Antecedents and Outcomes of Work Engagement among Psychiatric Nurses in Japan.
Antecedents and Outcomes of Work Engagement among Psychiatric Nurses in Japan.
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DOI：
10.3390/healthcare11030295
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发表时间：
2023-01-18
期刊：
影响因子：
2.8
通讯作者：
Sakamoto, Takuya
中科院分区：
文献类型：
--
作者：
Kato, Yuichi;Chiba, Rie;Shimazu, Akihito;Hayashi, Yuta;Sakamoto, Takuya
关键词：
虽然以前的研究已经检查了全科护士的工作投入的前因和结果，精神科护士的研究仍然有限。本研究旨在探索前因（即，工作制作和护理实践环境）和结果（即，力量导向的护理态度，心理健康和离职倾向）的工作投入在日本精神科护士。这项横断面研究包括来自日本三家精神病医院的309名护士（有效应答率：60.4%）。于二零二一年七月至八月期间使用自填问卷收集数据。我们使用结构方程模型来检验变量之间的方向关系。工作技能（β = 0.57，p < 0.01）和护理实践环境（β = 0.23，p = 0.01）对工作投入有正向影响。工作投入对以力量为导向的护理态度（β = 0.15，p = 0.04）和心理健康（β = 0.37，p < 0.01）有积极影响，对辞去护士职业的意图有消极影响（β =-0.17，p = 0.01）。工作工艺和更健康的护理实践环境可以帮助提高工作参与度。更高的工作投入可能有助于改善以力量为导向的护理态度，心理健康，并打算辞去他们的职业作为一名护士。
While previous studies have examined antecedents and outcomes of work engagement among general nurses, studies among psychiatric nurses remain limited. This study aimed to explore the antecedents (i.e., job crafting and nursing practice environment) and outcomes (i.e., strength-oriented care attitudes, mental health, and turnover intention) of work engagement among psychiatric nurses in Japan. This cross-sectional study included 309 nurses from three psychiatric hospitals in Japan (valid response rate: 60.4%). Data collection using the self-administered questionnaire took place from July to August 2021. We performed Structural Equation Modeling to examine the directional relationships among variables. Job crafting (β = 0.57, p < 0.01) and nursing practice environment (β = 0.23, p = 0.01) exhibited positive effects on work engagement. Work engagement had positive effects on strength-oriented care attitudes (β = 0.15, p = 0.04) and mental health (β = 0.37, p < 0.01) as well as negative effects on intention to resign from their profession as a nurse (β = −0.17, p = 0.01). Job crafting and a healthier nursing practice environment could help enhance work engagement. Higher work engagement could contribute to improving strength-oriented care attitudes, mental health, and intention to resign from their profession as a nurse.
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