■在COVID-19大流行期间,护士遇到严重的感染风险和心理压力,严重影响了他们的情绪,专业态度,和工作表现。本研究调查了护士对COVID-19的恐惧对其离开职业和情绪劳动意图的影响,以及实施知识管理对这些主要变量的调节作用。
■为了减轻常见的方法偏差,本研究采用两阶段问卷调查的方法,针对台湾中部医疗中心的护士。在第一阶段,向参与者分发了300份问卷,以完成对COVID-19的恐惧、知识管理实施、和人口统计信息。一个月后,参与者被邀请填写一份后续问卷,专注于有意离开的职业和情感劳动。问卷于2022年6月至7月进行。通过这种两相分布方法,排除无效响应后,共收集了288份有效回复,导致96%的响应率。使用SPSS25.0版进行的分层回归验证了所提出的假设。
研究结果表明,护士对COVID-19的恐惧与他们离开职业和表面行动的意图显著正相关,但与他们深刻的表演有负面影响。此外,知识管理的实施显著缓和了对COVID-19的恐惧、离开职业的意向、表面作用。强大的知识管理系统削弱了对COVID-19的恐惧、离开职业的意图、表面作用。
■总之,护士对COVID-19的恐惧可能会增加他们离开护理行业的倾向,从事更多的表面表演和更少的深度表演。然而,有效的知识管理实践可以减轻这些不利影响。因此,医院可以建立和使用全面的知识管理系统,以增强护士的韧性,并帮助减轻他们对未来大流行及其潜在负面影响的恐惧。
UNASSIGNED: During the COVID-19 pandemic, nurses encountered substantial infection risks and psychological strain, which severely affected their emotional well-being, professional attitudes, and job performance. This study investigated the impact of nurses\' fear of COVID-19 on their intention to leave the occupation and emotional labor as well as the moderating role of the implementation of knowledge management on these primary variables.
UNASSIGNED: To mitigate common method bias, this research adopted a two-phase questionnaire approach, targeting nurses at a medical center in central Taiwan. In the first phase, 300 copies of questionnaire were distributed for participants to complete self-assessment surveys covering fear of COVID-19, knowledge management implementation, and demographic information. After 1 month, the participants were invited to complete a follow-up questionnaire, focusing on the intention to leave the occupation and emotional labor. The questionnaire was conducted from June to July 2022. Through this two-phase distribution method, after exclusion of invalid responses, a total of 288 valid responses were collected, resulting in a response rate of 96%. The proposed hypotheses were verified using hierarchical regression conducted with SPSS version 25.0.
UNASSIGNED: The findings indicated that nurses\' fear of COVID-19 was significantly and positively associated with their intention to leave the occupation and surface acting, but negatively associated with their deep acting. Moreover, the implementation of knowledge management significantly moderated the positive relationship among fear of COVID-19, intention to leave the occupation, and surface acting. A robust knowledge management system weakened the positive association among fear of COVID-19, intention to leave the occupation, and surface acting.
UNASSIGNED: In summary, nurses\' fear of COVID-19 may increase their tendency to leave the nursing profession and engage in more surface acting and less deep acting. However, effective knowledge management practices can mitigate these adverse effects. Hospitals can thus establish and employ comprehensive knowledge management systems to enhance nurses\' resilience and help alleviate their fear of future pandemics and their potential negative repercussions.