伦理敏感性与工作嵌入在护士感知的管理关怀与工作满意度间的链式中介效应

目的 探讨伦理敏感性、工作嵌入在护士感知的管理关怀对工作满意度影响机制中的多重中介作用。方法 采用便利抽样法,于2020年7-8月选取湖南省5所医院的护士作为调查对象。采用一般资料问卷、管理关怀性量表、伦理敏感性量表、工作嵌入量表、工作满意度量表对773名研究对象进行调查,构建并检验链式中介模型。结果 本组773名护士感知的管理关怀总分为152.00（134.50,165.00）,伦理敏感性总分为39.00（36.00,44.00）,工作嵌入总分为26.00（22.00,28.00）分,工作满意度总分为74.00（67.00,80.00）分。护士感知的管理关怀对工作满意度的间接效应成立,总的间接效应为0.284;伦理敏感性的特定中介效应占总间接效应的20.8%;工作嵌入的特定中介效应占总间接效应的70.4%;伦理敏感性和工作嵌入在护士感知的管理关怀和工作满意度间的链式中介效应占总间接效应的8.8%。结论 伦理敏感性、工作嵌入在护士感知的管理关怀和工作满意度间的多重中介效应成立。建议管理者重视对护士实施的关怀举措,制定不同培训计划,提升其伦理敏感性,提高对组织的认同感和依赖性,进而提高工作满意度水平。

Chain Mediating Effect of Ethical Sensitivity and Job Embeddedness on Nurses' Perceived Managed Care and Job Satisfaction

Objective To explore the multiple mediating roles of ethical sensitivity and job embeddedness on nurses' perceived managed care and job satisfaction. Methods With convenience sampling, 773 nurses from 5 hospitals in Hunan Province were surveyed from July to August 2020 by using the general information questionnaire, Managed Care Scale, Ethical Sensitivity Scale, Job Embeddedness Scale and Job Satisfaction Scale. And the chain-mediated model was constructed and tested. Results The total score of managed care perceived by 773 nurses was 152.00 (134.50, 165.00). The total score of ethical sensitivity, job embeddedness and job satisfaction was 39.00(36.00,44.00), 26.00(22.00,28.00), and 74.00(67.00,80.00) respectively. The indirect effect of managed care perceived by nurses on job satisfaction was established, and the total indirect effect of managed care on job satisfaction was 0.284. The specific mediating effect of ethical sensitivity accounted for 20.8% of the total indirect effect and that of job embedding accounted for 70.4% of the total indirect effect. The chain mediating effect between ethical sensitivity and job embeddedness in nurses' perceived managed care and job satisfaction accounted for 8.8% of the total indirect effect. Conclusion There are multiple mediating effects of ethical sensitivity and job embeddedness on nurses' perceived managed care and job satisfaction. The care for nurses, different training plans, enhanced ethical sensitivity and sense of identity and dependence on the organization are conducive to the improvement of job satisfaction.