杨建婷, 崔建乐, 薄其玉, 王小兰, 刘慧, 翟晓彤. 手术室护士职业承诺、工作沉浸在职业召唤与工作投入间的平行中介效应[J]. 职业卫生与应急救援, 2025, 43(4): 441-447. DOI: 10.16369/j.oher.issn.1007-1326.2025.250066
引用本文: 杨建婷, 崔建乐, 薄其玉, 王小兰, 刘慧, 翟晓彤. 手术室护士职业承诺、工作沉浸在职业召唤与工作投入间的平行中介效应[J]. 职业卫生与应急救援, 2025, 43(4): 441-447. DOI: 10.16369/j.oher.issn.1007-1326.2025.250066
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YANG Jianting, CUI Jianle, BO Qiyu, WANG Xiaolan, LIU Hui, ZHAI Xiaotong. Parallel mediating effects of occupational commitment and work-related flow between career calling and work engagement among operating room nurses[J]. Occupational Health and Emergency Rescue, 2025, 43(4): 441-447. DOI: 10.16369/j.oher.issn.1007-1326.2025.250066
Citation: YANG Jianting, CUI Jianle, BO Qiyu, WANG Xiaolan, LIU Hui, ZHAI Xiaotong. Parallel mediating effects of occupational commitment and work-related flow between career calling and work engagement among operating room nurses[J]. Occupational Health and Emergency Rescue, 2025, 43(4): 441-447. DOI: 10.16369/j.oher.issn.1007-1326.2025.250066
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手术室护士职业承诺、工作沉浸在职业召唤与工作投入间的平行中介效应

Parallel mediating effects of occupational commitment and work-related flow between career calling and work engagement among operating room nurses

    摘要
  • 摘要:
    目的 探讨手术室护士工作投入水平现状及其影响因素，深入分析职业召唤对工作投入的作用机制，为提高手术室医疗护理服务质量提供理论依据。
    方法 采用方便抽样方法，于2024年1—3月选取山东省3家三级甲等综合性医院的297名手术室护士为研究对象进行网络在线问卷调查；调查工具包括一般资料调查问卷、《职业召唤量表》《职业承诺量表》《工作沉浸量表》和《工作投入量表简化版》。分析各量表得分的相关性，并检验职业承诺与工作沉浸在职业召唤与工作投入之间的中介效应。
    结果 回收问卷297份，其中有效问卷277份，有效回收率为93.27%。手术室护士职业召唤总分为（47.60 ± 8.80）分，职业承诺总分为（88.54 ± 14.17）分，工作沉浸总分为（49.65 ± 10.46）分，工作投入总分为（37.61 ± 11.62）分。Pearson相关性分析结果显示，工作投入得分与职业承诺、工作沉浸及职业召唤得分均呈正相关（r = 0.826 ~ 0.872，P＜0.01）。手术室护士的职业召唤水平对工作投入水平具有正向的预测作用（偏回归系数= 1.091，P＜0.01）；进一步的中介效应分析发现，职业承诺与工作沉浸在职业召唤与工作投入之间均起部分中介作用，其中职业承诺的中介效应占总效应的25.21%，工作沉浸的中介效应占52.34%。
    结论 手术室护士的工作投入水平受职业召唤的影响，并通过职业承诺与工作沉浸两个心理机制间接发挥作用。护理管理者应重视激发护士的职业使命感与内在动机，制定科学有效的干预策略，以提升其工作投入水平，从而提高手术室护理服务的整体质量。

     

    Abstract:
    Objective This study aimed to investigate the current status and influencing factors of work engagement among operating room nurses and to examine the underlying mechanism by which career calling influences work engagement. The findings aimed to provide theoretical guidance for improving the quality of perioperative nursing services.
    Methods A convenient sampling method was used to recruit 297 operating room nurses from three top tertiary hospitals in Shandong Province between January and March 2024. Data were collected via an online questionnaire, which included a general information survey, the Calling Scale, the Occupational Commitment Scale, the Work-related Flow Inventory (WOLF), and the Utrecht Work Engagement Scale-9 (UWES-9). Correlations among the scale scores were analyzed, and the mediating effects of occupational commitment and work-related flow on the relationship between career calling and work engagement were tested.
    Results A total of 297 questionnaires were collected, with 277 valid responses, resulting in a valid response rate of 93.27%. For operating room nurses, the total score of career calling was (47.60 ± 8.80) points, occupational commitment was (88.54 ± 14.17) points, work-related flow was (49.65 ± 10.46) points, and work engagement was (37.61 ± 11.62) points, respectively. Pearson correlation analysis showed that work engagement was positively correlated with career calling, occupational commitment, and work-related flow (r = 0.826 to 0.872, P < 0.01). The level of career calling among operating room nurses positively predicted the work engagement (β = 1.091, P < 0.01). Further mediation analysis indicated that both occupational commitment and work-related flow partially mediated the relationship between career calling and work engagement, with occupational commitment accounting for 25.21% of the total effect and work-related flow accounting for 52.34%.
    Conclusions The work engagement level of operating room nurses was directly influenced by their sense of career calling and indirectly through the psychological mechanisms of occupational commitment and work-related flow. Nursing administrators should prioritize cultivating nurses' sense of professional mission and intrinsic motivation and implement effective intervention strategies to enhance work engagement and ultimately improve the overall quality of operating room nursing care.

     

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