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护士心理资本、组织承诺与工作倦怠的关系研究
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摘要
目的考察护士心理资本、组织承诺和工作倦怠三者的关系,分析护士心理资本是如何影响工作倦怠的,从而为医院管理者及护士自身健康发展提供理论指导及有效的应对措施,并进一步为国家的医疗工作探索新的发展途径。方法采用整群随机抽样的方法,以西安市三甲医院的390名护士为研究对象,采用心理资本问卷、工作倦怠量表和组织承诺量表等进行调查研究,考察护士心理资本、组织承诺和工作倦怠的现状,探讨三者的关系。结果 (1)不同年龄、护龄、学历、婚姻状况、职称、职务、学科和收入等人口学变量在心理资本、组织承诺和工作倦怠分值上存在明显差异。(2)心理资本、组织承诺和工作倦怠之间存在显著相关关系。(3)情感承诺对情绪衰竭、去个性化和个人成就感降低有负向预测作用,持续承诺对个人成就感降低有正向预测作用。希望和乐观对情绪衰竭和去个性化有负向预测作用;自我效能、乐观和韧性对个人成就感降低有负向预测作用。(4)组织承诺在心理资本和工作倦怠之间起到部分中介作用。结论提升护士心理资本可以减少工作倦怠的发生;而护士组织承诺也对工作倦怠有很大影响。
Objective Investigation on the present situation of nurses' psychological capital, organizational commitment and job burnout is to explore the relationship among them, and to focus on how the psychological capital affects the job burnout of nurses. It is not only to provide theoretical guidance for hospital administrators and nurses' health development, but also to explore new ways of development for the army and national health care work. Methods Random cluster sampling was used to pick up participants sample, which consisted of 390 nurses of a three class A hospital in Xi'an. Psychological capital questionnaire, job burnout scale and organizational commitment scale were administrated to the study participants. Results Psychological capital, organizational commitment and job burnout in some demographic variables such as age,working age, education, marital status, job title, duties, departments and income have significant differences. psychological capital, organizational commitment, and job burnout are interrelated and influenced each other. Affective commitment has negative effect on emotional exhaustion depersonalization and reduced personal accomplishment, continuance commitment has positive effect on reduced personal accomplishment. Hope and optimism dimensions of psychological capital have negative effect on emotional exhaustion and depersonalization; Self-efficacy, optimism and resiliency have negative effect on reduced personal accomplishment. Organizational commitment play a partly mediating role between psychological capital and job burnout. Conclusion Enhance nurses' psychological capital can reduce the incidence of job burnout; Besides, organizational commitment of nurses also have a great impact on job burnout.
引文

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