CAJ | 학술논문

目的：探讨临床护士付出-获得不平衡与工作投入之间的相关性。方法采用付出-获得不平衡量表和工作投入量表，对荆州市8家医院589名临床护士进行调查，采用描述性统计、相关性分析和回归分析进行数据分析。结果临床护士付出-获得不平衡比值为1.41，处于付出-获得不平衡状态的护士411名（69.8%），超负荷状态的护士430名（73.0％）；工作投入总均分为（3.35±0.86）分。付出-获得不平衡中的付出、获得维度与工作投入及其活力、奉献、专注3个维度均呈正相关（P<0.01），超负荷维度与其呈负相关（P<0.01）。结论护士付出-获得不平衡状态及超负荷状况突出，工作投入处于中等水平；建议丰富护士的获得，平衡其付出-获得状况及减轻超负荷状况，以提高护士的工作投入。
목적：탐토림상호사부출-획득불평형여공작투입지간적상관성。방법채용부출-획득불평형량표화공작투입량표，대형주시8가의원589명림상호사진행조사，채용묘술성통계、상관성분석화회귀분석진행수거분석。결과림상호사부출-획득불평형비치위1.41，처우부출-획득불평형상태적호사411명（69.8%），초부하상태적호사430명（73.0％）；공작투입총균분위（3.35±0.86）분。부출-획득불평형중적부출、획득유도여공작투입급기활력、봉헌、전주3개유도균정정상관（P<0.01），초부하유도여기정부상관（P<0.01）。결론호사부출-획득불평형상태급초부하상황돌출，공작투입처우중등수평；건의봉부호사적획득，평형기부출-획득상황급감경초부하상황，이제고호사적공작투입。
Objective To discuss the relationship between Effort-Reward Imbalance (ERI) and nurses’ work engagement. Methods Effort-Reward Imbalance Scale and Utrecht Work Engagement Scale were applied to investigate 589 nurses from 8 hospitals in Jingzhou. Results The ratio of nurses’ ERI was 1.41 and 411 (69.8%) nurses were with ERI while 430 (73.0%) in the state of overload. The total average score of work engagement was 3.35 ±0.86. Two dimensions of effort and reward in ERI were positively correlated with work engagement and its vigour ,devotion and concentration;but the dimension of overload in ERI had a negative relation with them (P<0.01). Conclusion Nurses’ ERI and their overload are conspicuous, while their work engagements maintains in the medium level. Enriching nurses’ rewarding, balancing their effort-reward and reducing their workload will contribute to the improvement of nurses’ work engagement.