, 2022, 38(5): 590-594. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202205004.htm

    YUAN M Y, ZHU L L, ZHU Z L, et al. Correlation among humanistic caring ability, perceived organizational climate and job burnout of nurses in grade-A tertiary hospitals in Xinxiang City[J]. Occupation and Health, 2022, 38(5): 590-594. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202205004.htm
    [9] 张阔, 张赛, 董颖红. 积极心理资本: 测量及其与心理健康的关系[J]. 心理与行为研究, 2010, 8(1): 58-64. https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW201001013.htm

    ZHANG K, ZHANG S, DONG Y H. Positive Psychological capital: measurement and its relationship with mental health[J]. Studies of Psychology and Behavior, 2010, 8(1): 58-64. https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW201001013.htm
    [10] 高怡明, 赵香玉, 王清, 等. 手术室护士心理资本对职业倦怠的影响: 工作沉浸的中介作用及性别调节[J]. 山东大学学报(医学版), 2023, 61(1): 74-79. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYB202301012.htm

    GAO Y M, ZHAO X Y, WANG Q, et al. Effects of psychological capital on occupational burnout in operating room nurses: the mediating role of flow at work and the moderation of gender[J]. Journal of Shandong University: Health Sciences, 2023, 61(1): 74-79. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYB202301012.htm
    [11] 徐巍, 孙菲, 徐燕. 军队医院护理人员战备能力评估量表的修订及信效度检验[J]. 护理管理杂志, 2009, 9(6): 1-2. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL200906005.htm

    XU W, SUN F, XU Y. Reliability and validity testing of the Readiness Estimate and Deploy Ability Index revised for military hospital nurses[J]. Journal of Nursing Administration, 2009, 9(6): 1-2. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL200906005.htm
    [12] 杜艳玲, 郎红娟, 邹艳粉, 等. 定向培养卫生士官战备能力现状及培训需求研究[J]. 华南国防医学杂志, 2021, 35(11): 832-835, 849. https://www.cnki.com.cn/Article/CJFDTOTAL-HNGY202111015.htm

    DU Y L, LANG H J, ZOU Y F, et al. Research on the current situation of the deployment capability and war preparedness and training requirements of non-commissioned officers[J]. Military Medical Journal of South China, 2021, 35(11): 832-835, 849. https://www.cnki.com.cn/Article/CJFDTOTAL-HNGY202111015.htm
    [13] 温忠麟, 方杰, 谢晋艳, 等. 国内中介效应的方法学研究[J]. 心理科学进展, 2022, 30(8): 1692-1702. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD202208003.htm

    WEN Z L, FANG J, XIE J Y, et al. Methodological research on mediation effects in China's mainland[J]. Advances in Psychological Science, 2022, 30(8): 1692-1702. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD202208003.htm
    [14] 陈玫瑰, 杨晓倩, 徐璐, 等. 护士组织气氛、隐性缺勤和工作投入的关系研究[J]. 护理管理杂志, 2021, 21(9): 614-618. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202109002.htm

    CHEN M G, YANG X Q, XU L, et al. Relationship among nurses'organizational climate, recessive absence and work engagement[J]. Journal of Nursing Administration, 2021, 21(9): 614-618. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202109002.htm
    [15] 张倩. 河南省三级甲等医院护士组织气氛感知现状及影响因素研究[D]. 新乡: 新乡医学院, 2019.

    ZHANG Q. Research on the status quo and influencing factors of nurses' organizational atmosphere perception in tertiary Grade A hospitals in Henan Province[D]. Xinxiang: Xinxiang Medical University, 2019.
    [16] WARANYOO O. Positive psychological capital and self-directed learning predicting job performance in physiotherapists[J]. Turkish Journal of Computer and Mathematics Education (TURCOMAT), 2021, 12(3): 5197-5205.
    [17] BAE S R, HONG H J, CHANG J J, et al. The association between Korean clinical nurses' workplace bullying, positive psychological capital, and social support on burnout[J]. Int J Environ Res Public Health, 2021, 18(21): 11583. DOI: 10.3390/ijerph182111583.
    [18] 曾玉莲. 护士共情疲劳、工作投入、心理资本与隐性缺勤的相关性研究[D]. 广州: 广州中医药大学, 2021.

    ZENG Y L. Correlation between empathic fatigue, job engagement, psychological capital and hidden absenteeism in nurses[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2021.
    [19] 戴冬梅, 张美玲, 杨晓萍, 等. 寒区部队医院护士战备能力及培训需求研究[J]. 护理管理杂志, 2020, 20(3): 171-175. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202003009.htm

    DAI D M, ZHANG M L, YANG X P, et al. Study on combat readiness and training needs of nurses in military hospitals in cold regions[J]. Journal of Nursing Administration, 2020, 20(3): 171-175. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202003009.htm
    [20] 何允浩, 赖锦礼, 邓雪如, 等. 急诊科护士感知组织气氛与工作投入的相关性研究[J]. 当代护士(下旬刊), 2021, 28(9): 23-26. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ202109008.htm

    HE Y H, LAI J L, DENG X R, et al. The relationship between perceived organizational climate and work engagement of emergency department nurses[J]. Today Nurse, 2021, 28(9): 23-26. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ202109008.htm
    [21] LI H, YANG Y X, XIAO L D, et al. Quality of care in Hunan Province nursing homes: relationship to staffing and organizational climate[J]. Geriatr Nurs, 2021, 42(2): 427-432.
    [22] 侯日莹, 高永梅. 儿科护士工作适应障碍与感知组织气氛的相关性研究[J]. 国际护理学杂志, 2019, 38(2): 185-186, 288.

    HOU R Y, GAO Y M. A study on the relationship between Job Adjustment Disorder and perceived organizational climate in pediatric nurses[J]. International Journal Of Nursing, 2019, 38(2): 185-186, 288.
    [23] 王珍珍, 李雪云. 手术室护士情绪调节自我效能感、心理资本与工作投入程度的相关性分析[J]. 护理实践与研究, 2020, 17(17): 4-7. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202017003.htm

    WANG Z Z, LI X Y. Correlation analysis of emotion regulation self-efficacy, psychological capital and working engagement of nurses in operating room[J]. Nursing Practice and Research, 2020, 17(17): 4-7. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202017003.htm
    [24] 梁丽玲. 基于LPA的护士工作心理负荷现状及其与心理资本、应对方式的关系研究[D]. 上海: 中国人民解放军海军军医大学, 2019.

    LIANG L L. Status of nurses' work mental load and its relationship with psychological capital and coping style based on LPA[D]. Shanghai: Naval Medical University, 2019.
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  • 收稿日期:  2022-07-10
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