护士工作价值观对工作绩效的影响:内在动机与自我效能感的双重中介效应

目的探索临床护士工作价值观与工作绩效的关系，以及内在动机与自我效能感的双重中介作用。方法采用自编一般资料问卷、工作价值观量表、内在动机量表、自我效能感量表及工作绩效量表，对409名临床护士进行调查，对结果进行相关分析及构建结构方程模型。结果工作价值观、工作绩效、内在动机与自我效能感4个变量之间呈正相关（P < 0.01）；结构方程模型显示，工作价值观、内在动机及自我效能感对工作绩效有直接效应（P < 0.05），工作价值观还以内在动机、自我效能感为中介变量，对工作绩效有间接效应（P < 0.05）；工作价值观、内在动机与自我效能感对工作绩效的标准化路径系数分别为0.18、0.42、0.16（P < 0.01），工作价值观对工作绩效的标准化总效应为0.48，外因变量工作价值观、内在动机与自我效能感能够解释内因变量工作绩效总变异的40%。结论医院与护理管理者应积极调动护士内在动机与自我效能感，完善护士工作绩效制度和管理制度。

Effect of nurses' work value on work performance: the dual mediating effect of intrinsic motivation and self-efficacy

ObjectiveTo explore the relationship between clinical nurses' work value and job performance, and dual mediating effect of intrinsic motivation and self-efficacy.MethodsA total of 409 clinical nurses were investigated using self-designed general information questionnaire, work value scale, intrinsic motivation scale, self-efficacy scale and job performance scale, and the results of which was analyzed to construct the structural equation model.ResultsThe Work value, work performance, intrinsic motivation and self-efficacy were positively correlated(P < 0.01).The structural equation model showed that the work value, intrinsic motivation and self-efficacy had direct effects on job performance, and the work value was also mediated by motivation and self-efficacy, which had indirect effects on job performance(P < 0.05).The standardized path coefficients of work value, intrinsic motivation and self-efficacy on job performance were 0.18, 0.42 and 0.16, respectively(P < 0.01), and the total standardized effect of work value on job performance was 0.48.External variable work value, intrinsic motivation and self-efficacy could explain 40% of the total variation of job performance of internal variable.ConclusionsHospital and nursing managers should actively mobilize nurses' intrinsic motivation and self-efficacy, and improve the job performance system and management system of nurses.