收稿日期: 2025-04-08
网络出版日期: 2025-08-14
基金资助
中南大学研究生自主探索创新项目(2023ZZTS0567)
The influence of positive emotions on work engagement of junior nurses via the chain mediating effects
目的 探讨低年资护士价值观、工作成就感在积极情绪与工作投入间的作用关系，为制订提升低年资护士工作投入的干预策略提供参考依据。 方法 于2023年10月—12月，采用一般资料调查表、正负性情绪量表—积极情绪维度、护理专业核心价值观问卷、工作成就感量表和工作投入量表对湖南省和新疆维吾尔自治区4所三级甲等医院467名低年资护士进行调查。 结果 低年资护士的积极情绪、价值观、工作成就感和工作投入得分分别为（34.94±6.54）分、（177.57±29.52）分、（84.96±17.81）分和（64.41±17.11）分。中介效应分析结果显示，积极情绪对工作投入的直接效应显著，效应值为0.516。价值观、工作成就感分别在积极情绪与工作投入间起中介作用，且两者呈链式中介作用，中介效应占总效应的28.93%。 结论 价值观和工作成就感在低年资护士积极情绪与工作投入间存在链式中介效应。提示护理管理者应注重培养低年资护士积极情绪与价值观，提升其工作成就感，最终促进其工作投入。
咸亚静 , 林栋羚 , 杨丽 , 贺苗 , 张玉凤 , 沙鑫 , 李现红 . 价值观和工作成就感在低年资护士积极情绪与工作投入间的链式中介效应[J]. 中华护理教育, 2025 , 22(8) : 993 -998 . DOI: 10.3761/j.issn.1672-9234.2025.08.016
Objective To explore the relationship between positive emotions，values，work achievement，and work engagement of junior nurses，and provide reference for formulating intervention strategies to enhance their work engagement. Methods From October 2023 to December 2023，a survey was conducted on 467 junior nurses from four tertiary hospitals in Hunan Province and Xinjiang Uygur Autonomous Region using the general information survey form，the Positive Emotion Scale，the Core Professional Nursing Values Scale，the Work Achievement Scale，and the Work Engagement Scale. Results The positive emotions，values，work achievement，and work engagement scores of junior nurses were（34.94±6.54），（177.57±29.52），（84.96±17.81），and （64.41±17.11） points，respectively. The results of the mediation effect analysis showed that positive emotions had a significant direct effect on work engagement，with an effect value of 0.516. The values and work achievement respectively played a mediating role between positive emotions and job engagement，and the two exhibited a chain like mediating effect，with the mediating effect accounting for 28.93% of the total effect. Conclusion There is a chain mediated effect between the core professional nursing values scale and work achievement on the positive emotions and work engagement of junior nurses. Nursing managers should pay attention to cultivating positive emotions and values among junior nurses，enhancing their work achievement，and ultimately promoting their work engagement.
| [1] | Zhang FJ, Huang L, Fei Y, et al. Impact of caring leadership on nurses’ work engagement:examining the chain mediating effect of calling and affective organization commitment[J]. BMC Nurs, 2024, 23(1):716. |
| [2] | 贾淑贤, 李娅, 李琳琳, 等. 心血管内科低年资护士临床急救能力培训方案的构建研究[J]. 中华护理教育, 2024, 21(8):976-980. |
| Jia SX, Li Y, Li LL, et al. Construction of clinical first aid ability training program for junior nurses in cardiovascular department[J]. Chin J Nurs Educ, 2024, 21(8):976-980. | |
| [3] | 于洋, 张静, 信博, 等. 幸福PERMA模式在护理领域中的研究进展[J]. 护士进修杂志, 2021, 36(15):1362-1365. |
| Yu Y, Zhang J, Xin B, et al. Research progress of happiness PERMA model in nursing field[J]. J Nurses Train, 2021, 36(15):1362-1365. | |
| [4] | Carlton S, Wong JHK. Applying the PERMA framework to young volunteers in aotearoa New Zealand[J]. Int J Appl Posit Psychol, 2023, 8(3):599-620. |
| [5] | 莫锦飞. 积极情绪的拓展和建构理论视角下接包者持续参与意愿研究[D]. 南京: 南京财经大学, 2024. |
| Mo JF. A study on the willingness to continue to participate in the project from the perspective of the expansion and construction theory of positive emotion[D]. Nanjing: Nanjing Uni-versity of Finance & Economics, 2024. | |
| [6] | 王嘉莹, 姚梅林, 刘红瑞. 成就目标与教师效能感、焦虑、工作投入的关系:基于变量中心和个体中心的视角[J]. 心理与行为研究, 2022, 20(1):122-129. |
| Wang JY, Yao ML, Liu HR. Relationships among teachers’ achievement goals,self-efficacy,anxiety,and work engagement:variable-centered and person-centered perspectives[J]. Stud Psychol Behav, 2022, 20(1):122-129. | |
| [7] | Timo?t?uk I, Ugaste A. The role of emotions in student tea-chers’ professional identity[J]. Eur J Teach Educ, 2012, 35(4):421-433. |
| [8] | 李翔, 陈更业, 邢欢, 等. 宁夏某三级综合医院老年医学科医护人员工作成就感与正负性情绪的关系研究[J]. 宁夏医学杂志, 2023, 45(12):1150-1154. |
| Li X, Chen GY, Xing H, et al. Study on the relationship between job satisfaction and positive and negative emotions of medical staff in geriatrics department of a tertiary general hospital in Ningxia[J]. Ningxia Med J, 2023, 45(12):1150-1154. | |
| [9] | Nguyen Thi Minh N. PERMA model and EFL teachers’ well-being:a systematic review[J]. J Knowl Learn Sci Technol, 2024, 3(2):237-244. |
| [10] | 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380. |
| Ni P, Chen JL, Liu N. The sample size estimation in quanti-tative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380. | |
| [11] | Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect:the PANAS scales[J]. J Pers Soc Psychol, 1988, 54(6):1063-1070. |
| [12] | 黄丽, 杨廷忠, 季忠民. 正性负性情绪量表的中国人群适用性研究[J]. 中国心理卫生杂志, 2003, 17(1):54-56. |
| Huang L, Yang TZ, Ji ZM. Applicability of the positive and negative affect scale in Chinese[J]. Chin Ment Health J, 2003, 17(1):54-56. | |
| [13] | 卢津津, 邓娟, 夏杭丹, 等. 护士积极共情水平现状及与正性情绪的相关性研究[J]. 中华现代护理杂志, 2021, 27(18):2387-2393. |
| Lu JJ, Deng J, Xia HD, et al. Current status of nurses’ positive empathy and its correlation with positive emotions[J]. Chin J Mod Nurs, 2021, 27(18):2387-2393. | |
| [14] | 常丽霞. 护理专业核心价值指标体系的构建与实证研究[D]. 太原: 山西医科大学, 2013. |
| Chang LX. Construction and empirical study of core value index system of nursing specialty[D]. Taiyuan: Shanxi Medical University, 2013. | |
| [15] | 程刚. 员工工作成就感与组织承诺关系研究[D]. 武汉: 湖北大学, 2013. |
| Cheng G. Research on the relationship between employees’ job achievement and organizational commitment[D]. Wuhan: Hubei University, 2013. | |
| [16] | 范东, 宋洪梅, 韩金燕, 等. 工作成就感在三级综合医院护士职业召唤与离职意愿间的中介效应[J]. 军事护理, 2023, 40(11):45-48,112. |
| Fan D, Song HM, Han JY, et al. The mediating effect of sense of work achievement between career calling and turnover intention among nurses in tertiary general hospital[J]. Mil Nurs, 2023, 40(11):45-48,112. | |
| [17] | Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire[J]. Educ Psychol Meas, 2006, 66(4):701-716. |
| [18] | 张轶文, 甘怡群. 中文版Utrecht工作投入量表(UWES)的信效度检验[J]. 中国临床心理学杂志, 2005, 13(3):268-270,281. |
| Zhang YW, Gan YQ. The Chinese version of Utrecht work engagement scale:an examination of reliability and validity[J]. Chin J Clin Psychol, 2005, 13(3):268-270,281. | |
| [19] | 田书梅, 魏永婷, 张霞, 等. 临床护士工作投入在管理关怀感知和个人-组织契合度间的中介效应分析[J]. 中国护理管理, 2025, 25(1):118-123. |
| Tian SM, Wei YT, Zhang X, et al. Mediating effect of clinical nurses’ work engagement on perceived management care and person-organization fit[J]. Chin Nurs Manag, 2025, 25(1):118-123. | |
| [20] | Podsakoff PM, MacKenzie SB, Lee JY, et al. Common method biases in behavioral research:a critical review of the litera-ture and recommended remedies[J]. J Appl Psychol, 2003, 88(5):879-903. |
| [21] | Hayes AF, Introduction to mediation,moderation,and conditio-nal process analysis:a regression-based approach[M]. New York: Guilford Press, 2013. |
| [22] | Morey RD, Hoekstra R, Rouder JN, et al. The fallacy of plac-ing confidence in confidence intervals[J]. Psychon Bull Rev, 2016, 23(1):103-123. |
| [23] | 庞晨, 耿荣娟. 积极情绪在社区护士品格优势与职业倦怠的中介作用[J]. 职业与健康, 2023, 39(5):593-596. |
| Pang C, Geng RJ. Mediating role of positive emotions between character strengths and job burnout in community nurses[J]. Occup Health, 2023, 39(5):593-596. | |
| [24] | 李春香. 护理人员专业核心价值观与组织公民行为相关性实证研究[D]. 太原: 山西医科大学, 2015. |
| Li CX. An empirical study on the correlation between pro-fessional core values and organizational citizenship behavior of nursing staff[D]. Taiyuan: Shanxi Medical University, 2015. | |
| [25] | 李双双. 低年资护士培训负荷对离职意愿的影响:职业倦怠与工作满意度的链式中介作用[D]. 济南: 山东大学, 2023. |
| Li SS. Effect of training load on turnover intention of junior nurses:the chain mediating effect of job burnout and job satisfaction[D]. Jinan: Shandong University, 2023. | |
| [26] | 杨朝霞. 泰安市综合医院护士组织支持感与专业价值观现状及影响因素研究[D]. 济南: 山东大学, 2012. |
| Yang ZX. Study on the current situation and influencing factors of nurses’ sense of organizational support and profes-sional values in Taian general hospital[D]. Jinan: Shandong University, 2012. | |
| [27] | 陈晓敏, 彭旺, 郑颖. 低年资护士职业获益感现状及影响因素分析[J]. 中国医院, 2019, 23(1):58-61. |
| Chen XM, Peng W, Zheng Y. Current status of junior nurses’ sense of professional gain and its influence factors[J]. Chin Hosp, 2019, 23(1):58-61. | |
| [28] | 何昌媚. 职业价值观对低年资护士工作投入的影响及心理资本的中介作用[J]. 护理实践与研究, 2021, 18(12):1747-1751. |
| He CM. Effect of professional values on the work engagement of junior nurses and the mediating role of psychological capital[J]. Nurs Pract Res, 2021, 18(12):1747-1751. | |
| [29] | Fredrickson BL. The broaden-and-build theory of positive emotions[J]. Philos Trans R Soc Lond B Biol Sci, 2004, 359(1449):1367-1378. |
| [30] | 孙艳霞. 手术室护士职业倦怠与心理弹性、积极情绪的关联性研究[D]. 济南: 山东大学, 2019. |
| Sun YX. Study on the correlation between job burnout,resilience and positive emotion of nurses in operating room[D]. Jinan: Shandong University, 2019. | |
| [31] | Prentice DA, Miller DT. When small effects are impressive[J]. Psychol Bull, 1992, 112(1):160-164. |
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