职业倦怠在急诊科护士的工作场所暴力与离职意愿关系中的中介作用

包满珍; 吴丹; 汪苗; 陶莉; 张淼; 汪娜娜; 唐友玲

doi:10.16462/j.cnki.zhjbkz.2016.10.022

职业倦怠在急诊科护士的工作场所暴力与离职意愿关系中的中介作用

doi: 10.16462/j.cnki.zhjbkz.2016.10.022

包满珍¹,
吴丹^2, ,,
汪苗³,
陶莉¹,
张淼¹,
汪娜娜¹,
唐友玲¹

1. 安徽医科大学第二附属医院门急诊, 安徽合肥 230601;
2. 安徽医科大学第二附属医院护理部, 安徽合肥 230601;
3. 皖南医学院护理系, 安徽芜湖 241002

基金项目:

安徽省高校省级人文社会科学研究重大项目（SK2014ZD038）

详细信息

作者简介:
包满珍(1975-),女,安徽池州人,副主任护师,硕士。主要研究方向:护理管理、护理心理。

中图分类号: R181.31
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出版历程
- 收稿日期: 2016-04-10
- 修回日期: 2016-07-22

Associations between workplace violence and intent to leave among nurses in emergency department: the mediating role of burnout

1. Department of Outpatient and Emergency, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China;
2. Department of Nursing, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China;
3. Department of Nursing, Wannan Medical College, Wuhu 241002, China

摘要

摘要: 目的探索职业倦怠在急诊科护士的工作场所暴力与离职意愿关系中的中介作用。方法从安徽省8所三级甲等医院急诊科随机选择199名在职在岗护士接受本次横断面调查，数据采用描述性统计、Spearman相关分析，使用结构方程模型验证职业倦怠在急诊科护士的工作场所暴力与离职意愿关系中的中介作用。结果急诊科护士职业场所暴力与职业倦怠中情感衰竭、去人格化以及离职倾向呈正相关（均有P<0.05），职业倦怠中情感衰竭以及去人格化与离职倾向之间呈正相关（均有P<0.05）。路径分析显示，职业场所暴力通过情感衰竭和去人格化对离职倾向的间接效应分别为（t=6.21，95% CI：0.021~0.059）和（t=5.39，95% CI：0.019~0.056）。结论工作场所暴力和职业倦怠是影响离职倾向的重要因素，情感衰竭和去人格化在工作场所暴力对离职倾向的影响中发挥重要的中介作用。
- 急诊室,医院 /
- 护士 /
- 暴力 /
- 疲劳
Abstract: Objective To examine the mediating role of burnout in the relation between workplace violence and intent to leave using a sample of nurses in emergency departments. Methods A cross-sectional study was conducted among 199 randomly selected nurses in emergency departments from eight first-rate of level three hospitals in Anhui province. Descriptive statistics, Spearman rank correlation analysis, and structural equation model were used to examine the mediating role of burnout in the relation between workplace violence and intent to leave. Results Among nurses in emergency department, workplace violence had a positive correlation with emotional exhaustion, depersonalization, and intent to leave (all P<0.05). The burnout (emotional exhaustion and depersonalization) also had a positive correlation with intent to leave (all P<0.05). Path analyses demonstrated that emotional exhaustion (t=6.21, 95% CI:0.021-0.059) and depersonalization (t=5.39, 95% CI:0.019-0.056) mediated the relationship between workplace violence and intent to leave. Conclusions Both workplace violence and burnout are related to intent to leave among nurses in emergency department. Furthermore, emotional exhaustion and depersonalization mediate the relationship between workplace violence and intent to leave.
- Emergency service, hospital /
- Nurses /
- Violence /
- Fatigue

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