中国临床心理学杂志

护士的情绪劳动策略与工作倦怠的关系:个体内和人际间路径

作者：陈依萍¹ 2 王芳¹

单位：1 北京师范大学心理学院应用实验心理北京市重点实验室北京 100875
2 广东省珠海市食品药品监督管理局珠海 519020

关键词：情绪劳动工作倦怠护士

分类号：R395.6

出版年,卷(期):页码：2014,22(5):873-876

摘要：

目的:从个体内和人际间两条路径探索护士的情绪劳动策略对工作倦怠的作用机制。方法:以珠海五家公立医院的在职护士为对象,采用团体匿名施测的方式发放情绪劳动策略量表、对患者反应的满意度问卷(测量人际间因素)、心理付出问卷(测量个体内因素)、工作倦怠量表-服务版,共收集有效数据252份。结果:路径分析结果显示,首先,从直接关系上看,表层扮演对情绪衰竭和去人性化都具有正向预测作用,深层扮演正向预测情绪衰竭但同时也能提升个人成就感,自然表现则显著负向预测去人性化;其次,三种情绪劳动策略都可以部分或完全通过提升对患者反应的满意程度降低工作倦怠水平,与此同时表层扮演还会部分通过增加心理付出提高情绪衰竭和去人性化水平。结论:不同情绪劳动策略可以通过个体内(心理付出)和人际间(对患者反应的满意度)两条路径影响工作倦怠的不同方面;相对来说自然表现的情绪劳动策略无论对患者还是对护士自身都是最有益的。

Objective:The study explored the mechanism between emotional labor strategy and job burnout through in terpersonal and intrapersonal paths. Methods:Totally 252 nurses from five public hospitals in Zhuhai city participated in the survey, and they anonymously completed the Emotional Labor Strategy Scale, Measure of satisfaction with patients' re sponses(which was interpersonal factor), Measure of psychological effort(which was intrapersonal factor), and Maslach Burn out Inventory-HHS. Results: Firstly, nurses' surface acting positively related to emotional exhaustion, depersonalization, and personal accomplishment, deep acting positively related to emotional exhaustion and personal accomplishment, and au tomatic regulation negatively related to depersonalization. Secondly, all the three emotional labor strategies reduced job burnout through improving satisfaction with patients' response partially or fully. Meanwhile, surface acting improved ex haustion and depersonalization partially through increasing psychological effort. Conclusion: Distinct emotional labor strat egies can impact different aspects of job burnout through either intrapersonal or interpersonal path. Relatively, automatic regulation benefits both patients and nurses.

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参考文献：

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