未经证实:护士失眠的发生率很高。失眠不仅损害护士的身心健康,但也降低了他们的生产力和护理质量,最终影响患者护理。在过去的30年里,大量流行病学调查显示,护士失眠与职业紧张有关。作为护士角色的外部特征,职业紧张很难在短时间内改变。因此,有必要探讨护士职业紧张与失眠关系中的复杂中介变量,以寻找不同的思路来解决职业紧张导致的失眠问题。心理资本,个人的积极心理力量,作为职业紧张和不良心理问题之间的中介变量,在以往的报道中被广泛使用。
UNASSIGNED:本研究旨在探讨心理资本在护士职业应激源和失眠中的中介作用。
UNASSIGNED:在流行病学声明中加强观察研究的报告被提及进行研究。采用横断面分层抽样的方法,从济南市某三甲医院招募720名参试人员,山东省,位于中国东部,2019年6月至8月。问卷调查用于获取有关人口统计变量的数据,心理资本,职业压力源,和失眠。
未经评估:研究结果表明,工作设置[部门(F=3.08,p=0.006),每周工作时间(t=-2.03,p=0.043)和轮班工作(t=3.66,p<0.001)],决策纬度(r=-0.25,p<0.001),心理工作需求(r=0.15,p<0.001),社会支持(r=-0.31,p<0.001),心理资本(r=-0.40,p<0.001)与失眠经历存在差异。这项横断面调查表明,心理资本对职业应激源与失眠之间的关系具有显着的中介作用。在决策纬度-心理资本-失眠的模型中,中介效应为-0.04(95CI:-0.07~-0.02),占总效应的50.0%;在工作需求-心理资本-失眠模型中,中介效应为0.03(95CI:0.01~0.06),占总效应的25.0%;在社会支持-心理资本-失眠模型中,中介效应为-0.11(95CI:-0.16~-0.07),占总效应的39.0%。
未经评估:心理资本不仅对职业压力源和失眠有直接影响,而且在职业应激源与失眠的关系中也起着中介作用。建议护士自身和护理管理者通过多种途径提高护士的心理资本,以减轻职业压力对护士失眠的影响。
UNASSIGNED: Nurses have a high incidence of insomnia. Insomnia not only damages the physical and mental health of nurses, but also reduces their productivity and quality of care, ultimately affecting patient care. Over the past 30 years, a large number of epidemiological surveys have shown that insomnia in nurses is associated with occupational stress. As an external feature of the role of a nurse, occupational stress is difficult to alter in a short period of time. Therefore, it is necessary to discuss the complex mediating variables in the relationship between occupational stress and insomnia in nurses in order to find different ideas to address the problem of insomnia caused by occupational stress. Psychological capital, the positive psychological strength of an individual, has been widely used in previous reports as a mediating variable between occupational stress and adverse psychological problems.
UNASSIGNED: This study aimed to explore the mediating effect of psychological capital on occupational stressors and insomnia among Chinese nurses.
UNASSIGNED: The Strengthening the Reporting of Observational Studies in Epidemiology statement was referred to conduct the study. A cross-sectional stratified sampling method was used to recruit 720 participants from a tertiary hospital in Jinan, Shandong province, located in the east of China, from June to August 2019. Questionnaires were used to obtain data on demographic variables, psychological capital, occupational stressors, and insomnia.
UNASSIGNED: The study findings revealed that work settings [department (F = 3.08, p = 0.006), working hours per week (t = -2.03, p = 0.043) and shift work (t = 3.66, p < 0.001)], decision latitude (r = -0.25, p < 0.001), psychological job demand (r = 0.15, p < 0.001), social support (r = -0.31, p < 0.001), and psychological capital (r = -0.40, p < 0.001) were differentially associated with insomnia experiences. This cross-sectional survey showed that psychological capital has significant mediation effects on the relationship between occupational stressors and insomnia. In the model of decision latitude - psychological capital - insomnia, the mediating effect was-0.04 (95%CI: -0.07 ~ -0.02), accounting for 50.0% of the total effect; In the model of job demands - psychological capital - insomnia, the mediating effect was 0.03 (95%CI: 0.01 ~ 0.06), accounting for 25.0% of the total effect; In the model of social support - psychological capital - insomnia, the mediating effect was -0.11 (95%CI: -0.16 ~ -0.07), accounting for 39.0% of the total effect.
UNASSIGNED: Psychological capital not only had a direct effect on both occupational stressors and insomnia, but also played mediating roles in relationship between occupational stressors and insomnia. It has been suggested that nurses themselves and nursing managers should improve the psychological capital of nurses by various means to alleviate the effects of occupational stress on nurses\' insomnia.