陈莉萍, 张敏, 刘飞. 湖北省门急诊科护士护理工作环境、情域能力与工作投入的关系研究[J]. 职业卫生与应急救援, 2025, 43(3): 371-376. DOI: 10.16369/j.oher.issn.1007-1326.2025.240448
引用本文: 陈莉萍, 张敏, 刘飞. 湖北省门急诊科护士护理工作环境、情域能力与工作投入的关系研究[J]. 职业卫生与应急救援, 2025, 43(3): 371-376. DOI: 10.16369/j.oher.issn.1007-1326.2025.240448
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CHEN Liping, ZHANG Min, LIU Fei. Relationship among nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses in Hubei Province[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 371-376. DOI: 10.16369/j.oher.issn.1007-1326.2025.240448
Citation: CHEN Liping, ZHANG Min, LIU Fei. Relationship among nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses in Hubei Province[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 371-376. DOI: 10.16369/j.oher.issn.1007-1326.2025.240448
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湖北省门急诊科护士护理工作环境、情域能力与工作投入的关系研究

Relationship among nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses in Hubei Province

    摘要
  • 摘要:
    目的 调查门急诊科护士护理工作环境、情域能力与工作投入情况及三者之间的关系，提高门急诊科护士的工作投入水平。
    方法 2022年5—6月，采用便利抽样法，选取湖北省武汉市5家三级甲等医院的306名门急诊科护士作为研究对象。采用《护理工作环境量表》《护士情域能力评价量表》和《工作投入量表》进行问卷调查，并对调查数据进行描述性统计、相关性分析及多层次回归分析，探索情域能力在护理工作环境与工作投入间的中介效应。
    结果 收回291份有效问卷，有效回收率为95.1%。门急诊科护士护理工作环境、情域能力与工作投入总分分别为（87.35 ± 13.24）分、（129.21 ± 6.35）分、（20.25 ± 7.68）分，总体状况良好。门急诊科护士护理工作环境得分和情域能力得分、工作投入得分均呈较强的正相关关系（r = 0.656、0.735，均P < 0.01），情域能力得分和工作投入得分也呈较强的正相关关系（r = 0.706，P < 0.01）。多层次回归分析结果显示，情域能力在护理工作环境与工作投入之间起部分中介作用，中介效应占总效应的34.97%。
    结论 护理管理者可通过优化护理工作环境、培养护士情域能力，促进门急诊科护士工作投入，从而提高门急诊科护理服务质量，推动医院服务水平高质量提升。

     

    Abstract:
    Objective To investigate the nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses, and the relationships among these three variables, to enhance the work engagement level of outpatient and emergency department nurses.
    Methods From May to June 2022, a convenience sampling method was used to select 306 outpatient and emergency department nurses from five top tertiary hospitals in Wuhan, Hubei Province. The Nursing Work Environment Scale, the Nurse Affective Competence Scale, and the Utrecht Work Engagement Scale (UWES) were used for a questionnaire survey. Descriptive statistics, correlation analysis, and multilevel regression analysis were performed on the survey data to explore the mediating role of affective competence between the nursing work environment and work engagement.
    Results A total of 291 questionnaires were collected, with a valid recovery rate of 95.1%. The total scores for nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses were (87.35 ± 13.24), (129.21 ± 6.35), and (20.25 ± 7.68) points, respectively, indicating an overall good status. The scores for nursing work environment showed a strong positive correlation with both affective competence scores and work engagement scores (r = 0.656, r = 0.735, both P < 0.01). Affective competence scores also showed a strong positive correlation with work engagement scores (r = 0.706, P < 0.01). Multilevel regression analysis results indicated that affective competence played a partial mediating role between the nursing work environment and work engagement, with the mediating effect accounting for 34.97% of the total effect.
    Conclusions Nursing managers can promote the work engagement of outpatient and emergency department nurses by optimizing the nursing work environment and cultivating nurses' affective competence, thereby improving the quality of outpatient and emergency nursing services and promoting the high-quality development of hospital service levels.

     

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