心理安全感在低年资护士成人依恋与岗位胜任力间的中介作用研究OA

Objective To explore the mediating effect of psychological safety between adult attachment and job compe-tence in junior nurses,providing a reference for optimizing nurses'career development.Methods Using convenience sam-pling,a cross-sectional survey was conducted among 575 junior nurses from 26 tertiary hospitals in Zhejiang Province.The survey employed a general information questionnaire,the Competency Inventory for Registered Nurses,the Revised Adult Attachment Scale,and the Psychological Safety Scale.Pearson correlation analysis was used to examine the relationships a-mong adult attachment,psychological safety,and job competence.Model 4 in the SPSS Process macro was utilized to con-struct a mediation model with psychological safety as the mediator between adult attachment and job competence.The Boot-strap method was applied to test the mediating effect.Results The average item score of the Competency Inventory for Reg-istered Nurses was(2.45±0.56).The average item scores for the Close-Dependence subscale and the Attachment Anxiety subscale were(3.49±0.45)and(2.17±0.71),respectively.The average item score of the Psychological Safety Scale was(3.39±0.63).Psychological safety showed a significant mediating effect between close-dependence and job competence(effect value=0.822,95%CI:0.506～1.161,P<0.001),accounting for 53.73%of the total effect.In contrast,it exhibited a complete mediating effect between attachment anxiety and job competence(effect value=-1.264,95%CI:-1.702～-0.871,P<0.001),accounting for 96.41%of the total effect.Conclusion The job competence of junior nurses is at a moderate level and still needs improvement.The level of close-dependence directly predicts job competence.Psychological safety plays a mediating role between adult attachment and job competence in junior nurses.