CAJ | 학술논문

目的：从组织、家庭和个人3个维度探讨护士职业成长的相关机制，为护士职业成长和职业生涯发展提供驱动力。方法以便利抽样法抽取天津市8所三级甲等医院480名在职注册护士，采用前瞻性人格量表、心理安全气氛量表、家庭-工作支持量表、职业成长量表对其进行问卷调查。结果潜变量交互效应结构方程模型表明，工作支持和家庭支持均显著正向影响职业成长，路径系数分别为0.42和0.26，P＜0.01，但工作支持和家庭支持的交互效应不显著，P>0.05；层级回归分析显示，前瞻性人格负向调节工作支持对职业成长的促进作用，调节效应回归系数为－0.148，P＜0.01，而心理安全气氛正向调节工作支持对职业成长的促进作用，调节效应回归系数为0.178，P＜0.05。结论医院和护理管理者应该为护士营造良好的工作环境和科室氛围，加强对其工作支持，重视其人格特征对职业成长的调节作用，帮助其协调好家庭和工作的关系，从而促进护士的职业成长和职业生涯发展，提高我国护理队伍的整体建设和医院护理质量。
목적：종조직、가정화개인3개유도탐토호사직업성장적상관궤제，위호사직업성장화직업생애발전제공구동력。방법이편리추양법추취천진시8소삼급갑등의원480명재직주책호사，채용전첨성인격량표、심리안전기분량표、가정-공작지지량표、직업성장량표대기진행문권조사。결과잠변량교호효응결구방정모형표명，공작지지화가정지지균현저정향영향직업성장，로경계수분별위0.42화0.26，P＜0.01，단공작지지화가정지지적교호효응불현저，P>0.05；층급회귀분석현시，전첨성인격부향조절공작지지대직업성장적촉진작용，조절효응회귀계수위－0.148，P＜0.01，이심리안전기분정향조절공작지지대직업성장적촉진작용，조절효응회귀계수위0.178，P＜0.05。결론의원화호리관리자응해위호사영조량호적공작배경화과실분위，가강대기공작지지，중시기인격특정대직업성장적조절작용，방조기협조호가정화공작적관계，종이촉진호사적직업성장화직업생애발전，제고아국호리대오적정체건설화의원호리질량。
Objective To explore the related mechanism of clinical nurses′career growth from three aspects such as organization, family and oneself. Methods Totally 480 clinical registered nurses from eight tertiary first- class hospitals of Tianjin City were investigated with the Proactive Personality Scale, Psychological Safety Climate Scale, Work- Family Support Scale,Career Growth Scale by convenient sampling method. Results Latent interaction structural equation modeling (SEM) showed that family support and work support both had a positive effect on career growth, whose path coefficient were 0.42 and 0.26 respectively, P<0.01, but the interaction was inapparent, P>0.05. Hierarchical regression analyses showed that proactive personality had a negative effect on the relationship of work support and career growth whose regression coefficient was -0.148, P<0.01, and psychological safety climate had a positive effect on the relationship of work support and career growth whose regression coefficient was 0.178, P<0.05. Conclusions In order to promote clinical nurses′career growth, the construction of nurse team and improve quality of nursing, hospital and nurse managers should construct a favorable work atmosphere, provide more support, attach importance to the effect of individual personality on career growth and help nurse deal with work and family well.