心理契约干预在儿童医院新护士主观幸福感培养中的应用

目的 探讨基于心理契约理论的干预方案在培养儿童医院新护士主观幸福感中的效果。方法 选取上海市某三级甲等儿童专科医院2016年、2017年112名新入职护士进行主观幸福感的培养。基于心理契约理论制订为期1年的干预方案,包括开展全面岗前培训、建立个体化培训和激励机制、建立及时有效的沟通模式,给予生活、工作、心理、专业等多方面的支持。应用总体幸福感量表和心理契约履行量表进行干预方案的效果评价。结果 干预后儿童医院新护士心理契约履行程度逐渐提高,同时主观幸福感也明显提升（P<0.05）。结论 基于心理契约理论的干预方案可提高儿童医院新护士主观幸福感,稳定儿童医院护理队伍,下一步需完善干预方案并发展为持续性项目。

Effects of psychological contract intervention on subjective well-being promotion among new pediatric nurses

Objective To investigate the effects of intervention based on the theory of psychological contract on subjective well-being among new pediatric nurses. Methods A total of 112 newly recruited nurses from 2016 to 2017 were selected to carry out training on subjective well-being in a pediatric tertiary hospital in Shanghai. An one-year training program based on the theory of psychological contract was developed,including comprehensive pre-employment training,individualized training mechanism and incentives,timely and effective communication model,to provide multiple supports and incentives on life,work,feeling and profession. The General Well-Being Schedule and psychological contract scale were used to evaluate the effects of the intervention. Results After intervention,psychological contract fulfillment increased gradually,and the score of subjective well-being was higher than before（P<0.05）. Conclusion Nurse subjective well-being promotion intervention based on psychological contract can enhance subjective well-being among new pediatric nurses,stabilize pediatric nursing team,but it needs to be further improved and to become a continuous program.