主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
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心理资本在重症监护室护士心理授权与离职意愿间的中介效应分析

胡碎钗 郑晓彬 李贤连   

  1. 温州医科大学附属第二医院ICU
  • 出版日期:2015-07-25 发布日期:2015-07-25

Mediating effect of psychological capital in relationship between psychological empowerment and turnover intention of nurses in ICU

  • Online:2015-07-25 Published:2015-07-25

摘要: 目的:探讨心理资本在重症监护室护士心理授权与离职意愿间的中介作用并构建结构方程模型,为重症监护室护士管理提供依据。方法:采用便利抽样法,运用心理资本量表、心理授权量表、离职意愿量表,对5 家医院的重症监护室507名护士进行调查,运用SPSS 13.0 和Amos 17.0 软件进行统计分析及结构方程模型构建。结果:不同护龄、学历水平、月收入水平护士的心理资本、心理授权量表得分差异有统计学意义(P <0.05);不同护龄、月收入水平护士的离职意愿得分差异有统计学意义(P <0.05);结构方程模型显示:心理授权对离职意愿有直接效应(λ1=-0.81,P <0.001);心理授权对心理资本有直接效应(λ2=0.47,P <0.001);心理资本对离职意愿有直接效应(λ2=-0.62,P <0.001);心理授权通过心理资本对离职意愿有间接效应(λ2=-0.29,P <0.001);心理授权通过直接效应和心理资本的间接效应解释重症监护室护士离职意愿21.28% 的变异量。结论:心理资本因素对重症监护室护士离职意愿有一定的影响,临床管理者应运用适宜的干预措施提高护士心理资本,从而提高心理授权,降低护士离职意愿。

Abstract: Objective: To explore the relationship between psychological empowerment and turnover intention, and accomplish the Structural Equation Model. Methods: The convenience sampling method was used to in this study. The psychological empowerment scale, psychological capital scale and turnover intention scale were used to investigate 507 ICU nurses from 5 hospitals. SPSS 13.0 and Amos 17.0 software were used to analyze the date. Results: The scores of psychological empowerment, psychological capital were different among nurses with different nursing years, education level, and income level (P<0.05). And turnover intention scores of nurses with different nursing years and income level were different (P<0.05).Structural Equation Model showed that psychological empowerment had a direct effect (λ2=0.47, P<0.001) on psychological capital. Psychological capital had a direct effect on turnover intention (λ2=-0.62, P<0.001).Psychological empowerment had a direct effect (λ1=-0.81, P<0.001) and indirect effect (λ2=-0.29, P<0.001) through psychological capital which explained 21.28% of the variance of turnover intention. Conclusion:Psychological capital has an effect on ICU nurses' turnover intention. The administrator should use appropriate intervention to increase nurses' psychological capital, so as to improve psychological empowerment to deal with turnover intention.