| 其他摘要 | Objective:As a common problem in many workplaces, job burnout is particularly prominent to nurses who are major group of health care services, causing negative effect on their physical and mental health as well as organization development. Current researches on personality traits, coping style and job burnout suggested that Personality has an effect on job burnout through coping style. However, it is difficult to intervene and improve burnout from personality due to its relatively stable and lasting psychological behavior tendency. Meanwhile, Psychological flexibility is a manipulable personal trait. It can be enhanced by acceptance and commitment therapy. People with Higher psychological flexibility can choose coping strategies flexibly according to specific situations, which can reduce the occurrence of burnout and maintain their physical and mental health. Therefore, this study takes psychological flexibility as the starting point and coping style as the clue, and finds a new solution for the intervention of job burnout by exploring the relationship among psychological flexibility and coping style and job burnout of nurses in tertiary hospital and secondary hospitals respectively.Methods:The study was composed of two studies.Study 1: To explore the relationship among psychological flexibility, coping style and job burnout of nurses in tertiary hospital. Totally 694 nurses from one district level grade A tertiary general hospital in Yunnan were assessed using Acceptance and Action Questionnaire 2nd edition (AAQ-Ⅱ), Simplified Coping Style Questionnaire (SCSQ) and Nursing Burnout Scale (NBS). SPSS23.0 was used to verify the research hypothesis of correlation and predictive effect among psychological flexibility, coping style and job burnout. Mplus7.0 was used to test the mediating effect of coping style between psychological flexibility and job burnout. Study 2: To explore the relationship among psychological flexibility, coping style and job burnout of nurses in secondary hospitals. Totally 1182 nurses from one district level nine grade A secondary general hospitals in Yunnan were assessed using the same questionnaires and statistical methods as those in study 1. Finally, the nurses’ psychological flexibility, coping style and the total scores of job burnout were compared and analyzed between the tertiary and secondary general hospitals, and Mplus7.0 was used to compare the mediating effect of coping style between the two levels hospital nurses.Results:Study 1: In tertiary hospital nurses, psychological flexibility was significantly positively correlated with positive coping, and negatively correlated with negative coping and the total scores of job burnout and its three dimensions including emotional exhaustion, depersonalization, as well as reduced personal accomplishment. Psychological flexibility of nurses in tertiary hospital had a significant positive predictive effect on positive coping, and a significant negative predictive effect on negative coping and the total scores of job burnout and its three dimensions. Psychological flexibility and positive coping had significant negative predictive effects on the total scores of job burnout and its three dimensions. While negative coping had a significant positive predictive effect on the total scores of job burnout and its three dimensions. Coping style partially mediated psychological flexibility and job burnout in tertiary hospital nurses. Compared with positive coping, negative coping played a greater mediating role.Study 2: In secondary hospital nurses, psychological flexibility was significantly positively correlated with positive coping, and negatively correlated with negative coping and the total scores of job burnout and its three dimensions. Psychological flexibility of nurses in secondary hospitals had a significant positive predictive effect on positive coping, and a significant negative predictive effect on negative coping and the total scores of job burnout and its three dimensions. Psychological flexibility and positive coping had significant negative predictive effects on the total scores of job burnout and its three dimensions. While negative coping had a significant positive predictive effect on the total scores of job burnout and its three dimensions. Coping style partially mediated psychological flexibility and job burnout in secondary hospital nurses. Compared with positive coping, negative coping played a greater mediating role. Comparing two groups of nurses, the tertiary hospital nurses’ psychological flexibility, coping style and the total scores of job burnout were higher than the secondary hospital nurses. Comparing three dimensions of job burnout, depersonalization of nurses in tertiary hospital was significantly higher than that in secondary hospitals. There were no statistical difference in the mediating effects of coping style between the tertiary hospital nurses and secondary ones.Conclusion:First, coping style of nurses in the tertiary hospital has mediating effect on the relationship between psychological flexibility and job burnout. Negative coping plays a more mediating role than positive coping.Second, coping style of nurses in the secondary hospitals has mediating effect on the relationship between psychological flexibility and job burnout. Negative coping plays a more mediating role than positive coping.Third, the mediating effect of coping style between psychological flexibility and job burnout is the same between the two groups of nurses. Acceptance and commitment therapy can be used to improve nurses' psychological flexibility and reduce negative coping style, so as to prevent and reduce their job burnout. |
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