摘要
目的调查新护士转型冲击、精神气候与留职意愿的现状及三者的关系,探讨新护士转型冲击在精神气候与留职意愿之间的中介作用。方法采用方便抽样法,于2019年10—12月用一般资料调查表、新护士转型冲击量表、护士留职意愿量表和精神气候简易量表,对青岛市4所三级甲等医院的231名新毕业护士进行调查。结果新护士留职意愿总均分为(20.65±4.30)分,精神气候得分为(63.20±19.28)分,转型冲击得分为(82.92±22.33)分。转型冲击与精神气候、留职意愿均呈负相关(r=-0.451、-0.548,P<0.01),精神气候与留职意愿呈正相关(r=0.450,P<0.01),转型冲击在精神气候与留职意愿中起部分中介作用,中介效应占总效应的37%。结论工作环境精神气候可直接或通过新护士转型冲击间接影响留职意愿,管理者可通过改善科室精神气候,缓解新护士转型冲击,稳定护理队伍。
Objective To investigate the status and their relationship of new nurses'transition shock,spiritual climate and nurses'intention to stay on the job,to explore the mediating effect of transition shock between spiritual climate and intention to stay among newly graduated nurses.Methods A convenient sampling method was used from October to December in 2019 to investigate 231 new graduate nurses from four hospitals in Qingdao City with the general data questionnaire,the New Nurses'Transition Shock Scale,the Nurses'Intention to Stay on the Job Scale and the Spiritual Climate Scale.Results The total score of new nurse retention intend was(20.65±4.30)points,spiritual climate score was(63.20±19.28),and transition shock score was(82.92±22.33)points.Transition shock was negatively correlated with spiritual climate and intention to stay(r values were -0.451,-0.548,P<0.01);spiritual climate was positively correlated with intention to stay(r value was 0.450,P<0.01).Transition shock played a partial mediating role in spiritual climate and intention to stay(37%).Conclusions Spiritual climate of the work environment can directly or indirectly affect the intention to stay through the transition shock among newly graduate nruses.Managers can take appropriate intervention measures to improve the spirit climate of the department,alleviate the impact of new nurses'transformation and stabilize nursing team.
作者
李智慧
梅鹿
张广桦
于晶
孔燕
于桂玲
Li Zhihui;Mei Lu;Zhang Guanghua;Yu Jing;Kong Yan;Yu Guiling(Nursing Department,Qingdao Women's and Children's Hospital,Shandong Province,Qingdao 266034,China)
出处
《中国实用护理杂志》
2021年第36期2853-2857,共5页
Chinese Journal of Practical Nursing
关键词
新护士
转型冲击
精神气候
中介作用
Newly graduated nurse
Transition shock
Spiritual climate
Mediating effect