基于群组分析的组织信任在护士信任患者与工作投入间的中介效应OACSTPCD
Mediating effect of organizational trust between nurses'trust in patients and work engagement based on multiple group analysis
目的 基于多群组分析,探讨不同级别医院间组织信任在护士信任患者与工作投入之间的中介效应.方法 采取便利抽样法,于 2022 年 6 月-10 月选取福建省三明市共 35所三级、二级、一级医院的 1 141名临床护士作为研究对象.采用一般资料问卷、工作投入量表、护士信任患者量表、组织信任量表进行调查.采用SPSS 26.0分析护士信任患者、组织信任、工作投入的相关性,采用AMOS 26.0 构建结构方程模型,分析组织信任在护士信任患者与工作投入间的中介效应,采用多群组分析不同级别医院间模型的差异.结果 本研究护士总体的工作投入、护士信任患者、组织信任总分分别为 41.00(27.00,48.00)分、48.00(38.00,53.00)分、52.00(52.00,64.00)分.组织信任在护士信任患者与工作投入间存在部分中介作用(β=0.318,P＜0.001),中介效应占总效应的 56.28%.多群组分析结果显示,二级医院的护士信任患者对组织信任的路径影响(B=0.771,P＜0.001)及护士信任患者对工作投入(B=0.289,P＜0.001)的路径影响作用最高,三级医院的组织信任对护士工作投入的路径影响作用最高(B=0.454,P＜0.001).结论 护士信任患者、组织信任及工作投入总分均处于中等偏上水平,护士对患者的信任可以通过组织信任间接影响工作投入.不同级别医院间护士信任患者、组织信任及工作投入的路径关系存在差异.建议不同级别医院的护理管理者应针对性地制订不同的措施,塑造积极的工作氛围,以提升护理团队的工作投入水平.
Objective To explore the mediating effect of organizational trust between nurses'trust in patients and work engagement in hospitals of different levels based on multiple group analysis.Methods From June to October 2022,1,141 nurses from 35 tertiary,secondary and first-level hospitals in Sanming City in Fujian Province were selected as the study subject by convenience sampling.The nurses were investigated with the general information questionnaire,Nurses'Trust in Patient Scale,Organizational Trust Scale,and Work Engagement Scale.SPSS 26.0 was used to analyze the correlation among nurses'trust in patients,organizational trust and work engagement;AMOS 26.0 to construct the structural equation model to analyze the mediating effect of organizational trust between nurses'trust in patients and work engagement,and multiple group analysis to analyze the differences among the models of hospitals of different levels.Results The score of nurses'trust in patients,organizational trust and work engagement was 41.00(27.00,48.00),48.00(38.00,53.00),and 52.00(52.00,64.00),respectively.Structural equation model showed that organizational trust had a partial mediating role between nurses'trust in patients and work engagement(β=0.318,P＜0.001),accounting for 56.28%of the total effect.Multiple group analysis showed that nurse trust in patients had the highest path impact on organizational trust(B=0.771,P＜0.001)and nurses'trust in patients had the highest path impact on work engagement(B=0.289,P＜0.001)in secondary hospitals.Organizational trust had the highest effect on the path of work engagement of clinical nurses(B=0.454,P＜0.001)in tertiary hospitals.Conclusion The total score of nurses'trust in patients,organizational trust and work engagement is above the average.Nurses'trust in patients can indirectly influence work engagement through organizational trust.There are differences in the path relationships of nurses'trust in patients,organizational trust and work engagement among hospitals of different levels.It is suggested that nursing managers of hospitals of different levels should formulate different measures to create a positive working atmosphere,so as to improve the work investment of the nursing team.
卢康媛;王洁;陈玉蓓;纪雪梅;郑智慧
福建中医药大学 护理学院,福建 福州 350122福建医科大学附属三明市第一医院 护理部,福建 三明 365000尤溪县中医医院 护理部,福建 三明 365100
临床医学
信任护患信任组织信任工作投入
trustnurse-patient trustorganizational trustwork engagement
《护理学报》 2024 (005)
1-6 / 6
福建省社会科学基金项目(FJ2021B064)
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