工作满意度在护士心理弹性与职业倦怠间的中介效应

目的 探讨工作满意度在护士心理弹性与职业倦怠间的中介效应。方法 采用便利抽样法，2022年11—12月选取广州市6家公立医疗机构的护士作为研究对象。采用心理弹性调查量表、护士工作满意度量表、中国职业倦怠量表对其进行调查，采用AMOS 25.0构建心理弹性-工作满意度-职业倦怠关系模型，并进行中介效应检验。结果 本组护士职业倦怠总分为（45.65±12.36）分、心理弹性总分为（86.76±16.48）分、工作满意度总分为（51.59±11.05）分。本组护士职业倦怠与心理弹性呈负相关（r=-0.523,P<0.001），职业倦怠与工作满意度呈负相关（r=-0.541,P<0.001），心理弹性与工作满意度呈正相关（r=0.640,P<0.001），护士工作满意度在心理弹性与职业倦怠中起部分中介效应。中介效应值为-0.273，效应占比为50.8%。结论 本组护士职业倦怠总体呈中等偏下水平，心理弹性、工作满意度总体呈中等偏上水平。护士心理弹性可以通过工作满意度间接影响其职业倦怠。建议护理管理者采取积极措施来提升护士心理弹性，提高其工作满意度，进而降低职业倦怠水平。

Mediating effect of job satisfaction between psychological resilience and burnout among nurses

Objective To explore the mediating role of job satisfaction between psychological resilience and burnout among nurses. Methods With convenience sampling, nurses from 6 public hospitals in Guangzhou were selected from November to December 2022 and surveyed by using Connor-Davidson Resilience Scale, Nurse's Working Satisfaction Scale, and Chinese Maslach Burnout Inventory. The AMOS 25.0 was used to construct the psychological resilience-job satisfaction-burnout relationship model and to test the mediating effect. Results The total score of burnout, psychological resilience, job satisfaction was 45.65±12.36, 86.76±16.48, and 51.59±11.05 respectively. Burnout was negatively correlated with psychological resilience (r=-0.523,P<0.001) and job satisfaction (r=-0.541, P<0.001). Psychological resilience was positively correlated with job satisfaction (r=0.640, P<0.001). Job satisfaction of nurses played a partial mediating role in psychological resilience and burnout. The mediating effect value was -0.273, accounting for 50.8% of the total effect. Conclusion In this study, burnout of nurses is at a moderately low level, but psychological resilience and job satisfaction are at a moderately high level. Nurses' psychological resilience can indirectly influence burnout through job satisfaction. Active measures to enhance nurses' psychological resilience, and improved job satisfaction should be considered to reduce the level of burnout.