护理与康复2026，Vol.25Issue(3)：9-15,7.DOI:10.3969/j.issn.1671-9875.2026.03.002
心理安全感在低年资护士成人依恋与岗位胜任力间的中介作用研究
The mediating role of psychological safety between adult attachment and job competence in junior nur-ses
王海燕 1李茜 1刘嘉龙 1王丽竹 1姚梅琪1
作者信息
- 1. 浙江大学医学院附属第二医院,浙江 杭州 310009
- 折叠
摘要
Abstract
Objective To explore the mediating effect of psychological safety between adult attachment and job compe-tence in junior nurses,providing a reference for optimizing nurses'career development.Methods Using convenience sam-pling,a cross-sectional survey was conducted among 575 junior nurses from 26 tertiary hospitals in Zhejiang Province.The survey employed a general information questionnaire,the Competency Inventory for Registered Nurses,the Revised Adult Attachment Scale,and the Psychological Safety Scale.Pearson correlation analysis was used to examine the relationships a-mong adult attachment,psychological safety,and job competence.Model 4 in the SPSS Process macro was utilized to con-struct a mediation model with psychological safety as the mediator between adult attachment and job competence.The Boot-strap method was applied to test the mediating effect.Results The average item score of the Competency Inventory for Reg-istered Nurses was(2.45±0.56).The average item scores for the Close-Dependence subscale and the Attachment Anxiety subscale were(3.49±0.45)and(2.17±0.71),respectively.The average item score of the Psychological Safety Scale was(3.39±0.63).Psychological safety showed a significant mediating effect between close-dependence and job competence(effect value=0.822,95%CI:0.506～1.161,P<0.001),accounting for 53.73%of the total effect.In contrast,it exhibited a complete mediating effect between attachment anxiety and job competence(effect value=-1.264,95%CI:-1.702～-0.871,P<0.001),accounting for 96.41%of the total effect.Conclusion The job competence of junior nurses is at a moderate level and still needs improvement.The level of close-dependence directly predicts job competence.Psychological safety plays a mediating role between adult attachment and job competence in junior nurses.关键词
低年资护士/心理安全感/成人依恋/岗位胜任力/中介作用Key words
junior nurses/psychological safety/adult attachment/job competence/mediating effect分类
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王海燕,李茜,刘嘉龙,王丽竹,姚梅琪..心理安全感在低年资护士成人依恋与岗位胜任力间的中介作用研究[J].护理与康复,2026,25(3):9-15,7.
