摘要
目的探讨心理韧性在工作场所欺凌(WPB)与实习护生职业认同间的作用机制。方法采用方便抽样法,选择6所三级甲等医院的292名实习护生为研究对象,采用《负性行为问卷》《护生职业认同问卷》《中文版10条目心理韧性量表》《压力知觉量表》《简易应对方式量表》对其WPB、职业认同、心理韧性、压力知觉和应对方式情况进行调查。结果实习护生WPB、压力知觉得分均分别与职业认同、心理韧性、积极应对方式(PCS)得分呈负相关[Spearman相关系数(r_(S))分别为-0.354、-0.316、-0.388、-0.488、-0.636、-0.478,P值均<0.01];消极应对方式(NCS)得分与职业认同得分呈负相关(r_(S)=-0.117,P=0.046);心理韧性、职业认同得分均与PCS得分呈正相关(r_(S)分别为0.539、0.482,P值均<0.01);心理韧性得分与职业认同得分呈正相关(r_(S)=0.567,P<0.01);WPB、压力知觉得分均与NCS得分呈正相关(r_(S)分别为0.350、0.281,P值均<0.01);WPB得分与压力知觉得分呈正相关(r_(S)=0.419,P<0.01);心理韧性、PCS得分与NCS得分均无相关性(P值均>0.05)。心理韧性在WPB与职业认同之间起中介作用。WPB与NCS的交互项均可预测职业认同、心理韧性(标准化回归系数分别为0.31、0.17,P值均<0.01)。结论WPB可直接或间接通过心理韧性影响实习护生的职业认同,NCS可调节WPB对职业认同的直接效应以及WPB与心理韧性间的关系。
Objective professional identity among nursing interns.Methods A total of 292 nursing interns from six grade A hospitals were selected as the research subjects using convenience sampling method.The WPB,professional identity,resilience,perceived stress and coping styles were investigated by the Negative Acts Questionnaire Revised,the Professional Identity Questionnaire for nurse students,the Chinese version of 10-item Connor-Davidson Resilience Scale,the Chinese Perceived Stress Scale and the Simplified Coping Style Questionnaire.Results The scores of WPB and perceived stress were negatively correlated with those of professional identity,resilience,and positive coping styles(PCS)[Spearman correlation coefficients(r_(S))were-0.354,-0.316,-0.388,-0.488,-0.636 and-0.478,all P<0.01].There was a negative correlation between negative coping styles(NCS)and professional identity(r_(S)=-0.117,P=0.046).The scores of resilience and professional identity were positively correlated with that of PCS(r_(S)were 0.539 and 0.482,both P<0.01).There was a positive correlation between resilience and professional identity(r_(S)=0.567,P<0.01).The scores of WPB and perceived stress were positively correlated with that of NCS(r_(S)were 0.350 and 0.281,both P<0.01).There was a positive correlation between WPB and perceived stress(r_(S)=0.419,P<0.01).The scores of resilience and PCS were not correlated with that of NCS(both P>0.05).Resilience played a mediating role between WPB and professional identity.The interaction between WPB and NCS could predict the professional identity and resilience of nursing interns(standardized regression coefficient were 0.31 and 0.17,both P<0.01).Conclusion WPB can directly or indirectly affect nursing interns’professional identity through resilience,and NCS plays a moderating role on the direct effect of WPB and professional identity,and the relationship between WPB and resilience.
作者
吴杰毅
肖康乐
于淼
梅萧萧
叶增杰
吴小婉
WU Jie-yi;XIAO Kang-le;YU Miao;MEI Xiao-xiao;YE Zeng-jie;WU Xiao-wan(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China;不详)
出处
《中国职业医学》
CAS
北大核心
2022年第2期158-164,共7页
China Occupational Medicine
基金
国家自然科学基金青年基金(71904033)
广州市哲学社科“十四五”规划课题(2021GZGJ57)
广州中医药大学2020年度人文社科项目(2020SKXK01)
广东大学生科技创新培育专项资金资助项目(pdjh2021b0125)
广东省大学生创新训练计划项目(S202010572079)。
关键词
实习护生
工作场所欺凌
职业认同
心理韧性
压力知觉
应对方式
相关性
中介效应
Nursing intern
Workplace bullying
Professional identity
Resilience
Perceived stress
Coping styles
Correlation
Mediating effect
