| BackgroundAgainst the background of a large population base,uneven distribution of medical resources,and an aging population that is increasing year by year,clinical nurses are facing a severe risk of shortage.Tapping the work potential of individual nurses,improving unit efficiency,and maximizing the work input of each nurse have become effective ways to alleviate the plight of nurse shortage.Therefore,it is necessary to explore the current situation of clinical nurses’ work engagement and clarify the realistic characteristics of nurses’ work engagement;at the same time,analyze its influencing factors to provide valuable references and suggestions for improving nurses’ work engagement.ObjectivesThis study investigates the current status of nurses’ work engagement through potential profile analysis and identifies potential subgroups and their population characteristics.And explores specific pathways of self-care to enhance nurses’ work engagement to provide empirical support for effective improvement of nurses’ work engagement.MethodsA stratified whole-group sampling method was used to select a sample of nurses from one tertiary general hospital in East,West,South,North and Central China in February 2022.The survey instruments included general information questionnaire,Self-Compassion Scale(SCS),Depression-Anxiety-Stress Scale(DASS-21),and Utrecht Work Engagement Scale,(UWES).Data analysis methods included latent category analysis,chi-square analysis,multiple logistic regression analysis,independent sample t-test,ANOVA,Pearson’s correlation analysis,and mediation effect analysis.Results(1)Current status of latent profiles of nurses’ work engagementNurses’ work engagement can be divided into three latent profiles: low,medium and high,in which the proportion of low work engagement group is 5.206%,counting206 people,with the lowest scores of vitality,dedication and concentration;the proportion of high work engagement group is 55.067%,counting 2179 people,with the highest scores of vitality,dedication and concentration;the proportion of medium work engagement group is 39.727%,counting 1572 people,with the highest scores of vitality The percentage of the middle work engagement group was 39.727%,with 1572 participants,and the scores of vitality,dedication and concentration were all medium.The chi-square analysis found that marriage,number of children,job title,personnel relationship,monthly income,and family harmony were all important factors affecting the potential profile of work engagement.Multiple logistic regression analysis found that self-compassion and negative emotions were strong influences on nurses’ work engagement(p<0.001).(2)the relationship between nurses’ work engagement and self-compassionThe t-test and one-way ANOVA found that marriage,number of children,title,personnel relationship,monthly income,and family harmony were all important factors influencing work cast(p<0.001).Pearson’s correlation analysis found a significant relationship between both self-compassion,negative emotion and self-investment(p<0.001).Mediation analysis found a significant mediating effect of negative emotion between self-compassion and work engagement,with a mediating effect = 0.05,95%CI = [0.03,0.07],an effect ratio of 26.75%,and a direct effect ratio of 72.95%,which was partially mediated.Conclusion(1)The work engagement of the nurse population can be divided into three potential profiles: low,medium,and high.Marriage,number of children,job title,personnel agency and monthly income of the nurse group all have an impact on nurses’ work engagement.Specifically,the high work engagement of unmarried is significantly lower than that of married;the higher the number of children,the higher the work engagement of nurses;the proportion of high work engagement increases with the higher title of nurses;the proportion of high work engagement of staffing agency nurses is significantly higher than that of nurses employed on staff and contract;nurses with high monthly income have higher work engagement;clinical nurses with higher family harmony also have higher work engagement.(2)Nurses’ self-compassion and negative emotions can significantly affect work engagement;the higher the self-compassion,the higher the clinical nurses’ work engagement;the higher the negative emotions,the lower the clinical nurses’ work engagement.(3)Negative emotions played a mediating role between self-compassion and work engagement.The higher the self-compassion,the lower the tendency of clinical nurses to have negative emotions,which in turn leads to higher work engagement. |
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