摘要目的? 调查分析口腔门诊护士职业认同、职业倦怠和组织感情承诺现状,探讨三者之间的关系.方法? 采用护士职业认同评定量表、Maslach职业倦怠测评通用调查版量表和修订版组织感情承诺量表(ACS)对北京市14家三级医院275名口腔门诊护士进行横断面调查,采用SPSS 24.0和Amos 21.0软件对数据进行分析.结果? 237名口腔门诊护士的职业认同得分为(121.31±20.34)分,综合医院得分高于专科医院,差异有统计学意义(P=0.041);237名口腔门诊护士职业倦怠测评量表得分为(1.96±1.02)分,ACS条目均分为(4.07±0.79)分.分析结果显示,不同工作年限的护士职业认同得分有统计学差异(P＜0.05);不同工作年限、学历、职称的护士职业倦怠得分均有统计学差异(P＜0.05).职业认同、职业倦怠和组织感情承诺三者呈中度相关关系(P＜0.001),且组织感情承诺在职业认同和职业倦怠之间发挥部分中介作用,间接效应占总效应的31.5%.结论? 口腔门诊护士的职业认同和组织感情承诺处于中高水平,职业倦怠处于轻中水平.三者之间呈中度相关,且组织感情承诺在另两者间发挥着中介效应.故而采取措施提升职业认同,增强组织感情承诺,可以减轻口腔门诊护士的职业倦怠,建立和谐稳定的工作环境.

abstractsObjective? To investigate the status of professional identity,job burnout and organizational affective commitment of dental clinic nurses and analyze their correlation. Methods? Cross-sectional study was carry out on 275 dental clinic nurses from 14 Class Ⅲ hospitals in Beijing, as measured by Professional Identity Scale, the Revised Edition of the Maslach Burnout Inventory-General Survey and the Affective Commitment Scale(ACS). The statistical analysis performed by SPSS 24.0 and Amos 21.0 software. Results? The score of Professional Identity Scale of 237 dental clinic nurses was(121.34±20.34), moreover the nurse who working in general hospitals exhibited higher score than in dental-specialized hospitals,the difference was statistically significan(t P=0.041). The score of the Revised Edition of the Maslach Burnout Inventory-General Survey of 237 dental clinic nurses was (1.96±1.02),the average score of entries of ACS was (4.07±0.79). The results of the analysis showed that the professional identity scores of nurses with different working years were statistically different (P＜0.05). The scores of nurses with different working years, academic qualifications and professional titles were statistically different on Job burnout (P＜0.05). Moderate correlations were found among the scores of professional identity, job burnout and organizational affective commitment (P＜0.001), while organizational affective commitment had an intermediate effect between professional identity and job burnout, accounting for 31.5% of total effects. Conclusions? The status of professional identity and organizational affective commitment of dental clinic nurses in tertiary hospitals is at moderate-to-high level, and the status of job burnout in most of them is at low-to-moderate level. Moderate correlations are found among them, while organizational affective commitment plays an intermediate role between professional identity and job burnout. In order to reduce job burnout and establish harmonious and stable working environment, nurse administrators should implement intervention to improve professional identity and enhance organizational affective commitment.