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目的 探索临床护士的工作家庭冲突(work family conflict, WFC)分型，并比较不同WFC类型的护士在人口学、出勤主义行为、离职意愿、人格、职业倦怠的特征差异。方法 2023年6—7月采用一般资料调查问卷、出勤主义行为问卷(turnover intention question-naire, TIQ)、离职意愿量表(sickness presenteeism questionnaire, SPQ)、大五人格量表(ten-item personality inventory-Chinese version, TIPI-C)、马氏职业倦怠量表(Maslach burnout inventory-human service survey, MBI-HSS)和WFC量表(WFC scale, WFCS)对河南省内的3所三级甲等医院的352名护士进行问卷调查。采用潜在剖面分析(latent profile analysis, LPA)探索临床护士WFC分型，采用单因素分析和有序logistic回归分析影响护士WFC的影响因素。结果 本调查显示临床护士可分为高冲突、中-高冲突、中-低冲突、低冲突4类。护士本人工作年限、尽责的人格、共有情感衰竭、去人格化倾向对护士WFC产生影响(P<0.05)。结论 临床护士WFC存在着一定的异质性。护理管理者应给WFC较高的护士较多关注，通过合理配置人力资源，弹性排班等降低护士的WFC,同时临床护士要进行自我调节，努力改善家庭工作中的冲突，提升生活质量和护理质量。
Abstract：Objective To explore the classification of work family conflict(WFC) among clinical nurses, and to compare the differences in demographic, attendance behavior, turnover intention, personality, and occupational burnout characteristics among nurses with different types of WFCs. Methods From June to July 2023, a questionnaire survey was conducted on 352 nurses from 3 grade A tertiary hospitals in Henan province, including the general information survey, sickness presenteeism questionnaire(SPQ), turnover intention question-naire(TIQ), ten-item personality inventory-Chinese version(TIPI-C), Mahalanobis burnout inventory-human service survey(MBI-HSS) scale, and WFC scale(WFCS). Latent profile analysis was used to explore the classification of WFC among clinical nurses, and the influencing factors of WFC among nurses was analyzed by univariate analysis and ordered logistic regression.Results Family work conflicts of clinical nurses can be divided into 4 categories, named high conflict, medium-high conflict, medium-low conflict, and low conflict. The length of work experience, conscientiousness, shared emotional exhaustion, and departmentalization tendency of nurses had an impact on WFC of nurses(P<0.05). Conclusion There is a certain heterogeneity in WFC among clinical nurses. Nursing managers should pay more attention to nurses with high levels of WFC, reduce family work conflicts of nurse through reasonable allocation of human resources, flexible scheduling, etc. At the same time, clinical nurses should self regulate, strive to improve WFC, and promote the quality of life and nursing.
[1] 韩斌如，陈曦，徐凤霞，等.我国护士工作家庭冲突现状及影响因素[J].护理研究，2021,35(3):407-410.
[2] 徐凤霞，黄叶莉，李玉清，等.已育二孩女护士工作家庭冲突的现状调查[J].中华护理杂志，2019,54(11):1682-1687.
[3] 张纪豪，郭舒婕，李永鑫.护士出勤主义行为在工作家庭冲突与心理健康、工作满意度间的中介作用：第二十届全国心理学学术会议-心理学与国民心理健康[C].中国重庆，2017.
[4] 马姝.ICU女护士工作负荷、工作家庭冲突与工作倦怠的关系研究[D].济南：山东大学，2022.
[5] 李皙睿，刘利，赵雪，等.护士工作家庭冲突与工作倦怠：心理资本的中介作用[J].中国医科大学学报，2014,43(10):910-913.
[6] 郭雪琴，熊莉娟.护士工作家庭冲突的研究进展[J].全科护理，2022,20(28):3919-3922.
[7] 吴水宏，唐方林.职业倦怠在ICU护士工作-家庭冲突与工作投入间的中介作用[J].当代护士(下旬刊),2023,30(8):121-124.
[8] CARLSON D S,KACMAR K,WILLIAMS L J.The development and validation of a multi-dimensional measure of work-family conflict[J].Academy of Management Proceedings,1998(1):A1-A7.
[9] 张何苗.高中教师工作家庭冲突的影响因素研究[D].北京：首都师范大学，2007.
[10] 余华.工作疲溃感问卷在我国护理人员中的测试研究[J].护理学杂志，2007,22(24):50-52.
[11] LU L,COOPER C L,YEN LIN H.A cross-cultural examination of presenteeism and supervisory support[J].Career Development International,2013,18(5):440-456.
[12] 李金德.中国版10项目大五人格量表(TIPI-C)的信效度检验[J].中国健康心理学杂志，2013,21(11):1688-1692.
[13] MICHAELS C E,SPECTOR P E.Causes of employee turnover:A test of the mobley,griffeth,hand,and meglino model[J].Journal of Applied Psychology,1982,67(1):53-59.
[14] 李栋荣.矩阵式组织结构下角色冲突，组织承诺，离职意愿关联性研究[D].中国台湾：国立交通大学，2000.
[15] 王孟成，毕向阳.潜变量建模与Mplus应用-进阶篇[M].重庆：重庆大学出版社，2018.
[16] 唐王琴，吕晓晴，吴景梅，等.安徽省某三级甲等医院临床护士心理弹性在工作家庭冲突与职业倦怠间的中介效应分析[J].职业与健康，2023,39(12):1585-1588,1595.
[17] 郝凤杰，金凤，李培亮，等.手术室护士感知的护理工作环境与工作家庭冲突的关系分析[J].护理管理杂志，2017,17(5):318-320.
[18] 宋雅群.已育二孩女护士工作压力、组织承诺、工作家庭冲突与离职意愿的相关性研究[D].济南：山东大学，2021.
[19] 张秀玲，张莉，郭彤，等.广东省住院总护士工作家庭冲突现状及影响因素分析[J].职业与健康，2022,38(16):2217-2221.
[20] 万效梅，王雅楠，于桦，等.手术室护士工作家庭双向性冲突现状的调查分析[J].现代临床护理，2017,16(3):52-56.
[21] DEIMLING G T,ALBITZ C,MONNIN K,et al.Personality and psychological distress among older adult,long-term cancer survivors[J].Journal of Psychosocial Oncology,2017,35(1):17-31.
[22] HAKULINEN C,ELOVAINIO M,PULKKI-R?BACK L,et al.Personality and depressive symptoms:Individual participant meta-analysis of 10 cohort studies[J].Depression and Anxiety,2015,32(7):461-470.
[23] 孔涵，靳永萍，寇洁，等.领悟社会支持在已育二孩女护士工作家庭冲突和职业倦怠间的中介效应[J].职业卫生与应急救援，2023,41(5):542-546,594.
基本信息:
DOI：10.16821/j.cnki.hsjx.2025.01.002
中图分类号:R192.6
引用信息:
[1]陈岩岩,陈静,冯一瑾等.临床护士工作家庭冲突影响因素的潜在剖面分析[J].护士进修杂志,2025,40(01):6-11+17.DOI:10.16821/j.cnki.hsjx.2025.01.002.
基金信息:
河南省科技发展计划项目(编号：172102410064)