低年资护士反思能力在职业态度与业余时间规划间的中介效应

doi:10.3761/j.issn.1672-9234.2024.04.013

摘要/Abstract

摘要：

目的探讨反思能力在低年资护士职业态度和业余时间规划间的中介效应。方法 2023年4月—5月，采用便利抽样法，选取郑州市3所三级甲等医院低年资护士为研究对象。应用护理职业态度量表、工余塑造量表和临床护士反思能力量表进行调查。结果 343名低年资护士工余塑造、职业态度、反思能力得分分别为28（21，34）分、96（84，106）分、69（58，78）分；相关分析显示，职业态度与工余塑造、反思能力均呈正相关（r=0.588，r=0.712，均P<0.001），工余塑造与反思能力亦呈正相关（r=0.626，P<0.001）；结构方程模型显示，职业态度可直接影响工余塑造（直接效应值为0.226，95%CI：0.096~0.348），还可通过反思能力对工余塑造产生间接作用（间接效应值为0.297，95%CI：0.223~0.382），间接效应占总效应的56.68%。结论反思能力在低年资护士职业态度和业余时间规划间起部分中介作用，护理管理者可通过采取有效措施改善低年资护士职业态度和反思能力，从而促进其业余时间规划。

关键词: 低年资护士, 反思能力, 职业态度, 工余塑造, 中介效应

Abstract:

Objective To explore the mediating effect of reflective ability on the occupational attitude and leisure crafting of junior nurses. Methods From April to May 2023，a convenience sampling method was used to select 343 junior nurses from three tertiary hospitals in Zhengzhou City as the research participants. A questionnaire survey was conducted using the Nursing Occupational Attitude Scale，Leisure Crafting Scale，and Clinical Nurses’ Reflective Ability Scale. Results The scores on leisure crafting，occupational attitude，and reflective ability of junior nurses were 28（21，34） points，96（84，106） points，and 69（58，78） points，respectively. Relevant analysis showed that occupational attitude was positively correlated with leisure crafting and reflective ability（r=0.588，P<0.001；r=0.712，P<0.001），and leisure crafting was also positively correlated with reflective ability （r=0.626，P<0.001）. The structural equation model showed that occupational attitude could directly affect leisure crafting（direct effect value was 0.226，95%CI：0.096~0.348），and could also indirectly affect leisure crafting through reflective ability（indirect effect value was 0.297，95%CI：0.223~0.382），accounting for 56.68% of the total effect. Conclusion Reflective ability plays a partial mediating role between the occupational attitude and leisure crafting of junior nurses. Nursing managers can take effective measures to enhance the occupational attitude and reflective ability of junior nurses，thereby promoting their leisure crafting behavior.

Key words: Junior nurses, Reflective ability, Occupational attitude, Leisure crafting, Mediating effect

周华博, 宋远星, 吴明明, 杨立, 杨佳佳. 低年资护士反思能力在职业态度与业余时间规划间的中介效应[J]. 中华护理教育, 2024, 21(4): 461-465.

ZHOU Huabo, SONG Yuanxing, WU Mingming, YANG Li, YANG Jiajia. The mediating effect of reflective ability between occupational attitude and leisure crafting among junior nurses[J]. Chinese Journal of Nursing Education, 2024, 21(4): 461-465.

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