护理学报2025，Vol.32Issue(8)：13-18,6.DOI:10.16460/j.issn1008-9969.2025.08.013
基于社会认知理论的肿瘤科护士精神气候影响路径研究
Influencing pathways of spiritual climate among nurses in oncology department based on social cognitive theory
王智慧 1龙秀红 2梁志金 2林思慧 1杨云帆 1冯甜 1明爱红1
作者信息
- 1. 广西中医药大学护理学院,广西南宁 530001
- 2. 广西中医药大学附属瑞康医院护理部,广西南宁 530012
- 折叠
摘要
Abstract
Objective To construct a theoretical model based on social cognitive theory to examine the factors influencing spiritual climate among nurses in oncology department,and to analyze direct and indirect pathways of these factors by structural equation modeling.Methods A multistage stratified cluster random sampling was used to survey 291 nurses in oncology department from 12 tertiary grade-A general hospitals in Guangxi Zhuang Autonomous Region from April to May 2024.Data were collected using the Chinese version of the Spiritual Climate Scale,Spiritual Leadership Scale,Organizational Support Scale,Teamwork Scale,and Person-Organization Fit Scale.Structural equation modeling was used to analyze the influencing factors and the pathways.Results The scores of spiritual climate among nurses in oncology department was 64.84±13.04,and it was positively correlated with spiritual leadership(r=0.423),organizational support(r=0.338),team collaboration(r=0.295),and personal-organizational fit(r=0.267)(all P＜0.01).Structural equation modeling demonstrated that spiritual leadership had the strongest direct effect on spiritual climate(β=0.367,P＜0.01)and had an indirect effect through organizational support,team collaboration,and personal-organizational fit(β=0.092,P＜0.01).Organizational support exerted a significant direct effect on psychological climate(β=0.198,P＜0.01),with additional indirect effects mediated through team collaboration and person-organization fit(β=0.074,P＜0.05).Team collaboration and person-organization fit demonstrated significant direct effects on psychological climate(β=0.135 and 0.151,respectively,P＜0.01).Conclusion The spiritual climate of oncology nurses is influenced by many factors,among which spiritual leadership and organizational support play an important role.It is recommended that hospital administrators should strengthen the cultivation of spiritual leadership,focusing on improvement of the practical skills in care,inclusiveness,and motivation;regular assessment of nurses'needs to provide personalized support and optimization of working environment to create a good teamwork atmosphere.关键词
肿瘤科护士/精神气候/结构方程/路径分析Key words
oncology nurses/spiritual climate/structural equations/pathways analysis分类
临床医学引用本文复制引用
王智慧,龙秀红,梁志金,林思慧,杨云帆,冯甜,明爱红..基于社会认知理论的肿瘤科护士精神气候影响路径研究[J].护理学报,2025,32(8):13-18,6.
